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directly opposite effects。  One of these has the power of

accelerating the action of the heart; while the other has the power

of retarding or arresting this action。  One acts as the spur; the

other as the bridle。  According as one or the other predominates; the

action of the heart will be stimulated or restrained。  Among the

great modern discoveries in physiology is that of the existence of a

distinct centre of inhibition; as the restraining influence over the

heart is called。



〃The centre of inhibition plays a terrible part in the history of

cowardice and of unsuccessful love。  No man can be brave without

blood to sustain his courage; any more than he can think; as the

German materialist says; not absurdly; without phosphorus。  The

fainting lover must recover his circulation; or his lady will lend

him her smelling…salts and take a gallant with blood in his cheeks。

Porphyro got over his faintness before he ran away with Madeline; and

Cesar Birotteau was an accepted lover when he swooned with happiness:

but many an officer has been cashiered; and many a suitor has been

rejected; because the centre of inhibition has got the upper hand of

the centre of stimulation。



〃In the well…known cases of deadly antipathy which have been

recorded; the most frequent cause has been the disturbed and

depressing influence of the centre of inhibition。  Fainting at the

sight of blood is one of the commonest examples of this influence。  A

single impression; in a very early period of atmospheric existence;

perhaps; indirectly; before that period; as was said to have happened

in the case of James the First of England;may establish a

communication between this centre and the heart which will remain

open ever afterwards。  How does a footpath across a field establish

itself?  Its curves are arbitrary; and what we call accidental; but

one after another follows it as if he were guided by a chart on which

it was laid down。  So it is with this dangerous transit between the

centre of inhibition and the great organ of life。  If once the path

is opened by the track of some profound impression; that same

impression; if repeated; or a similar one; is likely to find the old

footmarks and follow them。  Habit only makes the path easier to

traverse; and thus the unreasoning terror of a child; of an infant;

may perpetuate itself in a timidity which shames the manhood of its

subject。



〃The case before us is an exceptional and most remarkable example of

the effect of inhibition on the heart。



〃We will not say that we believe it to be unique in the history of

the human race; on the contrary; we do not doubt that there have been

similar cases; and that in some rare instances sudden death has been

the consequence of seizures like that of the subject of this Report。

The case most like it is that of Colone Townsend; which is too well

known to require any lengthened description in this paper。  It is

enough to recall the main facts。  He could by a voluntary effort

suspend the action of his heart for a considerable period; during

which he lay like one dead; pulseless; and without motion。  After a

time the circulation returned; and he does not seem to have been the

worse for his dangerous; or seemingly dangerous; experiment。  But in

his case it was by an act of the will that the heart's action was

suspended。  In the case before us it is an involuntary impulse

transmitted from the brain to the inhibiting centre; which arrests

the cardiac movements。



〃What is like to be the further history of the case?



〃The subject of this anomalous affliction is now more than twenty

years old。  The chain of nervous actions has become firmly

established。  It might have been hoped that the changes of

adolescence would have effected a transformation of the perverted

instinct。  On the contrary; the whole force of this instinct throws

itself on the centre of inhibition; instead of quickening the heart…

beats; and sending the rush of youthful blood with fresh life through

the entire system to the throbbing finger…tips。



〃Is it probable that time and circumstances will alter a habit of

nervous interactions so long established?  We are disposed to think

that there is a chance of its being broken up。  And we are not afraid

to say that we suspect the old gypsy woman; whose prophecy took such

hold of the patient's imagination; has hit upon the way in which the

〃spell;' as she called it; is to be dissolved。  She must; in all

probability; have had a hint of the 'antipatia' to which the youth

before her was a victim; and its cause; and if so; her guess as to

the probable mode in which the young man would obtain relief from his

unfortunate condition was the one which would naturally suggest

itself。



〃If once the nervous impression which falls on the centre of

inhibition can be made to change its course; so as to follow its

natural channel; it will probably keep to that channel ever

afterwards。  And this will; it is most likely; be effected by some

sudden; unexpected impression。  If he were drowning; and a young

woman should rescue him; it is by no means impossible that the change

in the nervous current we have referred to might be brought about as

rapidly; as easily; as the reversal of the poles in a magnet; which

is effected in an instant。  But he cannot be expected to throw

himself into the water just at the right moment when the 'fair lady'

of the gitana's prophecy is passing on the shore。  Accident may

effect the cure which art seems incompetent to perform。  It would not

be strange if in some future seizure he should never come back to

consciousness。  But it is quite conceivable; on the other hand; that

a happier event may occur; that in a single moment the nervous

polarity may be reversed; the whole course of his life changed; and

his past terrible experiences be to him like a scarce…remembered

dream。



〃This is one; of those cases in which it is very hard to determine

the wisest course to be pursued。  The question is not unlike that

which arises in certain cases of dislocation of the bones of the

neck。  Shall the unfortunate sufferer go all his days with his face

turned far round to the right or the left; or shall an attempt be

made to replace the dislocated bones?  an attempt which may succeed;

or may cause instant death。  The patient must be consulted as to

whether he will take the chance。  The practitioner may be unwilling

to risk it; if the patient consents。  Each case must be judged on its

own special grounds。  We cannot think that this young man is doomed

to perpetual separation from the society of womanhood during the

period of its bloom and attraction。  But to provoke another seizure

after his past experiences would be too much like committing suicide。

We fear that we must trust to the chapter of accidents。  The strange

maladyfor such it ishas become a second nature; and may require

as energetic a shock to displace it as it did to bring it into

existence。  Time alone can solve this question; on which depends the

well…being and; it may be; the existence of a young man every way

fitted to be happy; and to give happiness; if restored to his true

nature。〃









XX。



DR。 BUTTS REFLECTS。



Dr。 Butts sat up late at night reading these papers and reflecting

upon them。  He was profoundly impressed and tenderly affected by the

entire frankness; the absence of all attempt at concealment; which

Maurice showed in placing these papers at his disposal。  He believed

that his patient would recover from this illness for which he had

been taking care of him。  He thought deeply and earnestly of what he

could do for him after he should have regained his health and

strength。



There were references; in Maurice's own account of himself; which the

doctor called to mind with great interest after reading his brief

autobiography。  Some one personsome young woman; it must behad

produced a singular impression upon him since those earlier perilous

experiences through which he had passed。  The doctor could not help

thinking of that meeting with Euthymia of which she had spoken to

him。  Maurice; as she said; turned pale;he clapped his hand to his

breast。  He might have done so if be had met her chambermaid; or any

straggling damsel of the village。  But Euthymia was not a young woman

to be looked upon with indifference。  She held herself like a queen;

and walked like one; not a stage queen; but one born and bred to

self…reliance; and command of herself as well as others。  One could

not pass her without being struck with her noble bearing and spirited

features。  If she had known how Maurice trembled as he looked upon

her; in that conflict of attraction and uncontrollable dread;if she

had known it!  But what; even then; could she have done?  Nothing but

get away from him as fast as she could。  As it was; it was a long

time before his agitation subsided; and his heart beat with its

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