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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£º

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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

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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

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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

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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

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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

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

nervous¡¡interactions¡¡so¡¡long¡¡established£¿¡¡¡¡We¡¡are¡¡disposed¡¡to¡¡think

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itself¡£



¡¨If¡¡once¡¡the¡¡nervous¡¡impression¡¡which¡¡falls¡¡on¡¡the¡¡centre¡¡of

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afterwards¡£¡¡¡¡And¡¡this¡¡will£»¡¡it¡¡is¡¡most¡¡likely£»¡¡be¡¡effected¡¡by¡¡some

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

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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

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neck¡£¡¡¡¡Shall¡¡the¡¡unfortunate¡¡sufferer¡¡go¡¡all¡¡his¡¡days¡¡with¡¡his¡¡face

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to¡¡perpetual¡¡separation¡¡from¡¡the¡¡society¡¡of¡¡womanhood¡¡during¡¡the

period¡¡of¡¡its¡¡bloom¡¡and¡¡attraction¡£¡¡¡¡But¡¡to¡¡provoke¡¡another¡¡seizure

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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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