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On Sleep and Sleeplessness

Chapter 3
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the point for consideration next in order to the preceding is:-what are the processes in which the affection of waking and sleeping originates, and whence do they arise? now, since it is when it has sense-perception that an animal must first take food and receive growth, and in all cases food in its ultimate form is, in sanguineous animals, the natural substance blood, or, in bloodless animals, that which is analogous to this; and since the veins are the place of the blood, while the origin of these is the heart-an assertion which is proved by anatomy-it is manifest that, when the external nutriment enters the parts fitted for its reception, the evaporation arising from it enters into the veins, and there, undergoing a change, is converted into blood, and makes its way to their source [the heart]. we have treated of all this when discussing the subject of nutrition, but must here recapitulate what was there said, in order that we may obtain a scientific view of the beginnings of the process, and come to know what exactly happens to the primary organ of sense-perception to account for the occurrence of waking and sleep. for sleep, as has been shown, is not any given impotence of the perceptive faculty; for unconsciousness, a certain form of asphyxia, and swooning, all produce such impotence. moreover it is an established fact that some persons in a profound trance have still had the imaginative faculty in play. this last point, indeed, gives rise to a difficulty; for if it is conceivable that one who had swooned should in this state fall asleep, the phantasm also which then presented itself to his mind might be regarded as a dream. persons, too, who have fallen into a deep trance, and have come to be regarded as dead, say many things while in this condition. the same view, however, is to be taken of all these cases, [i.e. that they are not cases of sleeping or dreaming].

as we observed above, sleep is not co-extensive with any and every impotence of the perceptive faculty, but this affection is one which arises from the evaporation attendant upon the process of nutrition. the matter evaporated must be driven onwards to a certain point, then turn back, and change its current to and fro, like a tide-race in a narrow strait. now, in every animal the hot naturally tends to move [and carry other things] upwards, but when it has reached the parts above [becoming cool], it turns back again, and moves downwards in a mass. this explains why fits of drowsiness are especially apt to come on after meals; for the matter, both the liquid and the corporeal, which is borne upwards in a mass, is then of considerable quantity. when, therefore, this comes to a stand it weighs a person down and causes him to nod, but when it has actually sunk downwards, and by its return has repulsed the hot, sleep comes on, and the animal so affected is presently asleep. a confirmation of this appears from considering the things which induce sleep; they all, whether potable or edible, for instance poppy, mandragora, wine, darnel, produce a heaviness in the head; and persons borne down [by sleepiness] and nodding [drowsily] all seem affected in this way, i.e. they are unable to lift up the head or the eye-lids. and it is after meals especially that sleep comes on like this, for the evaporation from the foods eaten is then copious. it also follows certain forms of fatigue; for fatigue operates as a solvent, and the dissolved matter acts, if not cold, like food prior to digestion. moreover, some kinds of illness have this same effect; those arising from moist and hot secretions, as happens with fever-patients and in cases of lethargy. extreme youth also has this effect; infants, for example, sleep a great deal, because of the food being all borne upwards-a mark whereof appears in the disproportionately large size of the upper parts compared with the lower during infancy, which is due to the fact that growth predominates in the direction of the former. hence also they are subject to epileptic seizures; for sleep is like epilepsy, and, in a sense, actually is a seizure of this sort. accordingly, the beginning of this malady takes place with many during sleep, and their subsequent habitual seizures occur in sleep, not in waking hours. for when the spirit [evaporation] moves upwards in a volume, on its return downwards it distends the veins, and forcibly compresses the passage through which respiration is effected. this explains why wines are not good for infants or for wet nurses (for it makes no difference, doubtless, whether the infants themselves, or their nurses, drink them), but such persons should drink them [if at all] diluted with water and in small quantity. for wine is spirituous, and of all wines the dark more so than any other. the upper parts, in infants, are so filled with nutriment that within five months [after birth] they do not even turn the neck [sc. to raise the head]; for in them, as in persons deeply intoxicated, there is ever a large quantity of moisture ascending. it is reasonable, too, to think that this affection is the cause of the embryo’s remaining at rest in the womb at first. also, as a general rule, persons whose veins are inconspicuous, as well as those who are dwarf-like, or have abnormally large heads, are addicted to sleep. for in the former the veins are narrow, so that it is not easy for the moisture to flow down through them; while in the case of dwarfs and those whose heads are abnormally large, the impetus of the evaporation upwards is excessive. those [on the contrary] whose veins are large are, thanks to the easy flow through the veins, not addicted to sleep, unless, indeed, they labour under some other affection which counteracts [this easy flow]. nor are the ‘atrabilious’ addicted to sleep, for in them the inward region is cooled so that the quantity of evaporation in their case is not great. for this reason they have large appetites, though spare and lean; for their bodily condition is as if they derived no benefit from what they eat. the dark bile, too, being itself naturally cold, cools also the nutrient tract, and the other parts wheresoever such secretion is potentially present [i.e. tends to be formed].

hence it is plain from what has been said that sleep is a sort of concentration, or natural recoil, of the hot matter inwards [towards its centre], due to the cause above mentioned. hence restless movement is a marked feature in the case of a person when drowsy. but where it [the heat in the upper and outer parts] begins to fail, he grows cool, and owing to this cooling process his eye-lids droop. accordingly [in sleep] the upper and outward parts are cool, but the inward and lower, i.e. the parts at the feet and in the interior of the body, are hot.

yet one might found a difficulty on the facts that sleep is most oppressive in its onset after meals, and that wine, and other such things, though they possess heating properties, are productive of sleep, for it is not probable that sleep should be a process of cooling while the things that cause sleeping are themselves hot. is the explanation of this, then, to be found in the fact that, as the stomach when empty is hot, while replenishment cools it by the movement it occasions, so the passages and tracts in the head are cooled as the ‘evaporation’ ascends thither? or, as those who have hot water poured on them feel a sudden shiver of cold, just so in the case before us, may it be that, when the hot substance ascends, the cold rallying to meet it cools [the aforesaid parts] deprives their native heat of all its power, and compels it to retire? moreover, when much food is taken, which [i.e. the nutrient evaporation from which] the hot substance carries upwards, this latter, like a fire when fresh logs are laid upon it, is itself cooled, until the food has been digested.

for, as has been observed elsewhere, sleep comes on when the corporeal element [in the ‘evaporation’] conveyed upwards by the hot, along the veins, to the head. but when that which has been thus carried up can no longer ascend, but is too great in quantity [to do so], it forces the hot back again and flows downwards. hence it is that men sink down [as they do in sleep] when the heat which tends to keep them erect (man alone, among animals, being naturally erect) is withdrawn; and this, when it befalls them, causes unconsciousness, and afterwards phantasy.

or are the solutions thus proposed barely conceivable accounts of the refrigeration which takes place, while, as a matter of fact, the region of the brain is, as stated elsewhere, the main determinant of the matter? for the brain, or in creatures without a brain that which corresponds to it, is of all parts of the body the coolest. therefore, as moisture turned into vapour by the sun’s heat is, when it has ascended to the upper regions, cooled by the coldness of the latter, and becoming condensed, is carried downwards, and turned into water once more; just so the excrementitious evaporation, when carried up by the heat to the region of the brain, is condensed into a ‘phlegm’ (which explains why catarrhs are seen to proceed from the head); while that evaporation which is nutrient and not unwholesome, becoming condensed, descends and cools the hot. the tenuity or narrowness of the veins about the brain itself contributes to its being kept cool, and to its not readily admitting the evaporation. this, then, is a sufficient explanation of the cooling which takes place, despite the fact that the evaporation is exceedingly hot.

a person awakes from sleep when digestion is completed: when the heat, which had been previously forced together in large quantity within a small compass from out the surrounding part, has once more prevailed, and when a separation has been effected between the more corporeal and the purer blood. the finest and purest blood is that contained in the head, while the thickest and most turbid is that in the lower parts. the source of all the blood is, as has been stated both here and elsewhere, the heart. now of the chambers in the heart the central communicates with each of the two others. each of the latter again acts as receiver from each, respectively, of the two vessels, called the ‘great’ and the ‘aorta’. it is in the central chamber that the [above-mentioned] separation takes place. to go into these matters in detail would, however, be more properly the business of a different treatise from the present. owing to the fact that the blood formed after the assimilation of food is especially in need of separation, sleep [then especially] occurs [and lasts] until the purest part of this blood has been separated off into the upper parts of the body, and the most turbid into the lower parts. when this has taken place animals awake from sleep, being released from the heaviness consequent on taking food. we have now stated the cause of sleeping, viz. that it consists in the recoil by the corporeal element, upborne by the connatural heat, in a mass upon the primary sense-organ; we have also stated what sleep is, having shown that it is a seizure of the primary sense-organ, rendering it unable to actualize its powers; arising of necessity (for it is impossible for an animal to exist if the conditions which render it an animal be not fulfilled), i.e. for the sake of its conservation; since remission of movement tends to the conservation of animals.

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