Anomalies and Curiosities of Medicine [291]
to a field hospital in a little Bohemian border town and watched for a couple of weeks, during which he had been twice seen moving his feet in his sleep. Still, the witnesses were not prepared to swear that those changes of position might not have been effected by a movement of the whole body. The suspect stuck to his assertion, and Colloredo, in a fit of irritation, finally summoned a surgeon, who actually placed the feet of the professed paralytic in "aqua fortis," but even this rigorous method availed the cruel surgeon nothing, and he was compelled to advise dismissal from the service.
"The martyrdom of Rohatzek, however, was a mere trifle compared with the ordeal by which the tribunal of Paris tried in vain to extort a confession of the would-be regicide, Damiens. Robert Damiens, a native of Arras, had been exiled as an habitual criminal, and returning in disguise made an attempt upon the life of Louis XV, January 5, 1757. His dagger pierced the mantle of the King, but merely grazed his neck. Damiens, who had stumbled, was instantly seized and dragged to prison, where a convocation of expert torturers exhausted their ingenuity in the attempt to extort a confession implicating the Jesuits, a conspiracy of Huguenots, etc. But Damiens refused to speak. He could have pleaded his inability to name accomplices who did not exist, but he stuck to his resolution of absolute silence. They singed off his skin by shreds, they wrenched out his teeth and finger-joints, they dragged him about at the end of a rope hitched to a team of stout horses, they sprinkled him from head to foot with acids and seething oil, but Damiens never uttered a sound till his dying groan announced the conclusion of the tragedy."
The apparent indifference to the pain of a major operation is sometimes marvelous, and there are many interesting instances on record. When at the battle of Dresden in 1813 Moreau, seated beside the Emperor Alexander, had both limbs shattered by a French cannon-ball, he did not utter a groan, but asked for a cigar and smoked leisurely while a surgeon amputated one of his members. In a short time his medical attendants expressed the danger and questionability of saving his other limb, and consulted him. In the calmest way the heroic General instructed them to amputate it, again remaining unmoved throughout the operation.
Crompton records a case in which during an amputation of the leg not a sound escaped from the patient's lips, and in three weeks, when it was found necessary to amputate the other leg, the patient endured the operation without an anesthetic, making no show of pain, and only remarking that he thought the saw did not cut well. Crompton quotes another case, in which the patient held a candle with one hand while the operator amputated his other arm at the shoulder-joint. Several instances of self-performed major operations are mentioned in Chapter XIV.
Supersensitiveness to Pain.--Quite opposite to the foregoing instances are those cases in which such influences as expectation, naturally inherited nervousness, and genuine supersensitiveness make the slightest pain almost unendurable. In many of these instances the state of the mind and occasionally the time of day have a marked influence. Men noted for their sagacity and courage have been prostrated by fear of pain. Sir Robert Peel, a man of acknowledged superior physical and intellectual power, could not even bear the touch of Brodie's finger to his fractured clavicle. The authors know of an instance of a pugilist who had elicited admiration by his ability to stand punishment and his indomitable courage in his combats, but who fainted from the puncture of a small boil on his neck.
The relation of pain to shock has been noticed by many writers. Before the days of anesthesia, such cases as the following, reported by Sir Astley Cooper, seem to have been not unusual: A brewer's servant, a man of middle age and robust frame, suffered much agony for several days from a thecal abscess, occasioned by a splinter of wood beneath the thumb. A few seconds after the
"The martyrdom of Rohatzek, however, was a mere trifle compared with the ordeal by which the tribunal of Paris tried in vain to extort a confession of the would-be regicide, Damiens. Robert Damiens, a native of Arras, had been exiled as an habitual criminal, and returning in disguise made an attempt upon the life of Louis XV, January 5, 1757. His dagger pierced the mantle of the King, but merely grazed his neck. Damiens, who had stumbled, was instantly seized and dragged to prison, where a convocation of expert torturers exhausted their ingenuity in the attempt to extort a confession implicating the Jesuits, a conspiracy of Huguenots, etc. But Damiens refused to speak. He could have pleaded his inability to name accomplices who did not exist, but he stuck to his resolution of absolute silence. They singed off his skin by shreds, they wrenched out his teeth and finger-joints, they dragged him about at the end of a rope hitched to a team of stout horses, they sprinkled him from head to foot with acids and seething oil, but Damiens never uttered a sound till his dying groan announced the conclusion of the tragedy."
The apparent indifference to the pain of a major operation is sometimes marvelous, and there are many interesting instances on record. When at the battle of Dresden in 1813 Moreau, seated beside the Emperor Alexander, had both limbs shattered by a French cannon-ball, he did not utter a groan, but asked for a cigar and smoked leisurely while a surgeon amputated one of his members. In a short time his medical attendants expressed the danger and questionability of saving his other limb, and consulted him. In the calmest way the heroic General instructed them to amputate it, again remaining unmoved throughout the operation.
Crompton records a case in which during an amputation of the leg not a sound escaped from the patient's lips, and in three weeks, when it was found necessary to amputate the other leg, the patient endured the operation without an anesthetic, making no show of pain, and only remarking that he thought the saw did not cut well. Crompton quotes another case, in which the patient held a candle with one hand while the operator amputated his other arm at the shoulder-joint. Several instances of self-performed major operations are mentioned in Chapter XIV.
Supersensitiveness to Pain.--Quite opposite to the foregoing instances are those cases in which such influences as expectation, naturally inherited nervousness, and genuine supersensitiveness make the slightest pain almost unendurable. In many of these instances the state of the mind and occasionally the time of day have a marked influence. Men noted for their sagacity and courage have been prostrated by fear of pain. Sir Robert Peel, a man of acknowledged superior physical and intellectual power, could not even bear the touch of Brodie's finger to his fractured clavicle. The authors know of an instance of a pugilist who had elicited admiration by his ability to stand punishment and his indomitable courage in his combats, but who fainted from the puncture of a small boil on his neck.
The relation of pain to shock has been noticed by many writers. Before the days of anesthesia, such cases as the following, reported by Sir Astley Cooper, seem to have been not unusual: A brewer's servant, a man of middle age and robust frame, suffered much agony for several days from a thecal abscess, occasioned by a splinter of wood beneath the thumb. A few seconds after the