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>By our researches we have established in what consists the generic difference between inhalation anesthetics and narcotics.

In our experiments no increase in the H-ion concentration was produced by morphin or by scopolamin, no matter how deep the narcotization.

In animals already narcotized by morphin the production of acid by any of the acid-producing stimuli was delayed or prevented. On the other hand, in animals in which an acidity had already been produced by ether, by shock, by anger, or by fear, the later administration of morphin delayed or inhibited entirely the neutralization of the acidity.

In other words, morphin interferes with the normal mechanism by which acidity is neutralized possibly because its inhibiting action on the respiratory center is sufficient to overcome the stimulating action of acidity on that center, for, as we have stated, the neutralization of acidity is in large measure accomplished by the increased respiration induced by the acidity itself.

SUMMARY

Acidity inhibits the functions of the cerebral cortex, but stimulates those of the medulla. This antithetic reaction to the stimulus of increased H-ion concentration is an adaptation to prevent animals from committing suicide by overactivity, for the mechanism for the initiation and control of the transformation of energy is in the higher centers of the brain, while an essential part of the mechanism for the neutralization of acidity—the centers governing circulation and respiration—

is in the medulla. This explains many clinical phenomena—

why excessive acidity causes paralysis, why there is great thirst after inhalation anesthesia, after excessive muscular activity, excessive emotion—after all those activities which we have found to be acid-producing, for water, like air, neutralizes acids.

The excessive use of alcohol, anesthetics, excessive work, intense emotion, all produce lesions of the kidney and of the liver.

The explanation is found in the fact that all these stimuli increase the acidity of the blood. and that, if long continued, the neutralizing mechanism must be broken down and so the end-products of metabolism are insufficiently prepared for elimination.

 

In view of these considerations we may well conclude that the maintenance of the normal potential alkalinity of the blood is to be estimated as the keystone of the foundation of life itself.

INDEX

ABDOMEN, diseases of, phylogenetic association and, 44 Acidity, 227 Adaptive energy, 176 variation in rate of energy discharge, 177 Adrenalin, Cannon’s test for, 134, 196 injection of, changes in brain-cells from, 186 Adrenals, 196 brain and, relation of, 1.98 diseases of, effect of, on output of energy, 216 functional study of, 196 histologic study of, 198 Alcohol, changes in brain-cells from, 116 Alkalescence, 227 Anemia, pain of, 77 Anesthesia, 2, 227 anoci-association and, differentiation, 34 effect of trauma under, upon brain that remains awake, 3 inhalation, cause of exhaustion of brain-cells as result of trauma under, 8 theory of, 227 Anger, 63, 70 Anoci-association, 34 anesthesia and, differentiation, 34 Graves’ disease and, 36 prevention of shock by application of principle of, 36 Aristotle, 127 Asher, :37 Associational centers, dulled, 47 Austin, 2, 55, 173

 

BASS, 159 Beebe, 213 Benedict, 212 Biologic consideration of adaptive variation in amounts of energy stored in various animals, 176 Brain, adrenals and, relation of, 198 diseases of, effect of, on output of energy, 216 effect of trauma under anesthesia oil, 3 functions, physical state of brain-cells and, relation between, 111 influence of fear on, 64 Brain-cells, cause of exhaustion of as result of trauma under inhalation anesthesia, 8 changes in, from alcohol, 116 from drugs, 113 from fatigue, 112 from fear, 112 from hemorrhage, 113 from injection of adrenalin, 186 from iodoform, 116 from strychnin, 113 in Graves’ disease, 116 in infections, 116 in insanity, 120 in insomnia, 119 histologic changes in, in relation to maintenance of consciousness and to production of emotions, muscular activity, and fever, 182 physical state, brain functions and, relation between, 111

 

CANNON, 57, 64, 68, 73, 133, 138, 196, 202 Cannon’s test for adrenalin, 134, 196 Cells, brain-, cause of exhaustion of, as result of trauma under inhalation anesthesia, 8 changes in, from alcohol, 116 from drugs, 113 from fatigue, 112 from fear, 112 from hemorrhage, 113 from injection of adrenalin, 186 from iodoform, 116 from strychnin, 113 in Graves’ disease, 116 in infections, 116 in insanity, 120 in insomnia, 119 histologic changes in, in relation to maintenance of consciousness and to production of emotions, muscular activity, and fever, 182 physical state, brain functions and, relation between, Ill Chemical noci-association in infections, 48 Cold pain, 83 sweat, 27 Contact pain, special, 78 Crying, 90 in exophthalmic goiter, 106

 

DARWIN, 12, 26, 30, 91, 127, 153 on phenomena of fear, 26 Disease, mechanistic theory of, 157 Distance receptors, discharge of energy through stimulation of, 25 Dog, spinal, 4 Dolley, 2, 10 Drugs, changes in brain-cells from, 113

 

ELIOT, 1 Elliott, 202 Energy, adaptive, 176 Energy, discharge, rate of, adaptive variation in, 177 nervous, cause of discharge of, 12 as result of trauma under inhalation anesthesia, 12 discharge of, role of summation in, 30 through representation of injury, 25 through stimulation of distance receptors, 25 psychic discharge, 25 output of, effect of diseases of adrenals on, 216 of brain on, 216 of liver on, 216 of muscles on, 216 of thyroid on, 217 rate of out put, influences that cause variation in, 177 Environment, 128, 130 Evacuation pain, 77 Exophthalmic goiter, 66 crying in, 106 fear and, resemblance between, 68 laughing in, 106

 

FATIGUE, changes in brain-cells from, 112 Fear, 26, 52, 55 changes in brain-cells from, 112 Darwin on phenomena of, 26 Graves’

disease and, resemblance between, 68 influence of, on brain, 61 phenomena of, 56 Fly-trap, Venus’, 151 Frankel, 68 Frazier, 82 Functional study of adrenals, 196

 

GOITER, exophthalmic, 66 crying in, 106 Goiter, exophthalmic, fear and, resemblance between, 68 laughter in, 106 Graves’ disease, 66

anoci-association and, 36 changes in brain-cells in, 116 crying in, 106 fear and, resemblance between, 68 laughter in, 106

 

HARVEY, 1,57 Headache, 80 Heat pain, 77 production in infections, purpose and mechanism, 180 Hemorrhage, changes in brain-cells from, 113 Hippocrates, 127 Histologic changes in liver, 205 study of adrenals, 198 Hitchings, 173 Hodge, 10 Hornaday, 26 Hydrogen ion concentration in activation of kinetic system, 217 Hyperthyroidism, 42

 

INFECTIONS, changes in brain-Cells in, 116 chemical noci-association in, 48 heat production in, purpose and mechanism, 180 pain of, 79 Inhalation anesthesia, cause of exhaustion of brain-cells as result of trauma under, 8 trauma under, cause of discharge of nervous energy as result of, 12 Insanity, changes in brain-cells in, 120 Insomnia, changes in brain-cells in, 119 effect of, 205

 

Iodoform, changes in brain-cells from, 116

 

KINETIC diseases, 219 reaction, 93 system, 173

 

LABOR pains, 79 Laughter, 90 causes of, 91 in exophthalmic goiter, 106 Law, Sherrington’s, 24 Light pain, 77 Liver, diseases of, effect of, on output of energy, 216 histologic changes in, 205 Livingstone, 148 Lower, 42

 

MALARIA, 159 McKenzie, 162 Mechanistic theory of disease, 157 view of psychology, 127 Medical problems, phylogenetic association in relation to, 1 Menten, 2, 55, 173, 218, 227 Muscles, diseases of, effect of, on output of energy, 216

 

NAGGING, 46 Nausea pains, 78 Nervous energy, cause of discharge of, 12 as result of trauma under inhalation anesthesia, 12 discharge of, role of summation in, 30 through representation of injury, 25 through stimulation of distance receptors, 25 psychic discharge, 25 Neurasthenia, sexual, 43 Neuroses, postoperative, 46 traumatic, 46 Noci-association, chemical, in infections, 48 Nociceptors, 14 diseases and injuries of regions not endowed with, 47

 

PAIN, 77, 107, 144, 158 cold, 83 contact, special, 78 evacuation, 77 heat, 77 labor, 78 light, 77 nausea, 78 of anemia, 77 of infection, 79 pleasure, 78 postoperative, 89 site of, 83 traumatic, 89 Personality, 47 Phylogenetic association, diseases of abdomen and, 44 in relation to certain medical problems, 1 to emotions, 55 Pleasure pains, 78 Postoperative neuroses, 46 pain, 89 Propagation of species, 152 Psychic discharge of energy, 25 Psychology, mechanistic view, 127

 

REACTION, kinetic, 93 Receptors, distance, discharge of energy through stimulation of, 25 sexual, 53 ticklish, 19

 

SELF-PRESERVATION, 152 Sexual neurasthenia, 43 Sexual receptors, 53 Sherrington, 12, 13, 14, 24, 25, 48, 52, 132, 136, 158 Sherrington’s law, 24 Shock, prevention of, by application of principle of anoci-association, 36 Sloan, 2, 14, .55, 173 Spinal dog, 4 Starling, 195, 227 Strychnin, changes in brain-cells from, 113 Summation, role of, in discharge of nervous energy, 30 Sweat, cold, 27

 

TEST, Cannon’s, for adrenalin, 134, 196 Thyroid gland, 213 diseases of, effect of, on output of energy, 217 Ticklish receptors, 19 Trauma, cause of exhaustion of brain-cells as result of, under inhalation anesthesia, 8 effect of, under anesthesia, upon brain that remains awake, 3 under inhalation anesthesia, cause of discharge of nervous energy as result of, 12 Traumatic neuroses, 46 pain, 89

 

VAUGHAN, 180 Venus’ fly-trap, 149, 151

 

WEEPING, 90 Welch, 1 Wells, 227 Williams, 231 Worry, 74

 

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