Part 5

Hydrophobia 527

Rise and Progress of Medicine 534

Medicine of the Chinese 552

Experiments on Living Animals 559

CURIOSITIES OF MEDICAL EXPERIENCE.

OBESITY.

Various are the opinions concerning the cause of excessive corpulence. By some it is attributed to too great an activity in the digestive functions, producing a rapid assimilation of our food; by others, to the predominance of the liver: while indolence and apathy, such as is commonly observed in the wealthy monastic orders, are considered as occasioning a laxity of fibre favourable to this embonpoint. Boileau has thus described one of these fat lazy prelates, who

Muni d'un dejeuner, Dormant d'un leger somme, attendait le diner. La jeunesse en sa fleur brille sur son visage; Son menton sur son sein descend a triple etage; Et son corps ramasse, dans sa courte grosseur, Fait gemir les coussins sous sa molle epaisseur.

It is certain that exercise, anxiety of mind, want of sleep, and spare food, are circumstances opposed to fatness. This fact is illustrated by Shakspeare, when Caesar says to Antony,

Let me have men about me that are fat,-- Sleek-headed men, and such as sleep o' nights; Yon Cassius has a lean and hungry look, He thinks too much: such men are dangerous.

Antony and Dolabella were both men of some corpulence. The Roman ladies dreaded above all things too voluminous a development of the bosom: to prevent it they were in the habit of applying to their breasts the raw flesh of a fish called Angel. Hippocrates has maintained that obesity was an obstacle to conception. This assertion which was partaken by other medical writers, may, in some measure account for the dread of corpulence. Strange indeed have been the fancies on this subject amongst various nations.

Fat is a fluid similar to vegetable oils, inodorous, and lighter than water; besides the elements common to water, to oils, and wax, it contains carbon, hydrogen, and sebacic acid, which is pretty similar to the acetic. Human fat, like that of other animals, has been frequently employed for various purposes. A story is told of an Irish tallowchandler, who, during the invasion of Cromwell's army, made candles with the fat of Englishmen, which were remarkable for their good quality; but when the times became more tranquil, his goods were of an inferior kind, and when one of his customers complained of his candles falling off, he apologised by saying, "I am sorry to inform you that the times are so bad that I have been short of Englishmen for a long time."

Obesity may be considered a serious evil, and has exposed corpulent persons to many desagremens. The ancients held fat people in sovereign contempt. Some of the Gentoos enter their dwellings by a hole in the roof; and any fat person who cannot get through it, they consider as an excommunicated offender who has not been able to rid himself of his sins. An Eastern prince had an officer to regulate the size of his subjects, and who dieted the unwieldy ones to reduce them to a proper volume. In China this calamity is considered a blessing, a man's intellectual qualities are esteemed in the ratio of corporeal bulk.

There are cases on record among ourselves where unwieldiness led to estimation. The corpulent antiquarian Grose was requested by his butcher to tell all his friends that he bought his meat from him; and the paviers of Cambridge used to say, "God bless you, sir!" to a huge professor when he walked over their work. Fatness has often been the butt of jocularity. Dr. Stafford, who was enormously fat, was honoured with this epitaph:

Take heed, O good traveller, and do not tread hard, For here lies Dr. Stafford, in all this church-yard.

And the following lines were inscribed on the tomb of a corpulent chandler:

Here lies in earth an honest fellow, Who died by fat and lived by tallow.

Dr. Beddoes was so uncomfortably stout that a lady of Clifton used to call him "the walking feather-bed." At the court of Louis XV. there were two lusty noblemen, related to each other: the king, having rallied one of them on his corpulency, added, "I suppose you take little or no exercise?" "Your majesty will pardon me," replied the bulky duke, "for I generally walk two or three times round my cousin every morning."

Various ludicrous anecdotes are related of fat people. A scene between Mrs. Clive and Mrs. Pritchard, two corpulent actresses, must have been very amusing. They were playing in the parts of Lady Easy and Edging, in the Careless Husband, when the former desires Edging to pick up a letter she had dropped; and Mrs. Clive, who might as well have attempted to raise a hundred pound weight, exclaimed, "Not I indeed, take it up yourself if you like it." This answer threw the audience into roars of laughter, when Mrs. Pritchard replied, "Well, if you won't take up the letter, I must find some one who will;" and so saying, she beckoned to a servant in the wing, who came forward and terminated the dispute.

In some countries, especially in the East, moderate obesity is considered a beauty, and Tunisene young ladies are regularly fattened for marriage; a different practice from that of the Roman matrons, who starved their daughters, to make them as lean as possible on such occasions. Thus Terence,

Nostrae virgines--si bono habitu sunt, matres pugiles esse aiunt, et cibum deducunt.

Erasmus states that the Gordii carried their admiration for corpulence to such an extent, that they raised the fattest amongst them to the throne. It is well known that the preposterous size of some of the Hottentots is deemed a perfection, and one of their Venuses was not long since exhibited in London.

There is no doubt that food materially influences this condition of mankind, although we frequently see enormous eaters who are miserably lean, and fat persons whose diet is most scanty. During the late war, a ravenous French prisoner was known to eat four pounds of raw cow-udder, ten pounds of raw beef, and two pounds of candles, per diem, diluting his meals with five quarts of porter; yet this carnivorous brute was a perfect skeleton.

Amongst the many predisposing causes of obesity we may rank emasculation. An epicurean fishmonger of the name of Samuel Tull performed this operation on fishes, to render them more delicate. His curious experiments were submitted to the Royal Society. The same practice has been subsequently illustrated by Professor Dumeril. Father Charleroix informs us that Caraib cannibals had recourse to this process to fatten their prisoners before they were devoured.

Anatomical pursuits are also known to occasion embonpoint. This has been frequently observed amongst medical pupils. Professor Mascagni attributed his corpulence to his constant attendance on dissections; he also excused his amorous propensities on similar grounds.

For the cure of corpulency, diminution of food of a nutritious nature has been generally recommended; added to this, little sleep and much exercise are advised. Acids to reduce fatness are frequently administered, but have done considerable mischief. Amongst other wonderful accounts of their efficacy in such cases, it is related of a Spanish general who was of an enormous size, that he drank vinegar until his bulk was so reduced that he could fold his skin round his body.

For a similar purpose soap has been frequently recommended, particularly by Dr. Flemyng. He began this experiment with one of his patients who weighed twenty stone and eleven pounds (jockey weight): in July 1754, he took every night a quarter of an ounce of common Castile soap. In August 1756 his bulk was reduced two stone, and in 1760 he was brought down to a proper condition.

Darwin is of opinion that salt and salted meat are still more efficacious than soap. All these experiments, however, are in general not only useless but pernicious, and frequently prove fatal. Mr. Wadd, from whose curious work on corpulence much is extracted in this article, properly observes that, "certain and permanent relief is only to be sought in rigid abstemiousness, and a strict and constant attention to diet and exercise." Dr. Cheyne, who weighed thirty-two stone, reduced himself one-third, and enjoyed good health till the age of seventy-two. Numerous instances of the kind are mentioned, where journals of gradual reduction were kept: the following is an abstract of one of them, in the case of a person who, on the 17th June 1820, weighed twenty-three stone two pounds:--