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80 to 0; and, on the contrary, the subtraction of stimulant power will allow the excitability to accumulate. [DIAGRAM] The range of good health is ranked from 30 to 50 degrees in the scale; for perfect health, which consists in the middle point only, or at 40 degrees, rarely occurs; in consequence of the variation of the stimuli to which man is continually exposed, such as meat and drink, heat, exercise, and the emotions of the mind, the excitement commonly fluctuates between 30 and 50 degrees, and yet no particular disturbance of the functions takes place. But when at these points, 30 or 50, predisposition commences, the slightest debilitating cause in the former case, and the slightest stimulating cause in the latter, brings on disease, in which the functions begin to be disturbed in various ways, and this disturbance is always in proportion to the hurting powers which have produced the disease, and the delicacy or importance of the part affected. The effect produced on the excitability by any stimulus, must evidently be in a ratio compounded of the degree of excitability and the force of the stimulus. The same stimulus will produce greater contractions upon a fibre that is more irritable than upon one which possesses less irritability; and the irritability or excitability of the fibre being given, or remaining the same, the contraction will be in proportion to the strength of the stimulus. Hence it is evident, that the effect or excitement must be in a ratio compounded of the exciting powers and excitability. Sthenic diathesis and disease is caused by the operation of different exciting powers, which produce too great a degree of excitement in the system: this at first increases all the functions, and, when increased, produces a disturbance and inordinate action of them, which is communicated to the whole body. In diseases of this kind there is often an appearance of debility, but this is extremely fallacious, and arises from the disturbed state of the different functions. Hence it is evidently of the utmost consequence to ascertain carefully whether this debility is real, or the effect of asthenic disease: or whether it is owing to the disturbance of the functions by over stimulating, and in this case fallacious; for should a sthenic disease be treated by stimulants and cordials, the effect would be an aggravation of all the symptoms, and a much higher degree of disease. Asthenic diathesis and disease
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