(27

[Note in another hand:] pp. 164/5

(27

Ch. VI

(In violent coughing, especially as I have noticed observed when a person is half-choked, the face becomes purple, with the veins distended, [illeg] & with the the orbicular muscles muscles are strongly contracted, & tears tears will strewn down the face cheeks. Even after a moderate strong fit of ordinary coughing, almost everyone has to wipe his eyes. I have seen In violent vomiting or retching, as I have seen myself experienced & heard from seen in others, the orbicular muscles are strongly contracted & tears sometimes flow freely down the cheeks. It was has been suggested to me that this may be due to irritating matter being injected into the nose, & thus by reflex action causing the secretion of tears.

Accordingly I asked one of my informants, a surgeon, to attend to the effects of retching when nothing nothing was thrown up thrown up from the stomach; & by an odd coincidence, he himself suffered the next morning from an attack of retching & saw within three days subsequently observed a lady under a similar attack, & he is certain that not an atom of matter was ejected in either case from the stomach; yet the orbicular muscles were strongly contracted & tears freely secreted. I can also speak positively to the strong energetic contraction of these same muscles & to the coincident free secretion of vigorous tears, when the abdominal muscles act with unusual force in a downward direction on the intestinal canal.)

(20

[Note in another hand:] Desc. of Man p. 119

(20

Chapt. 3

(The Quichua Indians inhabit the lofty plateaux of Peru, & Alcide d' Orbigny states*(25) that these Indians Indians they have acquired, from continually breathing the the highly rarefied air atmosphere, have acquired chests & lungs of extraordinary dimensions, whilst their legs retain the [illeg] length. The cells, also, of the lungs are larger & [text excised] Europeans. The [text excised]

(20

[Note in another hand:] Desc. of Man p. 118

(20

Chapt. 3

thicker than on any other part of the body;*(23) & we may confidently safely attribute this to the inherited effects of long continued pressure during very many generations.) (It is familiar to everyone that watchmakers & engravers are liable to become short-sighted, whilst sailors [text excised] short-sight & long-sight tend to be strongly inherited.*(23A [text excised]