NERVOUS CONTROL OF TEMPERATURE. 
861 
S Ag a e nd ' Seat of In J ur - v - 
Temperature. 
Remarks. 
Observer. 
M. — Crush at level 
41-1 (106'), fourth 
40°"2 (104°'4) on foot; 
Churchill. 1 
contd. 
of fifth cer- 
vical verte- 
bra. 
day. 
patient died soon after 
in a violent spasm, and 
a quarter of an hour 
after death, tempera- 
ture in axilla = 43 '3 
(110 3 ). 
M.,48. 
Crush at level 
38°'5 (92°-3), on ad- 
Temperature, taken in ' Wagstaffe. 1 
of sixth cer- 
mission to hos- 
both rectum and ax- 
vical verte- 
pital. 
illa, fell steadily until 
bra ; frac- 
death. 
ture of skull. 
27'- -6 (81°-7), forty- 
eight hours later. 
Death. 
M., 22. 
Crush between 
33 = -9 (93° -0), on ad- 
Patient drowsy and pro- 
Le Gros Clarke. 1 
sixth and 
mission. 
strate. 
seventh cer- 
27° -8 (82 D< 0), a few 
Death about forty-eight 
vical verte- 
hours beforedeath. 
hours after accident. 
brae. 
M., 39. 
Crush at level 
of fourth 
and fifth 
cervical ver- 
tebra. 
34°-5 (94°-l), four 
hours after the 
accident. 
36 a, 5 (97°-7), eighth 
hour. 
41-6 (106-9), 7 
a.m., second day. 
42°-4(108°-3),1p.m. ; 
second day. 
Death at 2.5 p.m. on sec- 
ond day ; post-mortem 
rise to 42°9 (109°'2) 
Billroth. - 
in ten minutes. 
M., 34. i Crush at level 
37 '6 (99^7). five 
Complete paralysis of 
Frerichs. 3 
of fifth and 
hours after acci- 
trunk and limbs ; dia- 
sixth cervi- 
dent. 
phragmatic breathing. 
cal verte- 
40°-9(105 3 -6), twelfth 
. .. 
br:e. 
hour. 
42° -1 (107° -8), fifth- 
teenth hour. 
43-6 (110 o '5), nine- 
teenth hour, 
eleventh minute. 
43°-2 (109°"7), nine- 
teenth hour, 
thirty-fifth min- 
ute. 
Death. 
These discordant results have to be explained. It is worse than useless to 
say that the effects are due to the removal of the regulating influence of 
" neat centres " in the brain, centres whose very existence is problematical. 
Observations upon the deep and surface temperature, and upon the amount 
of moisture given off by the skin, are needed to show whether the changes in 
temperature are due to disturbance in the production or in the loss of heat, 
or more probably in both. The data upon these points are insufficient, but, 
recently, such observations have been made by Pembrey, 4 in the case of two 
1 Quoted from Hutchinson, loc. cit. 
- Arch./, klin. Chir., Berlin, 1868, Bd. ix. S. 161. 
3 Recorded by Lorain, " De la temperature du corps humain," tome i. p. 500. 
4 "Proc. Physiol. Soc," Jowrn. Physiol.. Cambridge and London, 1897, vol. 
Brit. Med. Journ., London, 1897, vol. ii. p. 883. 
