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Part 29

Curiosities of Medical Experience · J. G. Millingen — chapter 29 of 80 · ~3,977 words · public domain

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We have a better authenticated case in the one mentioned by Dr. Eccles in the Edinburgh Medical Essays for 1720. The starved person was a beautiful young lady, about sixteen years of age, who, in consequence of the sudden death of her father, was thrown into a state of tetanus (lock-jaw) so violent as to render her incapable of swallowing for two long and distinct periods,--the first of thirty-four, and the second of fifty-four days,--during which she neither experienced a sense of hunger nor of thirst, and when she recovered, she was scarcely reduced in size. Sir William Hamilton saw a girl, sixteen years of age, who was extricated from the ruins of a house at Oppido, in which she had remained eleven days: an infant in her arms, but a few months old, had died on the fourth day, as the young are not so able to endure abstinence. Dr. Willan attended a young man who had abstained from any sustenance except a little water flavoured with orange-juice for sixty days: death ensued a fortnight after. Fodere mentions some workmen who were extricated alive from a cold damp cavern, in which they had been immured under a ruin for fourteen days. Cetois, a physician of Poitiers, relates a still more singular case of total abstinence in a girl, who, from the age of eleven to that of fourteen, took no nourishment.

Ann Moore, called the fasting woman of Tutbury, was to a certain extent an impostor, for although there was no truth in her assertion that she lived an incredible time without food, yet it appeared evident that her chief, if not her only support, was tea. That fluid is sufficient to maintain life appears evident from two papers inserted in the Philosophical Transactions; one of them giving an account of four men who were compelled to subsist upon water for twenty-four days, and the other of a young man who tasted nothing but the same fluid for eighteen years. An imposition having been suspected, he was shut up in close confinement for twenty days as a trial, when he uniformly enjoyed good health.

Another wonderful instance of the same kind is that of Janet M'Leod, published by Dr. M'Kenzie. She was at the time thirty-three years of age, unmarried, and from the age of fifteen had had various attacks of epilepsy, which had produced so rigid a lock-jaw that her mouth could rarely be forced open by any contrivance; she had lost very nearly the power of speech and deglutition, and with this all desire to eat or drink. Her lower limbs were retracted towards her body; she was entirely confined to her bed, slept much, and had periodical discharges of blood from the lungs, which were chiefly thrown out by the nostrils. During a few intervals of relaxation, she was prevailed upon with great difficulty to put a few crumbs of bread comminuted in the hand into her mouth, together with a little water sucked from her own hand, and, in one or two instances, a little gruel; but, even in these attempts, almost the whole was rejected. On two occasions, also, after a total abstinence of many months, she made signs of wishing to drink some water, which was immediately procured for her. On the first experiment the whole seemed to be returned from her mouth, but she was greatly refreshed in having it rubbed upon her throat. On the second occasion she drank off a pint at once, but could not be prevailed upon to drink any more, although her father had now fixed a wedge between her teeth. With these exceptions, however, she seemed to have passed upwards of four years without either liquids or solids of any kind, or even an appearance of swallowing; she lay for the most part like a log of wood, with a pulse scarcely perceptible from feebleness, but distinct and regular. Her countenance was clear and pretty fresh; her features neither disfigured nor sunk; her bosom round and prominent, and her limbs not emaciated. Dr. M'Kenzie watched her with occasional visits for eight or nine years, at the close of which period she seemed to be a little improved.

A Dutch girl of the name of Eve Hergen is reported to have lived from the year 1597 to 1611 with no other support than the scent of flowers. The magistrates of Meurs suspecting imposition, had her closely watched for thirteen successive days, without being able to detect any fraud. Over her picture were affixed some Latin verses, of which the following translation was given in a book called "An Apologie or Declaration of the Power and Providence of God, by George Hakewell, 1635:"

This maid of Meurs thirty-six yeares spent, Fourteen of which she tooke no nourishment; Thus pale and wan, she sits sad and alone, A garden's all she loves to looke upon.

According to Pliny, the Astoni had no other food than this Batavian maiden, being unfortunately born without mouths. Sauvages mentions an academician of Toulouse who never thirsted, and passed his summers, notwithstanding the intense heat, without drinking. In most of the recorded cases of total or nearly total abstinence, water has been found more or less necessary, but not invariably.

That some animals can thrive upon water, and even upon air, is demonstrated by naturalists. Snails and chameleons have been known to exist upon air for years. Garman has found that this nutriment is sufficient for the support of spiders; and Latreille has confirmed the experiment by fixing a spider to a piece of cork, and precluding it from any communication. Every entomologist repeatedly sees insects living in their cases, although pinned down for an incredible length of time. Mr. Baker relates that he kept a beetle shut up for three years without any food. Mr. Bruce kept two cerastes, or horned snakes, in a glass jar for two years, without any apparent food; he did not observe that they slept in the winter season, and they cast their skin as usual on the last day of April.

Rudolphi kept a Proteus Anguinus five years, and Zoys had one for ten years living on spring water renewed from time to time. Redi found that birds could sustain the want of food from five to twenty-eight days. A seal lived out of the water and without nourishment for four weeks. Four individuals of a large species of larval shell, (Bulimus,) from Valparaiso, were brought to England by Lieut. Graves. They had been packed up in a box, and enclosed in cotton; two for a space of thirteen, one for seventeen, and a fourth for upwards of twenty months; but on being exposed to the warmth of a fire in London, and provided with tepid water and leaves, they revived and lived for several months in Mr. Loddige's palm house, till accidentally drowned. Dogs can live without food from twenty-five to thirty-six days, but man does not easily support starvation more than a week, except in disease or insanity.

The general effects of long fasting, however, are highly injurious when not destructive. They are chiefly feelings of great debility, fever, delirium, violent passion alternating with deep despondency. In general the temperature of the body falls several degrees, although Currie observed the contrary in a patient who died of inanition in consequence of a stricture of the oesophagus; the respiration becomes fetid, the secretion of the kidneys acrid and burning, and according to Magendie and Collard bloody, and the stomach is found contracted after death. Experiments on the duration of life in man and animals deprived of food, show that the warm-blooded animals are best able to support the want of food.

But a phenomenon still more wonderful is the faculty that animals have been known to possess of living when deprived of atmospheric support. A hog, weighing about one hundred and sixty pounds, was buried in his sty under thirty feet of the chalk of Dover cliff for one hundred and sixty days. When dug out, it weighed but forty pounds, and was extremely emaciated, but clean, and white. The animal had nibbled the wood of the sty, and eaten some loose chalk. Lizards, especially the Newt, have been found embedded in chalk-rock, apparently dead, but have reassumed living action on exposure to the atmosphere. On their detection in this state, the mouth is usually closed with a glutinous substance so tenaciously, that they are often suffocated in their efforts to extricate themselves from confinement. Toads have been repeatedly discovered in a similar situation, embedded in blocks of stone, or in the very heart of trees. Dr. Edwards, a learned physiologist in Paris, has ascertained that blocks of mortar and heaps of sand possess sufficient porosity to admit enough air to support the life of reptiles; but they all perish if immersed in water or mercury, when surrounded by an exhausting receiver. The duration of existence of the amphibials of the Batrachian family, when plunged in water, depends in a great measure on its temperature. They die speedily if the water be lower than 32 deg. Fahrenheit, or higher than 108 deg.; and the longest duration of life is under 32 deg.

How can we account for these anomalies? Various solid substances are known to proceed from invisible elementary principles. Do water and air contain them? Metallic stones of large volume fall from the air: how are they produced? whence come they? How vain and feeble are our pursuits, when the vanity of science seeks to penetrate into the arcana of nature; searching and endeavouring to account for the causes of causation! What absurd and impertinent hypotheses have not been broached on scholastic benches! They remind us of an anecdote related of the old Parisian Academy, when one of its sapient members read a voluminous memoir to prove that tides were provided by the Creator for the purpose of bringing vessels in and out of harbour; when one of the Encyclopedian wits gravely observed, that he had no doubt of the fact, since he had discovered, after unceasing and laborious research, that noses were made for the purpose of wearing spectacles!

Although total abstinence from food for any length of time, excepting with hibernating animals, is a wondrous phenomenon, yet it is singular how little aliment is necessary for the purpose of sustaining life, and even health. Many instances of a frugality bordering upon starvation are known. The most economical housekeeper on record was Roger Crabb, the Buckinghamshire hermit, who allowed himself three farthings a week.

Dr. Gower of Chelmsford had a patient who lived for ten years on a pint of tea daily, now and then chewing half a dozen raisins and almonds, but without swallowing them; once a month, by way of a treat, she ate a morsel of bread the size of a nutmeg.

The late Duke of Portland, after a long illness, during which he was attended by Dr. Warren, lived on bread and water for six weeks, at the expiration of which he was allowed one boiled smelt. Numerous persons have been known to live to old age, in perfect health, who never used animal food or wine; such was Dr. Hecquet, the Sangrado of Lesage, who published a curious treatise on fasting in Lent: Paris, 1709.

The following lines were written on a man named Offley:

Offley three dishes had of daily roast; An egg, an apple, and the third a toast.

Most unquestionably, if this Offley was not a man of hard labour, or who took much exercise, this diet, scanty as it may appear, would have been quite sufficient to support life, for his fare was sumptuous, compared to the diet prescribed by St. Theresa to her Carmelite nuns, and which consisted of one egg, herb-soup, with wormwood ashes and aloes. However, in regard to the wondrous fasting of various hermits and holy men, we must take their histories cum grano salis. They clearly belonged to two classes,--enthusiasts or impostors: enthusiasm, which is little short of lunacy, enables the monomaniac to endure starvation with ease; and as to impostors, it is probable that, like Friar Tuck they had a bonne bouche in a corner of their cells.

POISON OF THE UPAS, OR IPO.

Such are the names given by the natives of the Molucca Islands and in the Indian Archipelago to a deadly poison which is used to impregnate the heads of their arrows. The tree from which it is extracted is named Bohou Upas, Boa Upas, and Pohou Antiar. Various accounts of its deleterious nature have been given by ancient travellers. Cleyer and Spielman described it upwards of a century back, and state that no antidote to its dreadful action is known, though vomiting, produced by the most disgusting means, was considered the only method of arresting its dire effects. Spielman asserts that the land for several miles round these trees is desolate and barren, for no plant can grow under their influence. The poison, he states, flows in a milky form from the tree, and no one can approach it at this period, as one drop of the fatal juice falling upon the face or hands produces instant stiffness of every limb, followed by rapid death; it is therefore obtained at the end of long bamboo canes, armed with a pointed tube to receive it when plunged into the bark. Rumphius confirms in a great measure the above statements, and describes the tree, which he divides into male and female: he adds, that they only grow in the island of Celebes, and that all around the dreaded spot is desert and consumed. A more recent Dutch traveller, Foersech or Fooerch, did not let so fertile a subject escape, and has cultivated most industriously this dreary desert in the following account.

Sterility prevails for upwards of ten miles round this dreadful tree on the part of the island of Java where it grows. When criminals are sentenced to death, they are offered a free pardon if they consent to seek a small boxful of this valuable yet terrific poison. They are first sent to the dwelling of a priest who resides at a safe distance from the spot; there they arrive, accompanied by their disconsolate and wailing families. They remain with this holy man for a few days, during which he affords them both spiritual comfort and good advice; the latter urging the precaution not to set out until the wind blows in such a direction as to waft from them the floating emanations. On their departure on this dreaded expedition he gives them a small box of silver or tortoise-shell, covers their head and face with a leathern hood with glass eyes, and protects their hands with a thick pair of gloves of the same material. He then accompanies them about two miles on their sad journey, and then he describes the hellish spot where this treasure is to be found as minutely as any one can describe what he has not seen; then, giving the poor pilgrim his blessing, he departs on his return. This worthy man informed our traveller that, during thirty years which he had held that enviable situation, he had sent off no less than seven hundred criminals, of whom only twenty-two returned: and he confirmed the statement by exhibiting a list bearing their names and the offences for which they had been tried. Mynheer Foersech further assures his gentle readers that he witnessed several of these expeditions, and entreated the culprits to bring him some branches of the tree; but two withered leaves were the only specimens he could obtain from the solitary wretch who had the good fortune to escape, and who described the tree as growing on the borders of a rivulet, being of moderate height, and surrounded by a cluster of young ones. The ground around them was of a brown sandy nature, and strewed with the remains of human victims. He also clearly ascertained that no living creature can exist within fifteen miles of the spot. The streams that flow near it yield no fish, and the birds that fly over it fall to the ground; several of the latter were occasionally brought to the priest,--whether he ate them, or not, the Dutchman does not inform us. Amongst various offenders doomed to death by this poison he relates the case of thirteen ladies, who, for the crime of infidelity, were inoculated in the bosom with the point of a kritz or Malayan dagger dipped in the upas; and in sixteen minutes they had ceased to live. By recent experiments upon animals this part of his narration may be credited; but, in regard to the other account, we must apply to it the French saying, "Il vaut mieux y croire que d'y aller voir." Indeed the whole of Foersech's account is justly considered a fiction.

However, some French travellers thought otherwise; and Mr. Deschamps, physician and naturalist attached to the expedition of Mr. D'Entrecasteaux, when in Java, ascertained that this wonderful tree was not uncommon in the forests of the country, nor was the approach to it in the slightest degree apprehended. The juice procured by incisions in the bark was called by the natives upas or oupas, and was of so active a nature that it caused immediate death when thrown into the circulation. The Malays mixed it with various other ingredients more especially galanga and garlic, when they employed it. The Javanese only impregnated their arrows with it for the chase: a proof that they did not consider it as affecting the system of the slain animal. Most probably Foersech's priest was aware of this circumstance when he accepted from the privileged malefactors the game killed by the tree they had sought.

This tree, according to Deschamps, is named in the country, pohou antiar; it frequently rises to the height of thirty or forty feet. When one of its branches is broken, or its bark incised, a milky juice exudes, which becomes inspissated when in contact with the atmosphere. In appearance this tree bears some resemblance to our elm. Mr. Deschamps confirms the relation of Rumphius, who stated that the Dutch, in their wars with the natives, were obliged to wear thick buff cuirasses to protect them against their poisoned missiles, the wounds of which were inevitably fatal.

Further information relative to the upas has been afforded by the ingenious Mr. Leschenault, who, during his residence in Java, procured two specimens of the poisonous substance obtained in Java, and of that brought from the islands of Borneo and Macassar. In Borneo, the mountaineers of the interior, who are called Orang-Daias, collect it, and keep its preparation a profound secret. They carry it carefully wrapped up in palm-leaves. Their hunting arrows have heads spear-pointed, and impregnated with this substance; those that are prepared for war bear a shark's tooth fixed in a brass socket, and merely attached to the shaft by the gum resin of the ipo; the barbed point remaining rankling in the wound it has inflicted, the gum dissolves, and speedily brings on death. Mr. Leschenault tried these arrows on dogs and other animals, and they expired shortly after in horrible convulsions.

But the latest account of this celebrated tree is given by Dr. Horsfield who was in Java during its occupation by our troops. He informs us that although the Dutch surgeon Foersech's account must have been a fabrication, yet there did exist a tree called the Anchar from the sap of which the natives prepared a fatal poison. The tree belongs to the 21st class of Linnaeus, the Monaecia. The male and female flowers are produced on the same branch at no great distance from each other, the females being in general above the males. The seed-vessel is an oblong drupe, covered with the calyx; the seed an ovate nut with cells. The top of the stem sends off a few stout branches, which spreading nearly horizontally with several irregular curves, divide into smaller branches, and form a hemispherical, not very regular crown. The stem is cylindrical, perpendicular, and rises completely naked to the height of sixty or seventy, and even eighty feet. Near the surface of the ground it spreads obliquely like many of our large forest trees. The bark is whitish, slightly bursting into longitudinal furrows. Near the ground this bark is, in old trees, more than half an inch thick, and when wounded yields copiously the milky juice from which the poison is prepared. This juice is yellowish, frothy, and becomes brown when exposed to the air.

In making these researches Dr. Horsfield had some difficulty with the native labourers, who feared a contagious eruption, but nothing more. The Doctor further informs us that it is fatal to animals,--destroying dogs in an hour, mice in ten minutes, monkeys in seven, and cats in fifteen, while a buffalo subjected to the experiment was two hours and ten minutes dying.

The natives of Macassar also call this venomous production ipo. They have two varieties of the tree, as in Java; the one called upas antiar, and the other, much more violent and prompt in its action, upas tieute In the preparation of the poison for use much mystery is observed by the natives, and various ingredients are mixed up with it; but as they are known to be harmless, such as onion and garlic juice, pepper, ginger, galanga, they are most probably employed to deceive the curious who might wish to ascertain the nature of this deadly composition.

Mr. Leschenault having brought home a small quantity of this poison, it was tried by Messrs. Delile and Magendie in several experiments, when it was found to act more or less violently, according to the age and size of the individual, or the quantity of the upas. One grain and a half inoculated in a young dog killed it in four minutes, only producing one convulsive fit. In a dog weighing fourteen pounds, half a grain of upas occasioned death at the expiration of one hour and fifty-seven minutes, during which the animal experienced several violent convulsions. A few drops of diluted upas, injected in the chest of a dog, weighing twenty pounds, occasioned a lock-jaw, which destroyed him in a minute and a half. Eight drops injected in the jugular vein of a horse produced immediate tetanus and speedy death. For further information regarding these cruel experiments we must refer to the experimenter's publication. It appears, however, that the power of this venomous substance is so intense that time does not weaken it; for the upas employed in these experiments had been collected and kept for upwards of seven years, when its effects were as prompt as when tried in a recent state. The natives of Java consider sea-salt as the best antidote, but Mr. Delile found it quite inert: various experiments induced him to think that in these cases death is produced by asphyxia; and he considers the means employed to restore suspended animation in persons supposed to have been drowned, as the most likely to save the life of individuals who might be wounded with this substance. The rapidity with which poisonous substances are absorbed in the system is truly terrific, more especially in such as are of a narcotic nature. The latter act by abolishing all nervous energies, but when applied locally their effects are also local, as is shown by the following experiments of Mueller:

"I held the nerve of a frog's leg which was separated from the body, in a watery solution of opium for a short time, and that portion of the nerve lost its irritability, i.e. its property of exciting twitchings of the leg when it was irritated; but below the part that the poison had touched the nerve still retained this function."

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