a durable or transient manner: it is not always requisite that man's organs should be moved by an exterior object, to enable him to feel that he should be conscious of the changes effected in him: he can feel them within himself by means of an interior impulse; his brain is then modified, or rather he renews within himself the anterior modifications. We are not to be astonished that the brain should be necessarily warned of the shocks, of the impediments, of the changes that may happen to so complicated a machine as the human body, in which, notwithstanding all the parts are contiguous to the brain, and concentrate themselves in this brain, and are by their essence in a continual state of action and re-action.
When a man experiences the pains of the gout, he is conscious of them; in other words, he feels interiorly, that it has produced very marked, very distinct changes in him, without his perceiving, that he has received an impulse from any exterior cause; nevertheless, if he will recur to the true source of these changes, he will find that they have been wholly produced by exterior agents: they have been the consequence, either of his temperament; of the organization received from his parents; of the aliments with which his frame has been nourished; besides a thousand trivial, inappreciable causes, which congregating themselves by degrees produce in him the gouty humour; the effect of which is to make him feel in an acute and very lively manner. The pain of the gout engenders in his brain an idea, so modifies it that it acquires the faculty of representing to itself, of reiterating as it were, this pain when even he shall be no longer tormented with the gout: his
