← Table of contents
Some Medical Aspects of Old Age

INDEX

Reading edition

Abernethy, J., 84

Abiotrophy, 139

Acquired characters, 35, 75, 79

Activity. See Functional; Muscular

Adam, age of, 14

Adami, J. G., 87

Adolescence, termination of period of, 17

Adrenals, 110

Age, the “critical,” 140

the “dangerous,” 26

exaggeration of, by elderly people, 20, 21

Albuminuria, 126

Alcohol, abuse of, 57

action of, on the tissues, 57

influence on longevity, 33, 34, 57

Alimentary canal, lymphoid atrophy of, 109

Allbutt, Clifford, 37, 55, 59, 150

Allen treatment of diabetes, 56

Amputation, for diabetic gangrene, 142

Anabolism, cellular, 67

Anaemia, secondary, 108

Anal orifice, narrowing of, 152

Anatomical changes, 60, 63, 90–114

Andrewes, F. W., 145

Aneurysms, 150, 151

Angiomas, 108

Animal life, duration of, 17, 18

experimental modification of life cycle and growth of, 11

natural death in, 13, 14

rejuvenation and senescence in, 9–11

Aortic stenosis, 149

Aphasia, transient attacks of, 151

Appetite, 56, 118

Arcus senilis, 98

Arnold, M., 123

Aron, 75

Arteries, degenerative changes in, 97, 105–107

“pipe-stem,” 106

Arteriosclerosis, 97, 105–107, 149

age incidence of, 105, 140

causes of, 105, 142

hereditary transmission of, 37

influence of smoking on, 59

prostatic hypertrophy and, 112

spasm associated with, 151

thyroid prevention of, 73

Arthritic affections, 154

Arthritis, chronic infective, 155

Atheroma. See Arteriosclerosis

Athyroidism, 73

Atkinson, Edward, nonagenarian, 51

Atrophy—

brown, 103, 105

cardiac, 104, 140, 149

degenerative, 46

general, 62, 91, 139

causes of, 137, 138

genital, 114

lymphoid, 108

muscular, 103

of auditory nerve, 118

of skin and secretory glands, 141

of thymus, 109

precocious, 138

renal, 111

splenic, 109

testicular, 113

Atropine, 127, 128

Aub and Dubois, 116

Auditory nerve, atrophy of, 118

Auto-suggestion, 48

Bacon, Francis, 17, 95

Bacon, Roger, 17

Baddeley, J. J., 51

Baldness, 95

causes of, 96

thyroid extract in, 96

Barclay-Smith, E., 82

Baronsdale, W., 5

Bell, B., 75

Bell, J. R., 115

Benjamin, H., 77

Berman, L., 71

Biedl, A., 71

Biochemistry of old age, 64–68

Biological aspect of old age, 10, 11, 23, 63

Biotripsy, 93

Birth, expectation of life at, 13, 41, 42

Birth control, 24

Bladder, 133, 153

Blane, G., 142

Blood, condition of, 108, 115

increase of urea-nitrogen in, 115

Blood pressure, 125

and heredity, 37

high, 55, 124

longevity in relation to, 37

senile, 104, 124, 125

Blood supply, diminished, 106

Blood transfusion, 66

Bodily vigour, sex gland activity as manifestation of, 69

Body, cells of. See Cells

conformation of, 60

fibrous framework of, 92

structural changes in, 90

temperature of, 116

water content at birth and adult life, 64

Boerhaave, 91

Bone marrow, atrophy of, 108

Bones, injuries to, healing of, 126, 127

Paget’s disease of, 156

rarefaction and absorption of, 99

arterial degeneration with, 107

Bony changes, 98, 99

Bouin and Ancel, 73

Brain, changes in, 96, 146

degeneration of cells of, 97

organic changes in, 145

senile atrophy of, 139

shrinkage of, 100

weight of, 97

Brain cells, activity of, influence on longevity, 35, 36

Brampton, Lord, nonagenarian, 51

Bromides, intolerance to, 128

Bronchiectasis, simulating tuberculosis, 149

Bronchitis, disposition to, 147

simulating tuberculosis, 149

Bronchopneumonia, 148

and pneumonia, confusion between, 148

tendency to, 103

Brown atrophy, 103, 105

Brown-Séquard, 70

Browne, T., 14, 47, 95

Brownlee, J., 33

Buffon, 17

Butler, Samuel, 35

Calcification, of arteries, 106–107

of cartilage, 100

Calendar, length of, in the patriarchal era, 15

California, centenarians in, 41

Cambridge University, influence of John Haviland on the study of medicine, 6

Cameron, C., 95

Campbell, H., 65

Cancer. See Carcinoma

Carcinoma, 141

age and sex incidence of, 86, 140

and senescence, 86–89

rarity of, in extreme old age, 87

Cardio-vascular system, 36–38, 103–108, 124, 133, 149

Carlisle, Anthony, 8

Carrel, A., 65, 66, 127

Cartilages, calcification of, 100

Castration, phenomena of old age and, 79

secondary sex-characters following, 79

Cazalis, 107

Cell-memory, 35

longevity in relation to, 35

Cells, 62

activity of, relation to connective tissues, 68, 88, 89, 92

ageing of, 67, 88

carcinoma in relation to, 86–89

causes and significance of, 67

senility in relation to, 86, 88

changes in, infections causing, 43, 44

changes in old age, 64

colloidal changes in, 64, 68

cultivation of, 66

degeneration of, 62, 92, 135

intestinal bacteria causing, 82, 83

infections and intoxications producing changes in, 44

life cycle of, 63, 65, 88, 89

factors influencing, 65

on what dependent, 68

thyroid deficiency influencing, 72

limited vitality of, 62

sequels of, 64

products inimical to life of, 65

senile changes due to injury to, 30, 31, 67

time-rate of, 36

vital phenomena of, 63, 88, 89

Census returns, 41, 43

Centenarianism, 19

heredity in relation to, 19

Centenarians, 20, 33, 34

age exaggeration by, 20, 21

among Churchmen, 50

among doctors, 52

among professional men, 50

census returns of, 20, 21

family incidence of, 32, 33

in California, statistics, 41

in England and Wales, statistics, 40, 41

in Ireland, statistics, 40

medical, 52

personal habits of, 56, 57

rarity of cancer among, 87

sex statistics of, 21, 22

smoking among, 58

statistics of, 21, 24

deaths among, 21, 22, 41

Cerebral arteries, changes in, 97

Cerebral degeneration, 97

Cerebral haemorrhage, 145

age incidence of, 145

Cerebral thrombosis, 145

Chaderton, Laurence, centenarian, 51

Charcot, J. M., 8, 104, 116, 139, 148

Cheatle, G. L., 93

Chest capacity, diminished, 103

Cheyne, G., 55

Child, C. M., 10, 14, 56

“Childhood, second,” 122, 145

Chromophages, 94

Chromosomes, 88

Churchmen, centenarians among, 50

Cicero, 135

Circulatory system, 38

Clark, Andrew, 29, 60, 137

Clarke, E., 85, 98

Clarke, J. M., 145

Climacteric, ancient conceptions of, 27

senile, 30

Climacteric disease, 28

Climate, influence on longevity, 26, 39

Coke, Sir Edward, octogenarian, 51

Colloidal dehydration, leading to old age, 64, 65

Colon, destruction of putrefactive bacteria in, 83

Constipation, 101, 152

age incidence of, 152

gerontal, 102

tendency to, 115

Cornaro, on the duration of life, 18

writer on old age, 8

Costal cartilage, calcification of, 100

Councilman, W. T., 37, 92, 104, 107, 111, 125

Cranial bones, changes in, 100

Crosby, T., 51

Cushny, A. R., 81

Cutaneous sensation, 117

Cystitis, 154

Darwin, C., 53

Deafness, causes of, 118

senile, 118

Death, causes of, 13, 38

mental attitude to, 123

natural, 13, 14, 16, 91

from old age, 14, 91

in animal kingdom, 13, 14

probable cause of, 36

Weissmann’s conception of, 9, 16

phenomenon of, 9, 10

sudden, causes of, 117

latent pneumonia causing, 148

Death-rate, in various countries, 42

sex incidence, 22

Deaths, among centenarians, 41

Decrepitude, 30

Delirium, 146

Delusions, 146

Demange, 91, 105

Dementia, senile, causes of, 146

onset of, 145

varied features of, 146

“de Morgan’s Spots,” 108

Dental decay, 101

an accompaniment of old age, 44, 45

Dentition, third, explanation of, 101

Depression, senile, 146

de Salis, Cardinal, centenarian, 50

Descartes, 7

Desmond, Countess of, centenarian, 20

Devolution, course of, 122

Diabetic gangrene, 142

Diet, restricted, influence of, 56

Digestion, impairment of, 101

Digestive system, 38

Disabilities of old age, 90–114, 137

Disease, associated with old age, 30, 44, 139

chronic, freedom from, in old age, 44

definition of, 136

influence of, on longevity, 43

latency of, 117

old age as a, 49, 136

Doctors, duration of life of, 52, 53

centenarian, 52

Donaldson, R., 110

Drew, A., 68

Drinkwater, H., 52

Drugs, reaction to, 127–128

reaction to, during senescence, 127

Dryness of elderly bodies, 64

Ductus cochleariae, fibrosis of, 118

Dupuytren’s contraction, 155

Dysbasia, functional, 146

Dyspepsia, frequency of, 152

Early rising, 59, 60

Ears, disorders of, 143

Easton, J., 20, 47

Ebstein, 18

Eccentricities of old age, 120, 121

Ecclesiastes, interpretation of, 129

Eczema, 118, 141

Emphysema, 147, 149

Endarteritis obliterans, 103

Endocrine glands, in relation to old age, 12, 68–81

Endomixis, 9

Environment, influence on longevity, 33, 34, 39–46, 55

Erysipelas, 141

disposition to, 140

senile, course of, 142

Erythema, 141

Eunuchs, duration of life of, 79

Expectation of life, 13, 41

in various countries, 42

Extra-systoles, 124

Eyes, senile disorders of, 117

Facial appearance, 93

changes in, 93

causes of, 118

Fads, 121

Faintness, 151

Fat, reduction of, 92

subcutaneous, disappearance of, 94

Fatigue, excessive, danger of, 54

physical and mental, 119, 120

psychical, 122

Fatty degeneration of arteries, 106

of heart, 104

of muscles, 103

Femur, fracture of, 99, 127

Fertility, age limit of, in women, 26

average, estimation of, 24

old age in relation to, 23, 24, 26

social conditions influencing, 24

Fibrosis, 91, 92

Fibrositis, 155

Fibrous tissues, atrophy of, 91

Finot, J., 49

First-born, handicapping of, 38

longevity in relation to, 38

Flourens, on the duration of life, 18

Food, excess of, 56

Fractures, delay in healing of, 126, 127

tendency to, 99

France, longevity in, 40

Functional activity, danger of excess of, 54

influencing longevity, 46, 55

progressive diminution in, 115, 119, 135

Gait, disordered, 122, 147

Galileo, 53

Gallstones, 153

Gangrene, diabetic, 142

senile, 142

pipe-stem arteries with, 106

Garrod, A. E., 155

Gastric juice, composition, changes in, 115

lack of, 101

Gastro-intestinal tract, changes in, 101

Generation. See Reproductive power

Generative organs, internal secretion of, 70, 73–80

Genitals, external, atrophy of, 114

Giantism, 19, 20

Giddiness, 143

causes of, 151

Gilford, H., 30, 72, 88

Gisborne, Thomas, Linacre lecturer, 5

Gland activity, functional, diminution of, 115

senility in relation to, 69

Gland atrophy, 109, 110

Gland cells, life cycle of, 67

Gland secretions, influencing activity of body cells, 68, 69

Gland, endocrine, metabolism stimulated by, 81

rejuvenescence in, in relation to, 12, 73–80

Gland, endocrine, theory of old age, 70, 71, 72

Gland, endocrine, therapy during old age, 71

of prostatic enlargement, 113

rejuvenescence in relation to, 12, 73–80

See also Endocrine, Pituitary, etc.

Glycosuria, 126

toxic, cause of, 142

Goethe, 53

Goodpasture, E. W., 88

Gout, 154

acquired, age incidence of, 154

Gowers, W. R., 139, 144

Graves, R. J., 95

Gray, A. A., 118

Greenwood, Major, 24

Gregory IX., centenarian, 50

Growth, 60

experimental modification of, 11

influence of endocrine gland therapy on, 12, 72, 80

retardation by vitamine deficiency, 13

Habits, influencing longevity, 55

Haemoglobin, 108

Haemorrhage, 144

cerebral, 145

Hair, changes in colour of, 94

excessive growth of, 96

of the body, loss of, 96

Hale-White, W., 109, 155

Hall, Bishop, 131

Hall, Stanley, 8, 27

Haller, 91

Halsbury, Lord, nonagenarian, 51

Hands, appearance of, 93

atrophic changes in, 94

senile tremor of, 143

Harrower, 80

Haviland, John, influence on the Cambridge medical school, 6

Regius Professor of Physic, 6

Linacre lecturer, 5

Head, senile tremor of, 143

Health, definition of, 136

Hearing, impairment of, 118

Heart, atrophy of, 104

condition of, 92, 103, 104

diseases of, 149

failure, 149

age incidence of, 140

hypertrophy of, 55, 104

and blood pressure, 104

longevity in relation to, 37

senile changes in, 104, 139, 149

Heberden, W. (the elder), 4, 54

Heberden’s nodes, 155

Height, cause of loss of, 100

Hereditary tendencies, correction of, 34

Heredity, firstlings in relation to, 38

influence on longevity, 19, 32–39

Hernia, tendency to, 153

Herpes zoster, 142

Hertoghe, 113

Hetero-suggestion, 48

High altitudes, influence on longevity, 39

Hippocrates, age of, 52

Holland, Henry, 28

Holmes, O. W., 49

Hopkins, G., 13

Hot climates, influence of, on senescence, 26, 36, 39

Huchard, 59, 105

Hufeland, C. W., 17, 23, 70

Humphry, G. M., 8, 22, 32, 34, 39, 43, 58, 60, 87, 98–100, 112, 124

Hunter, W., 124

Huxley, J. S., 11

Hygiene of old age, 55–61

Hyperpiesia, 37, 124

Hypertrichosis, following the menopause, 96

Hypnotics, 128

Hypochondriasis, 121

Hypoplasia, 63, 64

Hypothyroidism, in relation to old age, 72

Idleness, inimical to old age, 46, 47

Individuation, phenomenon of, 10

Infant mortality, sex incidence and causes, 22

Infantilism, premature senility with, 31

Infections, 140

cell changes due to, 43, 44

disposition to cardiac failure during, 149

focal, tendency to, 155

gout in relation to, 154

Insomnia, 119

Interstitial cells, 73–81

Intestinal stasis, as cause of premature old age, 82, 85

Intoxications, cause of senescence, 82

influence on body cells, 44, 55

Invalidism, auto- and hetero-suggestion producing, 48

Ireland, centenarians in, 40

Iris, sluggish, 117

Iverex, Dr., centenarian, 32

Jackson, Christopher, 3

Jackson, Hughlings, 122

James, R. R., 52

Jastrow, M., 130

Jaw, changes in shape of, 99

tremor of, 144

Jenkins, Henry, centenarian, 20

Jews, longevity of, 40

Johnson, S., 46

Joints, fractures of, disposition to, 99

Keratosis, senile, 143

Kidneys, 126

degenerative changes in, 111

granular, age incidence of, 140

King, G., 20

Klotz, O., 107

Knee-jerk, 119

Koheleth, 139

Kuntz, A., 74

Labyrinthine deafness, 118

Labyrinthine vertigo, 143

Lacassagne, A., 30, 55

Lane, W. Arbuthnot, 84

Lankester, E. Ray, 14, 19, 23

Laryngeal cartilage, calcification of, 100

Laurent, O., 41, 87

Laurentius, Andreas, 29, 46, 116, 131

Lazarus, 59

Lazarus-Barlow, W. S., 86

Leclercq, A., 140

Léri, 83, 146

Leroux, 103, 148

Lessius, Leonardus, 55

Leucocyte count, 108, 109

Leucodermia, 93

Leukaemia, 141

Leydig, interstitial cells of, 73–81

Lichtenstern, 77

Life, animal and human, duration of, 17, 18

chronometry of, 138

climacterics of, 27, 30

duration of, 9

among professional men, 50–53

chemical theory of, 66

early theories of, 17

estimation of, 18

in vitro, 66

various writers on, 17, 18

variation in different countries, 39

modern theories of, 18

expectation of, at birth, 13, 41

prolongation of, experimental, 12, 13, 77

following cessation of reproductive function, 23

See also Longevity

Life cycle, experimental modification of, 11

Ligament, spinous, ossification of, 99

Ligamentum spirale, atrophy of, 118

Linacre, Thomas, 2

family history of, 2, 3

Linacre Lectures, 3–6

Linacre Lectureship, 1

Lips, tremor of, 144

Lipschülz, 74

Liveing, G. D., 7

Liver, atrophy of lobules and cells of, 102

changes in size and weight of, 102

cirrhosis of, 140

Llewellyn, L. J., 154

Longevity, alcohol influencing, 57

among professional men, 50, 53

auto- and hetero-suggestion influencing, 48, 49

“cell-memory” in relation to, 35

climatic conditions influencing, 39, 41

conditions favouring, 7, 33

diseases inimical to, 45

endocrine atrophy in relation to, 68–81

environment influencing, 33, 34, 39–46, 55

factors influencing, 32

fertility in relation to, 23, 24

functional activity influencing, 46, 55

hereditary aspects of, 19, 32–39

idleness inimical to, 47, 48

in the medical profession, 52

influence of past diseases on, 43

influence of blood pressure on, 37

influence of brain cells on, 36

integrity of cardio-vascular system necessary to, 36

of nations, compared, 39, 40

of the patriarchs, 15, 16

personal habits influencing, 55

potential, on what determined, 67

sex incidence of, 21, 22

smoking in relation to, 58

syphilis preventing, 45

vitality of central nervous system essential to, 36

See also Old Age; Senescence

Lorand, A., 70

Lowe, Peter, 131

Luciani, 18, 102

Lungs, changes in, 103

diseases of, 147, 148

Lydston, G. F., 71

Lymphadenoma, 141

Lymphoid tissues, atrophy of, 63, 108

Maclachlan, D., 144

Maignon, Abbé, centenarian, 50

Malignant disease, 87, 141

cell senility in relation to, 88

Mammae, involution changes in, 114

Mania, senile, 145, 146

Mansell-Moullin, C. W., 78

Mansfield, Lord, octogenarian, 51

Marasmus, senile, 139

Marie, P., 146

Marinesco, 64, 78, 83, 97

Marx, K., 47

Mead, Richard, 131

Medical men, centenarians among, 52

duration of life of, 52, 53

Melancholia, senile, 146

Memory, impairment and loss of, 120, 122

Menopause, onset of old age at the, 26

ovarian changes at, 63, 79

Mental activity, influence on old age, 47, 48, 50, 54

unimpaired, in advanced age, examples of, 50, 51, 53

Mental deterioration, 49, 119, 122, 145, 146

causes of, 47, 48, 49

onset of, 53

Mental fatigue, tendency to, 120

Mental state, 119, 122, 123

and the physical, want of harmony between, 123

influence of, 48–50

Metabolism, disordered, 115, 116, 117, 154

gland therapy stimulating, 72, 81

Metchnikoff, E., 8, 13, 18, 82–86, 91, 97, 123

Methuselah, 14

Michael Angelo, mental activity at advanced age, 53

Micturition, disorders of, 153

Middle ear lesions, 143

Migraine, 140

Miles, W. E., 153

Mind, 121

and body, in old age, 47, 50

disintegration of, 120

disorders of, 122, 145, 146

See also Mental

Molière, 53

Mönckeberg’s sclerosis, 106

causes of, 142

Montaigne, 14, 56

Moon, R. O., 136

Moore, Norman, 5

Morbus coxae senilis, 155

Morphine, 127, 128

Mott, F. W., on functions of cells of testes and ovaries, 75

Muscles, voluntary, changes in, 103

Muscular activity, danger of excess of, 54

impaired, 99, 119, 135

Muscular atrophy, 99, 119, 135

among workmen, 54

Myocardium, degeneration of, 104, 149

Myxoedema, as secondary senilism, 72

Nails, condition and appearance of, 96

Nanism, senile type of, 31

Nascher, I. L., 30, 98, 127

Nathan, 68, 74

National habits, influence on longevity, 40

Natural death. See Death

Neck, senile tremor of, 143

Nemenow, 112

Nephropathy, chronic atrophic, 111

Nerves, cutaneous exposure of, 141

Nervous apprehension, tendency to, 122

Nervous disease, 145

Nervous system, 38

vitality of, hereditary factor in longevity, 36

Neurasthenia, 122

New growths, rarity of, 87, 89

Newton, Isaac, 53

Nicotine, effects of, 59

Nunneley, F. P., 151

Obesity, 60

Occupational neuroses, 54

Octogenarians, among active professional men, 51

census statistics of, 21

Oertel, H., 88

Old age, acceleration of, factors favouring, 26

anatomical and physiological changes in, 63

as a disease, 47, 136

attainment of, on what dependent, 6, 7, 10

biochemistry of, 64–68

biological aspect of, 10, 11, 23

bodily conformation in, 60

causes of, 62–89

cell changes leading to, 64, 65

“cell-memory” in relation to, 35

comparative freedom from chronic disease in, 44

death during, common causes of, 38

disabilities of, 137

disease in relation to, 44

diseases associated with, 93–114, 139–156

fertility rate in relation to, 23, 24, 26

glandular, endocrine, theory of, 70, 71, 81

healthy and morbid, distinction between, 135

hereditary aspects of, 32–39

hygiene of, 55–61

infantilism and, 31

mental activity during, 50, 54

examples of, 50, 51, 53

natural death from, 14

on what dependent, 10

onset of, 26

signs of, 29

pathological, 30, 82, 90

of septuagenarians, 53

physiological, 26, 90, 135

physiological and pathological confusion between, 90

factors in, 26

physiology of, 115

premature, 30

hot climates favouring, 26, 36

intestinal stasis as a cause of, 85

mental causes of, 48, 49

production of, Metchnikoff’s theory, 83

rarity of natural death from, 14, 91

sex incidence of, 21, 22

stages of, 29

vitality of body cells in, 62–68

writers on, 8, 15, 16

See also Senescence; Longevity

Onychogryphosis, 96

Ophülz, W., 105

Oral sepsis, 44, 155

Orthobiosis, 55, 84

Osler, W., 2, 36, 151

Osteitis deformans, 156

Osteomalacia, senile, 139

Osteoporosis, senile, 99

Ovarian extract, rejuvenescence in relation to, 80

Ovaries, activity and function of cells of, 73, 74

degenerative changes in, 114

fibrotic atrophy of, 63

following menopause, 79

in relation to senescence, 75

internal secretion of, evidence of existence of, 79

senile, 114

Over-eating, 56, 118

Overwork, danger of, 54

Owen, I., 57

Paget, James, 36, 138

Paget’s disease of bone, 156

Pain, blunting of sensibility to, 117

Pallor, 93

Pancreas, fibrotic atrophy of, 102

Paralysis agitans, 144

age and sex incidence of, 144

causes of, 144

senile tremor compared with, 143

Paraplegia, senile, 138, 146

causes of, 146, 147

varieties of, 147

Parathyroids, 110

Parietal bones, changes in, 100

Parkinsonian syndrome, 144

Parr, Thomas, centenarian, 20

Pathological old age, 53, 82, 90

Patriarchal ages, length of the calendar during, 16

Patriarchs, explanation of reputed old age of, 15, 16

Pearson, K., 38, 86

Pecten band, 152, 153

Penis, changes in, 114

Pennington, Isaac, 6

Peristalsis, failure of, 152

Philalethes, Eugenius, on old age, 15

Phlebitis, 151

Phlebosclerosis, 107

Physical and mental states, want of harmony between, 123

Physiological life of man, 19

Physiological old age, 90

and morbid senility, distinction between, 135–138

Physiology of old age, 115–128

Pigmentation, cellular, 103

cutaneous, 93

Piles, 153

Pitman, Henry, medical centenarian, 52

Pituitary extract, influence on weight and growth, 12

rejuvenescence in relation to, 12, 80

Pityriasis versicolor, 141

Planarian flat worms, experimental modification of life cycle and growth of, 11

Plasma, vital phenomena of, 65–67, 88

Plethora, senile, 124

Pneumonia, 147, 148

disposition to, 140

sudden death from, 117

Premature senility, 30

causes of, 48

hot climates predisposing to, 26, 36

syphilis producing, 45

Presbyopia, 117

Pringle, J. J., 94

Prior, Matthew, 3

Professional men, age of retirement of, 54

longevity of, 50–54

Progeria, 30

Prostate gland, 27

climacterium virile due to changes in, 27

hypertrophy of, 101, 112

age incidence of, 140

cause of, 112

cell changes in, 112, 113

glandular therapy of, 113

vesical disorders due to, 153

senile changes in, 111

Protoplasm, products inimical to vitality of, 65

vital phenomena of, 64, 65, 88

Protozoa, rejuvenation and senescence in, 9–11

Prurigo, senile, 141

Pruritus, senile, 141, 142

Pseudo-paraplegia, 146

Psychical activity, diminished, 119

Psychical fatigue, 122

Puberty, functional activity of cells of testes and ovaries at, 75

period of, 17

“Puberty gland,” 73

Puerilism, 122, 145

Pulmonary changes, 103, 147

Pulmonary tuberculosis, 148

Pulse-pressure, 125

Pulse-rate, 124

Pupils, contraction of, 117

Purgatives, 128

Pyelonephritis, 154

Quinquagenarians, diseases of, 140, 145, 156

Rectum, faecal accumulation in, 152

Reflexes, 119

Regression, 122

Rejuvenescence, 10

associated with reproduction, 9, 10, 64

attainment of old age dependent upon, 9, 10

experimental production of, 76, 77

following vasectomy, 78

gland extracts in production of, 12, 73, 80, 81

in animal life, 9, 10

power of reproduction favouring, 23, 24, 69

restricted diet in relation to, 56

testicular grafts producing, 77

Renal inadequacy, 126

Reproductive power, favouring rejuvenescence, 23, 24, 69

waning of, onset of old age following, 26

prolongation of life after waning of, 23

Retas, Joseph, centenarian, 33

Rheumatism, in old age, 44

Rhizomelic spondylitis, 155

Rhondda, Lord, 49

Richardson, B. W., on the duration of life, 18

Rivers, W. H. R., 122

Roberts, W., 154

Robertson and Ray, 12, 60

Rodent ulcer, 143

Roussy, G., 103, 148

Routh, Martin, centenarian, 50

Roy, D., 32, 95

Russian peasants, longevity of, 40

Salimbeni and Gery, 63, 84, 93, 102

Sand, K., 75

Saundby, R., 8, 44, 85

Savage, G., 34

Sclerosis, arterial, 105–107

Mönckeberg’s, 106, 142

spinal, 97

Scrotum, 114

“Second childhood,” 122, 145

Sedatives, 128

Self-preservation, instinct of, 122

Self-reliance, loss of, 48, 49

Seminal tubules, activity and function of, 74

atrophy of, 74, 112, 113

prostatic enlargement following, 112

regeneration of, 74

Senescence, 136

castration not a disposing factor to, 79

causes of, 62–89

Metchnikoff’s theory, 82, 83

pathological, 82

toxaemic, 82

cell changes during, 62–68

in ovaries and testes, 75, 76

colloidal dehydration leading to, 64, 65

diseases associated with, 139

endocrine glands in relation to, 68–81

healthy and morbid, distinction between, 135

nosological compensations of, 140

progress of, 135

rarity of carcinoma in, 87

rejuvenescence necessary to, 10

thyroid deficiency in relation to, 72

See also Longevity; Old age

Senile climacteric, 30

Senile type of nanism, 31

Senility, 136

Senium ex morbo, 136

Sense organs, impairment and failure of, 117–121

Sensibility to pain, blunting of, 117

Septuagenarians, nervous disease among, 145

pathological old age of, 53

Sex characters, secondary, cause of, 75

following castration, 79

Sex glands, changes in, climacterium virile due to, 27

internal secretion of, 70

Sex incidence of old age, 21, 22

Sexagenarians, diseases common to, 140

nervous disease among, 145

Sexual activity, as manifestation of bodily vigour, 69, 70

duration of, 69

leading to rejuvenescence, 69

waning of, 126

Sexual appetite, on what dependent, 75

perverted, 114

Sexual atrophy, as cause of old age and senility, 69–71

Shaking palsy, 144

Sharpey-Schafer, E. A., 63

Sight, impairment of, 117

Sinclair, John, 8, 20, 35

Singer, C., 86

Skeleton, changes in, 98

Skin, 93, 115

diseases of, 141

disposition to, 141

dry, 115

venules and angiomas on, 108

Skull, 100

Sleep, diminished, 119

over-indulgence in, 60

Smell, impairment of sense of, 117

Smith, John, 8, 131

Smith, Lapthorn, 53

Smoking, influence on longevity, 58–59

Sophocles, mental activity at advanced age, 53

Sour milk, destruction of intestinal bacteria by, 83

Spasm of arteriosclerotic vessels, 151

Spastic paraplegia, 147

Spinal cord, degenerative changes in, 97, 147

Spleen, atrophy of, 63, 109

Spondylitis, rhizomelic, 155

Spondylitis deformans, 99, 155

Stapes, fixation of, 118

Starvation, influencing the onset of senescence, 56, 57

Starvation treatment, 56, 57

Steinach, E., 11, 77, 78

Sterne, John, on the attainment of old age, 16

Stevenson, T. H. C., 41

Strachey, L., 47

Structural changes of the body, 90

Symmers, D., 102

Syphilis, influence on longevity, 45

Taste, impairment of, 117

Teeth, decay of, 44, 101

loss of, 44, 45, 99, 101

causes of, 101

Temperance, a characteristic of centenarians, 57

Temperature, and longevity, 26

of body, 116

Testes, atrophy of, 113

cells of, activity and function of, 73, 74

in relation to senescence, 75

changes in, following vasectomy, 77, 78

internal secretion of, 69–72, 74

prostatic atrophy in relation to, 112

Testicular extract, rejuvenescence in relation to, 80

Testicular grafts, rejuvenation by, 71, 72, 77

results of experiments, 76, 79

Thompson, R. J. C., 37, 44, 49, 96, 125

Thompson, W. J., 40

Thrombosis, 144

age incidence of, 145

cerebral, 145

venous, 151

Thymus, atrophy of, 109

Thyroid deficiency, 138

baldness resulting from, 96

effect on activity of body cells, 72

prostatic enlargement in relation to, 113

Thyroid extract, rejuvenescence in relation to, 80

for prostatic enlargement, 113

Thyroid gland, degenerative changes in, 109, 110

Tinnitus, 118

Tissues, connective, relation of cellular activity to, 68, 88, 89, 92

Titian, 53

Tobacco, and arteriosclerosis, 59

influence on longevity, 58

symptoms due to, 59

Todd, R. E., 37, 44, 49, 125

Toxaemia, as a cause of senescence, 82, 86

degenerative changes due to, 44, 55, 56, 86

intestinal, as cause of senescence, 82, 85

over-eating causing, 56

Transfusion, 66

Tremor, senile, 143

Tropical life, influence on longevity, 26, 36, 39

Trousseau, 151

Tuberculosis, senile, 148

Tumours, 86, 141

Turnbull, H. M., 106, 114

Ulcer, rodent, 143

Urea-nitrogen in the blood, 115

Urinary bladder, hypertrophy of, 153

Urine, condition of, 126

Uterine changes, 114

Valvulitis, chronic, 149, 150

Vanity, senile, 120, 121

Variation, correlated, 23

Varicosity, 151

Vascular lesions, 144

Vasectomy, changes due to, 74

changes in testes following, 77, 78

effect on sexual activity, 76

rejuvenescence following, 71, 78

Veins, changes in, 108

Venous thrombosis, 151

Vertebrae, changes in shape of, 99

Vertigo, causes of, 143

Visceral degeneration, 102, 103

Visceroptosis, 102

Vitality, danger of excess of, 54

loss of, 115, 119, 135

waning of, 139

Vitamins, influence on growth, 13

Voltaire, mental activity at advanced age, 53

Voronoff, testicular grafting by, 78

Walker, Kenneth, on changes in the testes, 112

on prostatic enlargement, 112, 113

Walking, functional disturbances in, 147

Waterhouse, B., on the onset of old age, 27

Watson, Thomas, Linacre Lecturer, 5

Weber, Hermann, 8, 34, 43, 57, 119

Weber, Parkes, 35, 104

Weissmann, 9, 16

“Will to live,” 35, 47

Will power, failure of, 122

Williams, Leonard, 61, 113, 128

Wilson, S. A. K., 144

Wounds, healing of, 126

Wrinkles, cause of, 93

Yeo, B., 50

Zorten, Petrasch, centenarian, 20

THE END

Printed in Great Britain by R. & R. Clark, Limited, Edinburgh.

By SIR HUMPHRY ROLLESTON, K.C.B., M.D.

DISEASES OF THE LIVER, GALL-BLADDER AND BILE-DUCTS

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