2d. Diminution of the temperature of muscles before death increases their irritability. But diminution of their temperature also retards cadaveric rigidity and putrefaction.
Both these truths were first made known by Dr. Brown-Séquard himself, through experiments which conclude according to the Method of Difference. There is nothing in the nature of the process requiring specific analysis.
3d. Muscular exercise, prolonged to exhaustion, diminishes the muscular irritability. This is a well-known truth, dependent on the most general laws of muscular action, and proved by experiments under the Method of Difference, constantly repeated. Now, it has been shown by observation that overdriven cattle, if killed before recovery from their fatigue, become rigid and putrefy in a surprisingly short time. A similar fact has been observed in the case of animals hunted to death; cocks killed during or shortly after a fight; and soldiers slain in the field of battle. These various cases agree in no circumstance, directly connected with the muscles, except that these have just been subjected to exhausting exercise. Under the canon, therefore, of the Method of Agreement, it may be inferred that there is a connection between the two facts. The Method of Agreement, indeed, as has been shown, is not competent to prove causation. The present case, however, is already known to be a case of causation, it being certain that the state of the body after death must somehow depend upon its state at the time of death. We are, therefore, warranted in concluding that the single circumstance in which all the instances agree, is the part of the antecedent which is the cause of that particular consequent.
4th. In proportion as the nutrition of muscles is in a good state, their irritability is high. This fact also rests on the general evidence of the laws of physiology, grounded on many familiar applications of the Method of Difference. Now, in the case of those who die from accident or violence, with their muscles in a good state of nutrition, the muscular irritability continues long after death, rigidity sets in late, and persists long without the putrefactive change. On the contrary, in cases of disease in which nutrition has been diminished for a long time before death, all these effects are reversed. These are the conditions of the Joint Method of Agreement and Difference. The cases of retarded and long continued rigidity here in question agree only in being preceded by a high state of nutrition of the muscles; the cases of rapid and brief rigidity agree only in being preceded by a low state of muscular nutrition; a connection is, therefore, inductively proved between the degree of the nutrition, and the slowness and prolongation of the rigidity.
5th. Convulsions, like exhausting exercise, but in a still greater degree, diminish the muscular irritability. Now, when death follows violent and prolonged convulsions, as in tetanus, hydrophobia, some cases of cholera, and certain poisons, rigidity sets in very rapidly, and after a very brief duration, gives place to putrefaction. This is another example of the Method of Agreement, of the same character with No. 3.
6th. The series of instances which we shall take last, is of a more complex character, and requires a more minute analysis.
It has long been observed that in some cases of death by lightning, cadaveric rigidity either does not take place at all, or is of such extremely brief duration as to escape notice, and that in these cases putrefaction is very rapid. In other cases, however, the usual cadaveric rigidity appears. There must be some difference in the cause, to account for this difference in the effect. Now, “death by lightning may be the result of, 1st, a syncope by fright, or in consequence of a direct or reflex influence of lightning on the par vagum; 2d, hemorrhage in or around the brain, or in the lungs, the pericardium, etc.; 3d, concussion, or some other alteration in the brain;” none of which phenomena have any known property capable of accounting for the suppression, or almost suppression, of the cadaveric rigidity. But the cause of death may also be that the lightning produces “a violent convulsion of every muscle in the body,” of which, if of sufficient intensity, the known effect would be that “muscular irritability ceases almost at once.” If Dr. Brown-Séquard’s generalization is a true law, these will be the very cases in which rigidity is so much abridged as to escape notice; and the cases in which, on the contrary, rigidity takes place as usual, will be those in which the stroke of lightning operates in some of the other modes which have been enumerated. How, then, is this brought to the test? By experiments, not on lightning, which can not be commanded at pleasure, but on the same natural agency in a manageable form, that of artificial galvanism. Dr. Brown-Séquard galvanized the entire bodies of animals immediately after death. Galvanism can not operate in any of the modes in which the stroke of lightning may have operated, except the single one of producing muscular convulsions. If, therefore, after the bodies have been galvanized, the duration of rigidity is much shortened and putrefaction much accelerated, it is reasonable to ascribe the same effects when produced by lightning to the property which galvanism shares with lightning, and not to those which it does not. Now this Dr. Brown-Séquard found to be the fact. The galvanic experiment was tried with charges of very various degrees of strength; and the more powerful the charge, the shorter was found to be the duration of rigidity, and the more speedy and rapid the putrefaction. In the experiment in which the charge was strongest, and the muscular irritability most promptly destroyed, the rigidity only lasted fifteen minutes. On the principle, therefore, of the Method of Concomitant Variations, it may be inferred that the duration of the rigidity depends on the degree of the irritability; and that if the charge had been as much stronger than Dr. Brown-Séquard’s strongest, as a stroke of lightning must be stronger than any electric shock which we can produce artificially, the rigidity would have been shortened in a corresponding ratio, and might have disappeared altogether. This conclusion having been arrived at, the case of an electric shock, whether natural or artificial, becomes an instance, in addition to all those already ascertained, of correspondence between the irritability of the muscle and the duration of rigidity.
All these instances are summed up in the following statement: “That when the degree of muscular irritability at the time of death is considerable, either in consequence of a good state of nutrition, as in persons who die in full health from an accidental cause, or in consequence of rest, as in cases of paralysis, or on account of the influence of cold, cadaveric rigidity in all these cases sets in late and lasts long, and putrefaction appears late, and progresses slowly;” but “that when the degree of muscular irritability at the time of death is slight, either in consequence of a bad state of nutrition, or of exhaustion from overexertion, or from convulsions caused by disease or poison, cadaveric rigidity sets in and ceases soon, and putrefaction appears and progresses quickly.” These facts present, in all their completeness, the conditions of the Joint Method of Agreement and Difference. Early and brief rigidity takes place in cases which agree only in the circumstance of a low state of muscular irritability. Rigidity begins late and lasts long in cases which agree only in the contrary circumstance, of a muscular irritability high and unusually prolonged. It follows that there is a connection through causation between the degree of muscular irritability after death, and the tardiness and prolongation of the cadaveric rigidity.