Part 22

All these accounts might appear most exaggerated, perhaps fabulous, had not many physicians in Paris known the celebrated Tarrare. The history of this monster is as curious as his habits were disgusting. He commenced his career in life in the capacity of clown to an itinerant quack, and used to attract the notice of the populace by his singular powers of deglutition, swallowing with the utmost ease corks, pebbles, and basketsful of apples. However, these experiments were frequently followed by severe pain and accidents, which once obliged him to seek assistance in the Hotel Dieu of Paris. His sufferings did not deter him from similar experiments; and he once tried to exhibit his wonderful faculties by swallowing the watch, chain and seals, of Mr. Giraud, then house-surgeon of the establishment. In this repast he was foiled, having been told that he would be ripped up to recover the property. In the revolutionary war, Tarrare joined the army, but was soon exhausted on the spare diet to which the troops were obliged to submit. In the hospital of Sultzen, although put upon four full rations, he was obliged to wander about the establishment to feed upon any substance he could find however revolting, to subdue his voracious hunger. These singular powers induced several physicians to ascertain how far these omnivorous inclinations could carry him in his unnatural cravings. In presence of Dr. Lorentz he devoured a live cat, commencing by tearing open its stomach, and sucking the animal's blood with delight. What was more singular, after this horrible feast, like other carnivorous brutes, he rejected the fur and skin. Snakes were to him a delicious meal, and he swallowed them alive and whole, after grinding their heads between his teeth. One of the surgeons, Mr. Courville, gave him a wooden lancet-case to swallow in which a written paper had been folded. This case was rejected undigested, and the paper being found intact, it became a question whether he might not be employed to convey secret correspondence; but having been taken up at the Prussian outposts as a spy, being disguised as a peasant without a knowledge of the language, he received a severe bastinado, which effectually cured him of an appetite for secret service, and on his return he had recourse to the safer means of obtaining food in kitchens, slaughter-houses, and dunghills. At last, a child of fourteen months old having disappeared under suspicious circumstances, he was driven out of the hospital, and lost sight of for four years, when he applied for admission into the hospital of Versailles, in a state of complete exhaustion, labouring under a violent diarrhoea, which terminated his hateful existence in his twenty-sixth year. He was of the middle size, pale, thin, and weak; his countenance was by no means ferocious, but, on the contrary, displayed much timidity; his fair hair was remarkably fine and soft; his mouth was very large, and one could scarcely say that he had any lips; all his teeth were sound, but their enamel was speckled; his skin was always hot, in a state of perspiration, and exhaling a constant offensive vapour. When fasting, the integuments of his abdomen were so flaccid that he could nearly wrap them round him. After his meals the exhalation from his surface was increased, his eyes and cheeks became turgid with blood, and, dropping into a state of drowsiness, he used to seek some obscure corner where he might quietly lie down and digest. After his death, all the abdominal viscera were found in a state of ulceration.

Instances are recorded where a similar facility to swallow fluids had been observed. At Strasburg the stomach of a hussar was exhibited who could drink sixty quarts of wine in an hour. Pliny mentions a Milanese, named _Novellus Torquatus_, who, in presence of Tiberius, drank three _congii_ of wine. Seneca and Tacitus knew a man of the name of Piso who could drink incessantly for two days and two nights; and Rhodiginus mentions a capacious monster called _the Funnel_, down whose throat an amphora of liquor could be poured without interruption.

To what are we to attribute these uncommon, nay, these unnatural faculties? Neither physiological experiments during life, nor anatomical investigation after death, have hitherto enabled us to form an opinion. Great as the progress of science has been, we are still doubtful as to the nature of the digestive process. All the hypotheses on the subject are liable to insuperable objections. Hippocrates and Empedocles attributed digestion to the _putrefaction_ of food. Experiments have clearly demonstrated the fallacy of this doctrine: rejected food is never in a state of putridity; on the contrary, meat in a perfect state of putrescence has been restored to sweetness and freshness on being received into the stomach. Dead snakes have been found with animal substances, part of which had been swallowed and the remainder hanging out of their mouths; when the swallowed portion was fresh, and the portion exposed to the atmosphere in a state of corruption. Galen, and after his school, Grew and Santarelli, ascribed digestion to a _concoction_, during which, food was maturated by the stomach's heat, like fruit by the solar rays. Pringle and Macbride advocated the doctrine of _fermentation_; while Borelli, Keil, and Pitcairn resolved the question by the mechanism of _trituration_, making a mill of the stomach, which ground down food, according to Pitcairn's calculations, with a pressure equal to a weight of one hundred and seventeen thousand and eighty pounds. Boerhaave endeavoured to reconcile the opinions of the _concocters_ and _grinders_, by combining the supposed theory of _concoction_ and _trituration_. Lastly, Cheselden fancied that digestion was operated by a peculiar secretion in the stomach, called _gastric juice_; and Haller, Reaumur, Spallanzani, Blumenbach and most other modern physiologists, concur with him in the same opinion, although admitting that this function is most probably assisted by various accessory circumstances.

This juice was found, upon experiment, to be endowed, not only with the antiseptic power of preserving the contents of the stomach from putrefaction, but with the property of being a most powerful solvent. Pieces of the toughest meats and bone have been enclosed in perforated metallic tubes, and thrust down the stomach of carnivorous birds, and in the space of about twenty-four hours the meats were found to be diminished, or, in other words, digested to three-fourths of their bulk, while the bones had totally disappeared. Dr. Stevens had recourse to a similar experiment on the human stomach, by means of a perforated ivory ball, and with the same result. The gastric juice of the dog dissolves ivory; and that of a hen has dissolved an onyx, and diminished a golden coin. Not long since, upon examining the stomach and intestines of a man who died in a public-house, he was found to have been a _polyphagous_ animal, since several clasp-knives that he had swallowed were discovered with their blades blunted and their handles consumed. Since these experiments, however, Dr. Montegre of Paris, who was gifted with the faculty of discharging the contents of his stomach at will, has fully proved that this gastric juice, when not in an acid state, is subject to putrefaction when submitted to external animal heat; that this corruption did not occur when an acid prevailed, and saliva intermixed with vinegar was equally free from a similar decomposition. He moreover asserts, that he had recourse to numerous experiments to digest food artificially in this supposed solvent, but without obtaining results similar to those advanced by Spallanzani; and, finally, he found little or no difference between the gastric juice and saliva. This acid, which generally exists in the gastric juice, has been ascertained by Dr. Prout to be the muriatic, both free and in combination with alkalis: while Tiedemann and Gmelin maintain that, in its natural state, no acid is to be met with; but that, when food is commingled, an acid which they consider the acetic acid is produced in considerable quantity.[17]

The ostrich, that may be considered a connecting link between birds and quadrupeds, is gifted with powerful digestive organs, and is known to swallow stone, glass, and iron; but this faculty appears to be a gift of all-bounteous Providence, to enable the creature to digest the various substances it meets with when traversing burning deserts for hundreds of miles, when these hard bodies actually perform the function of teeth in the animal's stomach, by aiding the comminution of its indigestible food. The structure of the ostrich has a near resemblance to that of the camel, destined to perform the same dreary journeys. The wings are not designed for flight, and in speed he equals the horse. Adanson affirms that he had seen two ostriches at the factory of Podore, that were broken in to carry single or double riders, and the strongest and youngest would run more swiftly with two negroes on his back than the fleetest racer.

Spallanzani endeavoured to prove that the pebbles and gravel swallowed by various birds were of no use in the process of digestion; but Hunter, who had found two hundred pebbles in the gizzard of a turkey, and one thousand in that of a goose, demonstrated their utility in the trituration of their food, since these birds were found to be unable to digest, and consequently to thrive upon their nourishment when deprived of this mechanical aid. It is curious that the owl, which easily digests meat and bones, cannot be made to digest bread or grain, and yet dies if confined to animal food. The eagle, and other birds of prey, can dissolve both. A singular process of digestion is observed in the stormy petrel, which lives entirely on oil and fat substances whenever it can obtain them; but when fed with other articles of food, Nature, true to her laws, converts them into oil; the bird still discharges pure oil at objects that offend him, and feeds his young with the same substance. The petrel must, no doubt, be a bilious subject, for he delights in misery, and his presence is a sure presage of foul weather to the experienced seamen; and when

The wrathful skies Gallow the very wanderers of the dark, And make them keep their caves,

he is seen riding triumphantly on the whirlwind, and skimming the deepest chasms of the angry waves. This bird is said to be named 'petrel' from Peter, since, like that saint, he is supposed to have the power of walking on the waters.

The singular appetites which have been noticed seem to have been individual peculiarities, uninfluenced by a morbid condition; but there are cases in which a depraved appetite is symptomatic of disease, where we see persons otherwise possessed of sound judgment longing, not only for the most improper and indigestible food, but for substances of the most extraordinary and even disgusting nature. Thus we have seen patients, more especially young females and pregnant women, devouring dirt, cinders, spiders, leeches, hair, tallow, and paper. An ingenious writer affirms that "more literature in the form of paper and printed books has been thus devoured, than by the first scholars in Christendom."

Dr. Darwin tells us that he saw a young lady about ten years of age that used to fill her stomach with earth out of a flowerpot, and then vomited it up, with small stones, bits of wood, and wings of various insects. John Hunter has described an endemic disease among the Africans in Jamaica, in which they devoured dirt. Mason Good, when speaking of this affection, says, "that the longing for such materials is, in this disease, a mere symptom, and rarely shows itself till the frame is completely exhausted by atrophy, dropsy, and hectic fever, brought on by a longing of a much more serious kind,--a longing to return home, a pining for the relations, the scenes, the kindnesses the domestic joys, of which the miserable sufferers have been robbed by barbarians less humanized than themselves, and which they have been forced or trepanned to resign for the less desirable banquet of whips, and threats, and harness, and hunger."

Roderic a Castro relates the case of a lady who could eat twenty pounds of pepper, and another who lived upon ice. Tulpius mentions a woman who, during her pregnancy, longed for salt herrings, and ate fourteen hundred at the rate of five herrings per diem. Longius affirms that a lady in Cologne, who was in that state that ladies wish to be who love their lords, took such a fancy to taste the flesh of her husband that she actually assassinated him, and, after indulging in as much fresh meat as the weather permitted, salted the remainder for further use. This cannibal inclination seems not to be uncommon. The said Roderic a Castro knew a woman in the same thriving condition, who felt an inexpressible desire for a bit of the shoulder of a neighbouring baker, and her husband was persecuted by her constant prayers and lamentations to prevail on the worthy man to allow her one bite for charity's sake: but the first bite was so heartily inflicted, that the crusty baker would not submit to a second.

In the Philosophical Transactions there is a case related of a woman whose fancies were not quite so solid, and who used to gratify her aerial appetites by putting the nozle of a bellows down her throat, and blowing away until she was tired. These longings of parturient women are most common; but it is rather curious, that, among our negroes in the West Indies, the husbands pretend to long for their wives, and endeavour to gratify them by proxy. Possibly such might have been the fancy of Cambes, the Lydian prince, who, according to Aelian, took it into his head one night to eat up his beloved wife.

CAUSES OF INSANITY.

Madness is attributed to moral and physical causes. Physicians do not agree as to the prevalence of either of these sources of human misery. Some of them, most unjustly accused of materialism, seem to lean to the opinion that, generally speaking, physical causes can be traced in _post mortem_ examination; while others, equally skilled in accurate anatomical investigations, maintain that these organic derangements are very seldom met with.

Lawrence affirms that he had "examined after death the heads of many insane persons, and had hardly seen a single brain which did not exhibit obvious marks of disease;" and he further states, "that he feels convinced from his own experience, that very few heads of persons dying deranged will be examined after death without showing diseased structure, or evident signs of increased vascular activity." The celebrated Morgagni gives similar results of his extensive dissections. Meckel and Jones are of the same opinion. However, Pinel, whose anatomical pursuits on the subject were most extensive, clearly declares that he never met with any other appearance within the cavity of the skull than are observable in opening the bodies of persons who have died of apoplexy, epilepsy, nervous fevers and convulsions. Haslam, whose experience in this matter was also very great, asserts that nothing decisive can be obtained in reference to insanity from any variations of appearance that have hitherto been detected in the brain. Greding observed in two hundred and sixteen maniacal cases which he examined, the whole of whom died of disorders unconnected with their mental ailments, that three of the heads were exceedingly large, two exceedingly small; some of the skull bones were extremely thick, others peculiarly thin; in some the frontal bones were small and contracted, in others the temporal bones compressed and narrow.

In this confusion and clashing of opinions, when unfortunately each theorist views, or fancies that he views, functional or organic derangements sufficiently evident (in his eyes at least) to support his doctrine, it is no easy matter to come to a fair conclusion. It can only be observed, that, as the wonderful sympathies of the brain with other organs especially the viscera of the abdomen, are universally acknowledged, the morbid condition in which the brain is occasionally found may have arisen from a primary morbid condition of some other organ. Hence it is difficult to say whether insanity is most generally a primary or a secondary affection. Physical causes act both upon the brain and the abdominal system. Concussion and compression of the brain will occasion nausea, vomiting, and hepatic affections, and the presence of worms in the intestines will excite convulsions and epilepsy. In regard to moral causes, they may also act directly or indirectly upon the brain, or the parts that sympathize with it. Sudden or violent emotions are known to produce an immediate effect upon our digestive functions, which may in turn by their sympathetic connexion act upon the brain and the mind, although the connexion between brain and mind is not yet proved in any conclusive manner.

However, in a practical point of view, whatever discrepancy of opinion may prevail on this subject, I think it will be found advisable to consider most, if not all recent cases of insanity, as arising from physical causes, and therefore to submit the patient to such a medical treatment in addition to moral aid, as the prevalence of morbid symptoms of local derangement are more or less evident. My own experience has fully convinced me that a morbid condition of the cerebral organ, and the viscera of the thorax and abdomen, are invariably met with, and must have proved of sufficient importance to develop symptoms which the slightest observations might have detected. How far the organic derangement may have been either the cause or the result of insanity I am not prepared to say, but they have generally borne the appearance of having originated in undue excitement.

On this most important subject I feel much gratification in quoting the following opinion of the experienced Pinel: "It appears in general that the primitive seat of insanity is in the region of the stomach and intestinal canal, and it is from this central part that mental aberration is propagated as by irradiation." Esquirol is of opinion that insanity arises from a lesion of the vital functions of the brain, and not unfrequently from a disturbance in the various points of sensibility in different parts of the system.

That mental emotions, whether producing any alteration in the physical condition of the individual, or not, occasion various degrees of insanity, is proved by experience. The French revolution, during its execrable phases, offered a wide and fertile field of observation on this subject; and the various events that marked those fearful times were certainly well calculated to affect any brain capable of becoming deranged. The following results of these observations are curious: "Among the lunatics confined at Bicetre," says Pinel, "during the third year of the Republic, I observed that the exciting causes of their maladies, in a great majority of cases, were extremely vivid affections of the mind; such as ungovernable or disappointed ambition, religious fanaticism, profound chagrin, and unfortunate love. Out of one hundred and thirteen madmen with whose history I took pains to make myself acquainted, thirty-four were reduced to this state by domestic misfortunes, twenty-four by obstacles to matrimonial union, thirty by political events, and twenty-five by religious fanaticism. Those were chiefly affected who belonged to professions in which the imagination is unceasingly or ardently engaged, and not controlled in its excitement by the exercise of the tamer functions of the understanding, which are more susceptible of satiety and fatigue. Hence the Bicetre registers were chiefly filled from the professions of priests, artists, painters, sculptors, poets, and musicians, while they contained no instances of persons whose line of life demands a predominant exercise of the judging faculty,--not one naturalist, physician, chemist, or geometrician."

The following is a return of the supposed moral causes of insanity observed in the Salpetriere. In the years 1811 and 1812

Domestic affliction 105 Disappointed love 46 Political events 14 Fanaticism 8 Fright 38 Jealousy 18 Anger 16 Misfortunes in circumstances 77 Offended vanity 1 --- Total 323

In Mr. Esquirol's private establishment during the same period:

Domestic affliction 31 Disappointed love 25 Political events 32 Fanaticism 1 Fright 8 Jealousy 14 Misfortunes 14 Offended vanity 16 Baffled ambition 12 Intense study 13 Misanthropy 2 --- Total 168

It must be observed that the latter return, in which we find twenty-eight persons maddened by disappointed ambition and offended pride, is of a private establishment, whose inmates of course belonged to the better classes of the community.

By the return from Pennsylvania, out of fifty lunatics, thirty-four cases arose from moral causes. Of physical causes hereditary madness is the most prevalent, as appears clearly from the following table extracted from the registers of the Salpetriere.

Hereditary insanity 105 Convulsion during gestation 11 Epilepsy 11 Female derangements 55 Diseases of child-birth 52 Critical periods 27 Old age 60 Insolation 12 Injuries of the head 14 Fever 13 Syphilis 8 Effects of mercury 14 Worms 24 Apoplexy 60

When speaking of hereditary madness, Dr. Abercrombie is of opinion that where a tendency to insanity exists, there may be in many cases, circumstances in mental habits or mental discipline calculated to favour or to counteract the tendency, when the mind wanders away from the proper duties of life or luxuriates amid scenes of imagination, thus permitting mental emotions, of whatever kind, to be excited in a manner disproportional to the true relation of the object which gave rise to them; allowing the mind to ramble among imaginary events, or to be led away by slight and casual relations, instead of steadily exercising the judgment in the investigation of truth.

These observations are no doubt most luminous, yet as I have elsewhere remarked, hereditary predisposition to insanity may be brought into

## action, by the constant scenes that pass in the presence of those

individuals who may daily have to witness the aberrations of an unhappy relative. The mind dwells on the sad subject, and it becomes a source of constant apprehension, when the mere dread of an hereditary evil is perhaps sufficient to drive to madness. So powerful is the sway even of imaginary terror, that we need not wonder that natural fear should be productive of results still more injurious to our intellects. There seems to exist a certain fascination in what we should dread and avoid; instead of resisting evil, by a strange fatality we seem to be self-impelled to court it. We indulge in thoughts, in hopes and fears, too often chimerical, instead of endeavouring to dismiss them from our mind, by other pursuits and busy occupation; and we brood upon future and ideal miseries until we actually, from supineness and timidity, sink under their overwhelming influence.

Esquirol relates some curious coincidences of hereditary insanity. A Swiss merchant lost both his sons in a state of mania at the age of 19. A lady lost her senses after childbirth at the age of 25. Her daughter became insane in her 25th year. In one family, the grandfather, the father, and the son, destroyed themselves at the age of 50. Near Newton, seven insane sisters had been observed in one family. An unfortunate female in the Salpetriere, under the influence of liquor, threw herself three times in the river and her sister in a state of intoxication drowned herself. A gentleman whose intellects became deranged in consequence of the misfortunes of the revolution remained for ten years secluded in his chamber. His daughter became insane about the same period, and with equal obstinacy could not be prevailed upon to leave her room.

There is no doubt, but that were these early predispositions attended to and watched, an active course of education adopted, and change of locality resorted to, much future misery might be avoided, and possibly the invasion of the malady arrested.