A PEEP Into the House You Live In. A. 1ST ESSAY OX THE CAUSES OF SOME OF THE AILMENTS TO WHICH FLESH IS HEIR; AND ON THE VALUE OF rMcrhanicat ftppliatuts, in their treatment. PUBLl&HEb BY THE BANNING TRUSS AND BRACE COMPANY, No. 312 BROADWAY, NEW YORK. Entered according to act of Congress, in the year 1872, by The Banning Truss and Brace Company, in the office of the Librarian of Congress at Washington. CONTENTS. Fundamental Propositions 1 Effects of Pressure on Parts Below : Effect upon the Nerves 4 Effect upon the Arteries, cause of Cold and Clammy Feet and Limbs 4 Effect in causing Varicose Veins and Dropsy 5 Effect in causing Constipation, Hemorrhoids, etc 5 Effeci upon the Urinary Bladder. (Incontinence, Retention, and Affection of Prostate Gland) 7 Effects upon the Uterus. (Prolapsus Uteri, or Failing of the Womb.) 10 Effect in Pregnancy 22 Effect of Dragging upon the Parts Above : Effect in Producing Throat Ail, Bronchitis, Weak and Unnatural Voice 2P- Effect in Producing Affections of the Lungs 28 Effect upon the Heart and Brain 31 Effect upon the Stomach, Liver and Spleen. (Dyspepsia, Liver Comp’aint, Chronic Inflammation of the Spleen 3a Effect in the Production of Spinal Affections, Distortions of the Hips and Shoulders 39 Who should Wear the Brace ?.....-. 48 Causes of the Debility of Ladies, so Common at the Present Day .... 50 How to Measure for the Selection of any One of the Braces 50 How to Apply the Several Braces 50 Particular Advantages of the Braces over other Supporters 50 Notes 50 Miscellaneous Cases 53 PAGE T II E MECHANICAL NATURE A>TD TREATMENT OF CHRONIC DISEASES. Bx E. P. BANNING, M. D., of New Yoek. It is apparent to even the most casual observer that there exists a large class of chronic diseases which have to this day steadily resisted every established method for their treatment and cure. Among these, spinal, digestive, nervous, vocal, pulmon- ary and female weakness stand prominent, and have a representative, to say the least, in a clear majority of fam- ilies. Startling as this proposition may seem, it is never- theless a fact, staring the practitioner in the face and defying contradiction. And with a view to elucidating the causes of the ill suc- cess in their management, and how it may be that me- chanical support when physiologically constructed or ap- plied may, by itself or in connection with proper medical treatment, cure the same by removing the mechanical cause, your attention is invited to the following common sense propositions in mechanical pathology—a pathology which has been much overlooked, but the importance of which cannot be overestimated, when we consider the large class of diseases that are acknowledged to be purely mechanical, to say nothing of that much larger class which, though mechanical, a defective pathology has not heretofore ranked as such. Proposition I.—That man, materially considered, is a machine—from the grossest fibre to the finest cell—of a primary, definite, and accurate character, and as such is under the control of mechanical law, a change in its 2 actions always resulting from any local or general de- parture from the primary and accurate position as in other machines. Take, for instance, that complicated and beautiful combination of many parts, the lever watch. If the slightest change takes place in the bearing or position of the smallest spring or wheel, its action upon its neighbor is rendered imperfect, and this imper- fection is carried through" each succeeding part of the delicate machine, affecting the accuracy of the result as well as rapidly impairing the nice adjustment necessary to make it go at all. Proposition IT.—The internal organs or viscera are as much under the law of definite position as are the bones, and a functional derangement will follow a displacement in one case as well as in the other. Proposition III—This definite position and relation of the internal organs consists in a packed, braced, and sup- ported state from bebiv, and not in a suspended or pen- dent state from above. We take the broad ground that in the whole normal human body there is not a single sus- pended organ. That this must be so is self-evident. These organs are nervous, tender and fragile, easily torn, easily injured, and if allowed to simply swing to and fro from their moorings they would be as liable to damage (to use a homely metaphor) as a satchel of eggs hung up in a stage coach. The surrounding elastic abdominal walls are the con- summative agencies in maintaining this supported and primary state of the vital parts. The abdominal walls are elastic only in proportion as the abdominal and spinal muscles are tensed and energetic—and these can only be so when the body is thoroughly erect; and when these muscles are active and strong, and the median plane of the pelvis is thus rendered oblique instead of horizontal, the visceral weight is thereby thrown forward upon the lower abdominal wall, which, acting under the lowest of the viscera, causes it in its turn to become the aggressor of its superior neighbor, and so on to the top of the pile; 3 bj which the lower abdomen becomes comparatively small, the waist and stomach plump, the chest short and broad, all by virtue of the consecutive series of supports from the base to the apex, resting upon the muscles be- low, which act much like the springs of a carriage, and give us the natural or supported state. See Fig. 1. . A A> Front line, showing that the big toe, pubis, and tip of the nose, are always in line when the body is erect. B B, Line, passing through the spine at the neck, and at the hip, knee, ankle joints; and 1), showing that these points are in line when the body is erect, and that D is the body’s centre of gravity. L C, Posterior line, showing that the back of the head, shoulders, hip, and heel, are also in line, and that when the body is erect. D is much in advance of this line. K Iv and L L, Lines running in the ex' act direction of the advancing and retreating directions of the Spine, crossing each other and B B at D, and proving mathematically that D is the body’s centre of gravity. 1'liis figure shows that the big toe and the nose are in line; even when the hollow of the back has re- ceded from the tniddle line, beyond line C, and behind the shoulders; that drooping and round shoulders are produced by a retreating motion at D (for, if such were not the fact, the perpendicular lines, in both the figures, would hot toueh the head and feet at the .same points), and, that ho style of support, design- ed 1'or straightening the form, can accomplish its object, unless so constructed us to push forward the receded point at X>, and bring it again in contact with the line B. See Fig. 1. Fig. 1.—Side view of the Erect Posture, with natural upward and inward bearing of the internal organs. Fig. 2.—Side view of tlie Drooping Posture, with internal organs suspended and com- pressed. 4 Proposition IV. That the effects of a departure from the natural or supported state to the unnatural or pen- dent state are two-fold: First, the effects of pressure upon the parts below, and second, the effects of the change from a supported to a pendent state upon the parts above. For this unnatural state, see Fig. 2. And first let us consider the Effects of Pressure on Parts Below. . EFFECT UPON THE NERVES. The nerves, which conduct the nerve fluid or force generated by the spinal marrow or brain, are thrown out from each of the vertebrae, and clinging close to the bony ■walls, pass down into the limbs ; they tell us when wre tread on an injurious substance ; how far we have raised our feet;—in fact they are what makes us sentient beings. When, as in the unnatural state, there is a pressure placed on them they cannot conduct the fluid freely, the action of the limbs becomes clogged—a sense of weight seems to hang about them—even a straw will cause stumbling, and the ability to exercise becomes greatly diminished. Then follows that dreadful sensation of “ gnawing, aching, tearing pain ” in the back—for which blisters are applied, and often actual cautery and the moxa ; but the difficulty is not at that point, and the local treatment touches the effect, not the cause of the trouble, which is down in the sacral curve, where the nerves, burdened by the wTeight of the viscera, are crowded against the bony wralls, and are struggling to convey their subtle influences through the restricted passages which obstruct their energies. EFFECT UPON THE ARTERIES, CAUSE OF COLD AND CLAMMY FEET AND LIMBS. "We see the grand Iliac artery after its distribution in the pelvis, passing off to its remote ramifications ; it too 5 is compressed, and the nourishing blood it conducts, and which gives warmth and fulness to the limbs, is ob- structed. The feet become cold and clammy. This ex- plains why it is that some people always have cold feet, even in July. EFEECT IN CAUSING VARICOSE VEINS AND DROPSY. The veins in carrying the blood back to the heart for purification against the force of gravity, meet with this mechanical obstruction in the pelvis, and the blood is thrown back, and varicose veins are the result. For this, elastic stockings and bandages are usually applied; but they do not meet the case, which consists, as before shown, in the pressure upon them in the pelvic cavity. Remove the cause by taking away the weight, and the effect will disappear of itself. The blood is composed of three-fourths water; its red appearance is due mainly to the presence in it of the red corpuscles; while this obstruction exists, the heart, like a stationary engine, is forcing the blood through the arteries, which convey it back through the veins, the result of which is that its watery portion oozes through their minute capillaries, and a dropsical condition ensues. EFFECT UPON THE RECTUM OR LARGE BOWEL—CONSTIPATION — PILES, AND PROLAPSUS ANI, OR PROTRU- SION OF THE BOWEL. The small bowels, instead of being properly elevated, now press with great force on that part of the backbone which juts forward, and where the large bowel (rectum) dips down into the pelvic or lower cavity, thus imposing a mechanical obstruction to the regular descent of tho faeces and producing an accumulation of alvine mat- ter. The natural secretions of the bowel are also ab- sorbed by the hard and heated condition of the mass within, which is constantly irritating the inner membrane and nerves. In a natural and healthy condition of the body; the contents of the abdomen, whenever we step or fall, de- scend upon the elastic muscles, which instantly distend, and then in like manner react, throwing themselves and the superincumbent bowels back to their former position. This any one can test by placing his hand upon the low- er abdomen, and stepping heavily. He will feel the vi- bration or reaction of which we speak. Now, two purposes are subserved by this arrangement. It tends to preserve the organs from injurious contact, by giving them, always, a gentle movement, and it stimulates the bowels to motion and secretion. But how different is the condition of the bowels, when they rest upon the lower abdomen and the bones in that vicinity ? Lying below the axis of muscular contraction, and being per- fectly inert and totally deprived of their usual facilities for action, they must often press downward with great force. The most obstinate cases of costiveness are thus produced. The whole intestinal tube becomes preter- naturally distended, causing bad breath, loss of appetite, and otherwise deranging the stomach. The circulation of the blood is also mechanically obstructed, inducing stupor, sleepiness, ennui, and a host of other symptoms. At length, nature rouses herself to throw off the foreign mass by which she is thus opposed. But she labors un- der great disadvantages in the performance of this extra- ordinary task. The bowel is very tender and its con- tents dry and hard; but by the exercise of unusual strength and force, the work is accomplished. Yet what is the effect ? Why, the inner membrane being naturally much larger than the outer, and lying in folds, the dry mass pushes these folds before it, and leaves them at the outlet, where they are held by the contraction of the sphincter muscle, which covers the aperture, until hard and very sore tumors are formed upon the parts. At first, the membrane may be drawn back before the 7 sphincter muscle contracts upon it; but it soon loses its tone, becomes congested and relaxed, and prolapsed at every stool, by the slightest straining. This painful state is greatly promoted by the pressure from above upon the lower bowel, continually bearing it down and increasing the tendency to its inversion. These distressing stools are eventually succeeded by discharges of blood, wrhen we have as genuine a case of piles as can be imagined, which, by the way, is of itself a most distressing malady, though it seldom exists without constipation, as may readily be inferred from the preceding remark. Indeed, no less than eight out of every ten cases of piles, are induced by con- stipation of the bowels. Now, is it possible for medicine of any kind to effect anything more than temporary relief in such afflictions as these, without first restoring the mechanism of the disor- dered parts ? Surely not. Let us then see to it, that the only rational mode of treating these vexatious and dis- tressing maladies, namely, the elevation and support of the viscera by judicious mechanical means, is at once adopted. EFFECTS UPON THE URINARY BLADDER. (URINAL INCONTI- NENCE AND RETENTION—AFFECTION OF PROSTATE GLAND.) The Urinary Bladder, when compressed by the descent of the bowels, is of course unable to retain its contents a proper length of time, in which case there will be a frequent desire to void the same. This is termed incon- tinence. It is not very dangerous, but exceedingly trou- blesome and inconvenient.' Sometimes an angle is also produced in the neck of the bladder, thus mechanically obstructing the passage of the urine, and inducing often- times the most terrible and fatal disasters. It is true that there are other causes for this malady, requiring in- ternal treatment. But when the difficulty is purely mechanical, which is generally the case, how many pump- kin seeds, how much Harkem oil, or Spirits of Nitre, 8 will it require to relieve the suppression ? Or, in cases of incontinence thus engendered, how much Tinct. Lyttea, Balsam Copaiva, Bitters, &c., will remove this thirty or forty lbs. of visceral weight and thus remedy the matter ? Fig. 3. Fig. 4. The bladder evidently needs no medicine. Let but the op- pressive and superincumbent weight be removed, and all will be well. The patient wrill then be saved from the annoyance of the catheter and the disgusting use of nostrums. Let no one think of internal dosing with- out understanding the form and habits of the patient. Let him see that the abdomen is not pendulous at its base, and relaxed in its upper region. Let him be fully assured that the difficulty does not require mechanical aid ; for many cases, both of incontinence and reten- tion, after resisting all other treatment, have yielded to the application of the Body-Brace or abdominal and Fig. 3 represents the simple Body-Brace, generally successful; but when not so, the cor- responding attachments are required. Fig. 4 represents Abdominal and Spinal Shoulder-Brace. A A, arches of the mainspring passing above each hip-bone, avoiding all pressure on the bones, nerves, or blood-vessels, and furnishing the power of the instrument. B B, pads supporting glutei muscles on either side. C C, aggressive supporting saddles, to either side ot the dorso-lumbar spine (in ordi- nary cases only the lower saddle to be used), holding that portion of the spine properly lorward. D D, spring support, resting anteriorly upon the heads of the humeri. F, front pad, elevating abdominal viscera. The combined action of all is, to elevate the lineal viscera, sustain the lumbar spine in its vertical position, and poise the superior truuk behind the spinal axis. 9 spinal shoulder Brace. The most troublesome inconti- nence has often been relieved, by merely lifting up the bowels with the hands, so as to change the shape of the abdomen. In retention also, relief has often been afforded by simply turning the sufferer on his face. Although so dissimilar in their phenomena, both in- continence and retention may arise from one and the same cause, the disease frequently alternating from one condi- tion to the other; and it is particularly worthy of re- mark, that very many or most of these cases are either dyspeptics, hypochondriacs, or subjects of prolapsus uteri, showing the purely mechanical nature of all the derange- ment. Fig. 5. Fig. 6. Pregnancy often induces an af- fection of the bladder; but cases of incontinence or retention of urine thus produced, will almost invariably disappear at the ap- proach of the Pelvic Girdle. In various cases of affection of the prostate gland, the Body- Brace has relieved the tender- ness and pain of the irritated part, by simply removing the superincumbent weight. Fig. 5.—Non-Friction Self-Adjusting Brace-Truss, with Prolapsus Ani Spring. Fig. 6 represents No. 5 applied. 10 EFFECTS UPON THE UTERUS AND ITS APPENDAGES. (PRO- LAPSUS UTERI, OR FALLING OF THE WOMB.) The uterus has five supports, namely, the cellular tissue with which it is surrounded, the vagina, the round, and the broad ligaments, and the peritoneum or lining mem- brane of the belly. These supports are designed to bear the weight of the small intestines, situated below the mesocolon. They also serve as a floor on which the abdominal organs may rest. Their primary object, however, is, to sustain the uterus in the first four or five months of pregnancy, before it has risen above the pelvis, and when it is several times heavier than in its ordinary state; else what would become of this organ ? for, surely, if it required all these supports in its quiescent state, there would be an un- avoidable falling and dragging, when borne down witli weight by the foetus ; a view of the matter, which no rational mind could be found to adopt, as it plainly im- plies that prolapsus uteri is a necessary accompaniment or consequence of gestation. Yet, still it is notorious, that a distinguished member of the medical profession in this city recently asserted on a public occasion, that “ this disease was extremely rare among unmarried ladiesAnd what is this but saying that it is peculiar to those who are married ? And if peculiar to married life, how far is this from the bare-faced conclusion, that prolapsus is consequent upon gestation ? Now, for the information and benefit of those who are easily led into such preposterous and perilous conclusions, we take the liberty, in passing, to mention, as the result of our own extensive observation and experience in this important matter, that not one-third of the cases of gravid uterus complain at all of prolapsus uteri; and also, that a large proportion of these have been repeatedly afflicted in this way, antecedent to the period of conception. Should any one, however, after reading this page, still be dis- posed to the opinion, that “ this disease ” is extremely 11 rare among unmarried ladies,” we are enabled to state farther, that no less than three-fourths of ail the cases of prolapsus uteri occur to the womb in its ordinary state, the calamity being about equally divided between mar- ried and virgin life. But how happens it that this disease prevails to such an alarming extent, when the uterus is not in a gravid state, and therefore not sufficiently weighty to produce any uneasiness ; and when, too, it has the advantage of all the strength held in reserve for its enlargement ? Why, it is simply because the subjects of this malady, almost without exception, are persons in whom the habits of civilized life, favoring general organic derangement and muscular debility of the system, have induced that superincumbent pressure, which, from the very nature of the case, urges the uterus downward, straining its sus- pensory powers, irritating the nerves of organic life, and establishing the most excruciating pains in the surround- ing parts. Indeed, so distressing and terrible is the pro- lapsus thus induced, that sometimes the uterus is found protruded upon the outer surface of the body! The effect of muscular relaxation upon the womb and its appendages, is daily producing an almost incredible amount of anguish. Crushed beneath the weight of the fallen organs, as may be seen in Fig. 2, p. 3, the neck of the womb presses with great severity upon the vagina, inducing leucorrhea, and many other disagreeable and painful affections. Meanwhile, the body or middle portion of the organ is resting either upon the bones or upon the soft parts of the pelvis, causing severe “ bear- ing down pains ” in that locality. These pains are often rendered intolerable by the least physical exercise, and are generally attended with a sense of “ weight ” and “ dragging,” and oftentimes with a burning pain through- out the system. The constant pressure which is thus exerted upon the neck of the uterus, brings about a very hardened, irri- table, enlarged, painful, and often dangerous condition, 12 which has not unfrcquently been supposed to indicate cancer of the womb. We have seldom failed, however, to cure all diseases of the neck of the uterus by the sim- ple application of external support to the abdominal or- gans, the cause of the irritation being thereby at once removed. When the round ligaments are put upon the stretch, a disagreeable “ drawing ” or “ pulling ” sensation will be experienced in the groins where these ligaments are fast- ened. The broad ligaments also, which are spread and fast- ened over the small of the back, are producing their own peculiar “ dragging,” “ grinding,” tormenting paius about the loins, so common to the afflicted female, and so well expressed in that descriptive phrase : “ Ifeel as though a joint or two of my back ivere gone." Prolapsus uteri, or falling of the womb, is a disease which has become fearfully prevalent in every commu- nity ; nor is it confined to married ladies, as has been er- roneously supposed by some, whose position, to say the least, should be a sufficient guarantee against all careless observation in medical practice, and whose assertions have received due attention in our preceding remarks. Only a few, comparatively, of the victims of prolapsus understand the true nature of their difficulty, or know anything about the value of proper mechanical support, to say nothing of the absolute necessity of its adoption for the eradication of disease mechanically induced. They know not that those who are supposed to have “ recov- ered ’’ from this malady, by the internal use of the pessary, and the tedious process of lying perfectly still, are only relieved, it being impossible to cure them by any such means; the predisposition to the malady fo'rever remain- ing as the legitimate offspring of the habitual drooping form, or the fashionable Grecian bend. This dreadful affliction generally comes on by degrees, or, in other words, it gradually taxes the subject’s powers of endurance; and, if promptly met in its incipient state, by judicious mechanical means, is easily subdued; for, not- 13 withstanding the prevalent opinion, that 'prolapsus uteri is not induced by superincumbent pressure, but by pri- mary weakness of the ligaments, we shall hereafter de- monstrate (if we have not done so already), that as soon as the pressure, is removed, the womb will begin to rise by the returning strength of the uterine supports. In order to enable the reader to decide upon the existence of the malady, we give below a succinct description of the same. Almost simultaneously with the descent of the womb, the back begins to ache, the pains varying in their nature and intensity with the progress of the disease, until they assume the most terrible “ pulling,” “ twisting,” “ grind- ing,” “ wrangling,” and “ wringing ” forms. These pains are usually experienced in the region of the kid- neys and in the groins. The back is often represented as being “ broken,” or “ pounded,” or “ drawn.” Severe “ bearing down ” pains, like a ponderous weight at the base of the abdomen, are also felt in the sacrum, or rump- bone. The limbs of the patient become heavy and clum- sy, and subjected to cramps, numbness, and prickling sensations. The most unremitting and intolerable drag- ging at the breast, which the patient bends forward to avoid—a sense of “ goneness ” at the stomach, swelling of the feet and limbs, constipation and leucorrhea, together with “ a feeling as though the hips were loose,” are also to be reckoned among the ruinous effects or symp- toms of this appalling disease. Although the sufferer may be somewhat lively, and comparatively free from pain in the morning, yet ere noon arrives, she is greatly indisposed, and begins to move carefully, supporting with her hand the lower abdomen, as if she were afraid of jarring or jolting the internal organs ; and not unfre- quently does it happen, that before night approaches, her accumulated sufferings will extort cries of anguish and despair. The above is by no means an exaggeration of the symptoms of prolapsus uteri. The intensity of the suffer- 14 ing, however, belongs to an advanced stage of the disease. But the modification of the symptoms, enabling the sub- ject, as is often the case, though always with more or less suffering, to attend to her ordinary duties, does not at all affect the signs by which the nature of the disease may be discerned. And let it not be forgotten, that in every variety and degree of prolapsus, the safest and most re- liable treatment is the immediate application of the Brace and Attachments. Before proceeding to demonstrate what has been said about the pathology of this disease, by the introduction of cases bearing on the point, we must notice one or two of the objections urged against the use of external sup- port by those whose opinion, in general, is not to be light- ly esteemed, and whose errors are therefore the more dangerous. These gentlemen confidently assert, that “ prolapsus uteri is not caused by a relaxation of the 'muscles, but by a weakness of the ligaments ; that exter- nal support, however concordant with the natural action and bearing of the muscular forces its principles maybe, must necessarily press as much upon as it lifts from off the uterus, and therefore can do no good.” That such is not the fact, is shown by the invariable relief given to the sufferer by upward and backward pressure, even when this pressure is made by the mere application of the human hand, that is, by placing one hand upon the lower abdomen, and the other upon the small of the back, lift- ing and pressing firmly at the same time with the former, in an oblique direction up towards the latter ; this pecu- liar action being the same as that of the muscles which sustain the mechanical relations of the truncal mass. Again, if mechanical support, imitating the action of the muscles and judiciously applied, will not relieve a case of aggravated prolapsus, we are clearly in a dilemma; for it is admitted that the natural healthful action of the abdominal and dorsal muscles is upward and backward; and that these muscles are the actual organs which sup- port the viscera and preserve their determinate form and 15 position. Of course, then, it follows, that, the more healthy and elastic are these organs, the more perfectly will they effect this perpetual elevation and protection of the pelvic viscera. But, says the objector, “ It matters not, how analogous the action and bearing of any mechanical device may be with the action and bearing of the muscles, such device must necessarily produce as much pressure downward as upward !” Now if this were the case we should think it fair to conclude, that, the more active and elastic, and altogether healthy, are the muscles in question, the more will they tend to produce prolapsus, by pressing down a part of the bowels more forcibly upon the uterus. We would also suggest, that such reasoning as this, is not exactly the kind our opponents should adopt, to induce the belief that mus- cular relaxation may not be a fruitful source of prolapsus and general mal-position of the abdominal and pectoral organs, or that external support, like that supplied by our mechanical devices,, will not relieve these effects. Another very grave objection is based upon the as- sumption, that even should the support of the Brace, in accordance with our promise, give immediate relief, that relief is not obtained on scientific principles; but in op- position to a known law of the vital economy. It is said, that “ if the natural function of supporting muscles bo artificially or mechanically performed, their torpor is in- creased ; and that, the natural stimulus on which they de- pend being thereby superseded, they must soon lose en- tirely their tone.” This is physiologically true ; but it is only so, when applied to muscles or organs in health—as for instance, if the farmer or the blacksmith should quit his vocation, and bandage up his muscles and take no exercise. But wc come to a sick person; to one who is laboring under both local and general muscular relaxation in its most distressing form ; where the effects are co- operating with the cause to enfeeble and depress — so much so, that even the most gentle carriage ex- ercise aggravates the symptoms and increases the misery 16 of the patient; to one who is totally ineligible, for a time at least, to other than artificial curative means. We come to one, of whom common sens9 says, “ Bind her up, that she fall not to pieces. Hold her comfort- ably together by such mechanical devices as shall imi- tate the action and bearing of the muscular forces, and thus maintain the primitive relation of the parts, in order that she may be the sooner enabled to endure such physi- cal exercises as her medical adviser may deem necessary to re-establish the health of the system.” It is also erroneously objected, that those who may recover from prolapsus by the use of the Brace, will be unable, from habit, to lay the instrument aside. And this is deemed by some a sufficient reason for avoiding mechanical support! Only to think of it ! But after all, there is nothing like putting principles to the test, in searching after truth. Let us therefore make an appli- cation of the one before us. “ My friend, you have been for years laboring under great distress, owing to a displacement of some of your organs, and the consequent loss of their vital energy; and you well know that I have tried my utmost to alleviate this distress, by pessaries, tonics, anti-spasmodics, and other hopeful remedies ; but all in vain. To be sure, I know of a very simple and comfortable remedy, that would afford you efficient relief, and almost make you forget your troubles. But I must warn you not to thiukof using this remedy, as there is great danger of relying too much upon it for support; or, in other words, of substi- tuting the habit of being comfort able, for the habit of enduring pain.” But enough of such charitable reflections. Let it suf- 'fice, that hereafter the invalid must use his cane or crutch, after lie has recovered the strength of his limbs ; that the child must creep and struggle from chair to chair, after it is able to walk and run; in short, that all assist- ance, of whatever kind and degree, must henceforth be rendered, after the emergency shall have passed away. 17 It is also contended by tliose who oppose the use of judicious mechanical support, that prolapsus is a primary disease, existing in the uterus or its ligaments; that all the attendant affections of the stomach, side, heart, lungs and head, and in fact the whole nervous system, are the result of sympathy, and not of mechanical derangement; that inasmuch as prolapsus is a local disease, the reme- dies should be applied upon the organ itself. Of course, then, it is only necessary to elevate the uterus, so as to give its ligaments time to regain their strength. This exclusive treatment of the womb, comprising as it does, the simple elevation of the organ itself, involves the persevering use of the pessary, a practice which it is humiliating to observe has been adopted and extolled by the loftiest heads and proudest names of the profession ; and yet we boldly assert that the pessary, in a clear ma- jority of cases, only makes the case more complete, as it rests on parts that themselves need support, and fre- quently causes versions and flexions of the uterus.* It will be remembered that the objection to supporting the viscera by mechanical means, is, that it weakens the powers of life, by mechanically performing the functions of supporting muscles. Is it not also claimed for the pes- sary that it mechanically performs the functions of the liga- ments, in doing for the uterus what such ligaments ought to do ? And will it be said that this does not constantly tend to weaken the same, by doing away the necessity for their action ? Is not this especially the case, if, as is claimed, the original descent of the uterus is caused and perpetuated by the relaxed condition of these identical ligaments ? But we can readily perceive that the objection applies to the pessary ; and, with equal force does it apply to almost every kind of mechanical support. We claim for our own mechanical devices, and hereby challenge either private or public investigation, that no such objection can apply; and this challenge we would modestly base upon the physiological construction. * These strictures on the pessary flo not apply to judicious intra-pelvic appliances, used in connection with external support, and acting from an external base. 18 Without stopping to consider, because embraced in our forthcoming review of his pathology of prolapsus uteri, the absurd conclusion of the celebrated Dr. Meigs, namely that “a contractile shortening of the vagina, is the pro- ducing and perpetuating cause of this disease,” we would Fig. 7. Fig. 8. simply ask, Wliat is the natural action of the pessary upon that relaxed and irritated state of the vagina, which has been so strangely mistaken for “ a contractile shorten- ing,” but which we hold to be a remote effect of the re- laxation of the muscular bandages of the trunk? Is it Fig. 7 represents Banning’s Improved Abdominal Supporter removing visceral weight and correcting the truncal bearings, while its attachment, Banning’s Improved Bifurcated Uterine Elevator, is supporting the cul-de-sac on either side. Titus, while elongating the vagina, restoring the diseased or overtaxed and displaced uterus (without touching it) toits normal position. Fig. 8 represents Banning’s Improved Abdominal and Spinal Shoulder-Brace and Uterine not the perpetuation of such relaxed and irritated condi- tion of the vagina, albiis and general debil- ity, and otherwise lessening the chances of success, in the subsequent application of other remedial means ? Seeing, then, that the objections urged against judicious external mechanical support, in the treatment of prolap- sus, are more applicable to the favorite internal support or 'pessary of our opponents, we now ask the public and the profession, which course of treatment holds out the greatest prospect of relief ? In other words, Which course is more likely to restore the normal condition of the uterus and its appendages? Fig. 9. Fio. 10. Iii cases of flexions and versions of tiie uterus, we frequently intro- duce a Banning Uterine Balance, but simply to correct the deflection, and as an adjunct to the Brace ; this Balance has none of the objections attached to the pes- sary, as it rests on an external base, and corrects the position of the uterus after the visceral weight lias been removed by the external brace. Fig. 9 represents Fig. 8 Simultaneously poising the superior trunk behind the dorso-lumbar spine; expanding the chest; bracing the weak spine; restoring the normal obliquity of the pelvis, and ele- vating all the abdominal viscera, from the bladder, rectum, and uterus, the T piece of the uterine balance resting against the posterior cul de-sac, and compelling the retroverted or flexed uterus to be reposited, producing a lateral contraction of the expanded vagina, and avoiding impingement upon the uterus or rectum. Fig. 10, combined with Figs. 3 or 4, is adapted to severe cases of prolapsus. 20 What we would not now speak of, we have already alluded to, namely, the depression of the mouth or neck of the womb, into the vagina ; by which means the latter becomes distended and irritated, and its fibres and pores or ducts relaxed, the secretions being thereby greatly provoked, and the vessels pouring out a fluid, the morbid discharge of which is termed leucorrhea. This malady does its full share in destroying female health and happiness. No specific internal remedy for it has hitherto been found, and no age is exempt from its attack. They who are subject to it, are almost always afflicted with prolapsus, pain in the back, nervous sus- ceptilibity and lack of energy. In short, they have more or less of the drooping form, and usually complain of most or all of the effects growing out of the same. These facts argue an identity of origin and progress in leucorrhea and prolapsus. But leucorrhea has more commonly been viewed and treated as a primary disease. Hence it is that in vain almost every va- riety of treatment has been adopted for its relief. Of course we are speaking of this affection as mechanically in- duced by general muscular laxity. Like other effects, this disease is the cause of other difficulties, which is especially the case, in its aggravation of prolapsus. In our professional career, we found that in making use of the Brace for prolap- sus, many were also cured of leucorrhea, the fre- quency of which occurrence drew our attention to the subject, and we are now able to say that, with the ex- Fig. 11. Fig. 11, Banning’s Improved Straight Uterine Balance, to he combined with No. 3 or 4, used for anteversion or flexion of the uterus. The straight and hollow shaft conceals a spiral spring. The T piece supports the anterior cul-de-sac. 21 ception of two or three cases out of the many we have treated, all have been essentially, if not permanently relieved by the use of the Brace. And we submit, whether in three-fourths of the cases, the symptoms accompanying prolapsus and leucorrhea are not the same,—the increase or decline of the one disease being contemporary with that of the other. EFFECT IN CHEATING UTERINE HEMORRHAGE AND PROFUSE MENSTRUATION. The extent of these diseases would scarcely be credited by any one who has not been brought in contact with their destructive influences. They impair the digestive, nervous, and muscular systems, by deranging the me- chanical relations, and then obstinately, yet naturally enough, resisting the constitutional overtures of the ablest practitioners, until, at length, their ramified effects lead to the supposition, that the patient is absolutely afflicted with the entire Protean group of maladies, termed female weaknesses. Almost all of the cases of Uterine Hemorrhage and Profuse Menstruation are caused and perpetuated, to a greater or less extent, by a deranged condition of the truncal organs. And what, indeed, may we not expect by a change so great as that from support to suspension ? It is true that some of these cases are much emaciated, and seem not to have abdomen enough to gravitate; and therefore we may not observe in them that morbid shape of the trunk so apparent in our representation of the drooping posture on page 3, where the descent of the viscera may be seen at a glance. But it matters not how inconsiderable may be this descent, so long as there is an actual change throughout the trunk, from support to suspension ; for, when the most inconceivably morbid or unnatural change takes place in an arrangement whose susceptibilities are presided over by nerves, and ever so little descent be the consequence, there must always be some modification of the vital functions, either local or general; perhaps both. And when the uterine organs are depressed by the abdominal viscera, their functions must either be depressed, exalted, or otherwise modified, by the breach thus made, producing irritation and debility in the nerves of organic life, by continually pressing upon them, and stretching their connections with the surround- ing parts. These diseases are always benefited by the application of the Brace. It matters not whether they have a local, constitutional, or mechanical origin. But when they exist as the legitimate effects of muscular weakness, their speedy removal by the use of this instrument, is no longer a matter of conjecture. EFFECTS OF PRESSURE IN PREGNANCY—THE PEI/FIC GIRDLE. The period of pregnancy is beset with a full share of troubles. Among these are pain and weakness of the hips and limbs, occasioned by pressure on the sensitive and ligamentous tissues ; also great weakness and pain in the back, together with a darting sensation up the spine into the head, inducing confusion of mind, dizziness, ringing in the ears, and “ strange feelingscramps in the muscles of the abdomen; weight, distension, and costiveness ; urinary incontinence, or retention; varicose veins, and swelling of the limbs. Here, indeed, is a startling com- bination,—a sort of digest of human suffering. And is it any -wonder that all this should produce abortion V Is it any wonder that th.e life of the sufferer should be worn out before delivery ; or that her offspring should so often drop still-born into the world ? Now, we hold that al- most every pang peculiar to the period under considera- tion, is mechanically induced by distension, weight, and pres- sure, and that, therefore, instead of depending as hitherto upon cathartics, the lancet, and paregoric, for temporary relief, these distressing complaints, which have rendered 23 this portion of female life a terror, may be entirely re* moved by such judicious mechanical support, as the girdle in question is every way fitted to impart. And here we cannot but bespeak in our own behalf, an inspection of this mechanical device, by our medical brethren; for, surely, every member of the profession must needs welcome an auxiliary of the kind,—one which, as soon as any of the above obstinate symptoms shall prove themselves to be non-cognizant of medicine, is abun- dantly able to step forth and make a mechanical adjust- ment of the matter. For our own part, we trust we are duly thankful for the light we now enjoy, and that we shall ever be ready to make our humble acknowledgments for each additional ray. It is gloomy enough to reflect on the amount of loss and suffering which the want of knowledge upon the subject is daily entailing upon thou- sands ; and, therefore, it is with no ordinary feelings that we have embarked in the dissemination of our views of mechanical support. Thousands of abortions, still-born children, bad labors, and deaths, might be prevented by the timely application of the Pelvic Girdle. EFFECT IN THE PRODUCTION OF VENTRAL, INGUINAL, AND UM- BILICAL HERNIA OR RUPTURE OF THE THIGH, GROIN AND NAVEL. On each side of the lower abdominal walls are two open- ings through which pass certain cords. These apertures are liable to relaxation or distension from various causes, the bowel often protruding like a sac, producing a hernia or rupture ; whilst this malady has many degrees of se- verity, it always renders life comfortless, and often proves fatal. In the relaxed or unsupported state, the 'pressure of the entire visceral mas3 against the inguinal rings is abundant cause for hernia, though it is frequently caused by running, lifting, coughing, and even by a mistep ; and if the encroachment of the internal organs upon the rings 24 distend them and thus effect protrusions (for how can a passive bowel resist the pressure which is forcing it through the aperture ?), the protection of the rings against f urther encroachment, by the removal of the superincumbent weight, is certainly the common sense method of curing the rupture. This can only be accomplished by applying sup- port to the abdominal organs. To this end our appli- ances are admirably adapted; and if all feeble persons of lax habits, who are troubled with “prickling” pains and weakness in the lower abdomen, should adopt the precautionary measure of wearing them, many of the most disheartening cases of rupture would be avoided. There are but few contingencies more common and dangerous than rupture, it being estimated that at least one in seven of adults is so afflicted, and yet it is a mel- ancholy fact, that with all the inventive genius of this age, hitherto there has not been produced a hernial truss based upon proper principles, the trusses heretofore made being clumsy contrivances, without the least lifting power; the inventors or manufacturers thereof being apparently ignorant of the laws of anatomy and ogy. In all their trusses the principal object they have appeared to keep in view has been to “ plug up ” the Hernia by strong pressure upon the external inguinal ring, forgetting that by so doing they only caused the breach to be more extensive. Among the defects of the ordinary truss of to-day we would mention : lmr for Double Sninal Curvatures. See Figs. 43 Fig. 15. Fig. 16. Fig. 15 represents the Centripetal Spinal Lever accomplishing nothing, its lever powers not being brought into activity by being brought around the shoulders. Fig. 16 represents the Centripetal Spinal Lever in full activity, elevating and drawing out the left shoulder; supporting the lumbar curve to the right, and aggressively restoring the body to its axis, and t-o crushing out the curvature by means of the very gravity which caused it. 44 Their drooping depends on a previous movement at the next point of motion below the nape of the neck, which is in the hollow of the hack, at D. So, also, when we bend forward or backward, it is through the agency of this part of the spinal column. This being the case, it follows that all de- formity and misshape about the chest and shoulders, where there is no tuberculous or other disorganization of the spinal column, must be referred to the hips and small of the hack. It should be remembered, therefore, that when we stoop or lounge, the chest does not advance or fall, as it seems to the eye ; the false impression in such cases being pro- duced by the simple fact that the point of motion, or ful- crum of the spine, recedes from beneath the chest. In other words, the middle of the body gets behind the shoulders, as clearly demonstrated by the circumstance, that in both the natural and drooping figures, the per- pendicular lines touch the same points about the head md feet. So that in order to straighten the drooping form on page 3 or to effectually cure round shoulders, it is only necessary to push the middle of the spine at 1) against the axial line 13 B, leaving the shoulders entirely undisturbed. This brings the portion of the spine which had receded, namely the middle, directly under the should- ers, as represented by the mathematical lines in Fig. 1. For example : Stand perfectly erect. Then let a friend place his thumb and forefinger against the spinal column, in the hollow of the back at D, and press firmly enough to resist the weight of your body. You will find it abso- lutely impossible to droop your shoulders in the least, or to bend your spine at any point. You may move your head forward, but how you cannot, and, if you persevere in this effort, your whole body will fall like a straight stake, over the ends of your toes. Your friend will then tell you that in your efforts to bend your body, the hollow of your spine pressed backward with great force against his thumb and finger. The reason why there can bo no natural and voluntary 45 or involuntary motions of tlie shoulders, when the hollow of the back is held in axis, is that this point must always make an antecedent retreat. This is evident from the fact, that if your friend had held his fingers an inch from the spine at D, you would not only have been able to bow with ease, but your spine would have retreated to his thumb and finger, and the more you drooped your shoulders or bent your body, the harder would your back have pressed against his thumb and finger. Fig. 17. Fig. 18. To render the argument still more conclusive, suppose you assume the drooping posture. Your friend will then see that the hips and hollow of the back are not in range with the centre line B, but with the third and rear line. Let him now push you firmly at D, and you will either fall upon your face, or find your hack, hips, abdomen and stomach all coming forward, the hollow of the back, and Fig 17, t!io Spinal Prop, consists of Fig. 4, with the addition of f f, which are side-posts resting upon the arches of Fig. 4, and converting E E into unyielding crutches. By this the viscera are elevated, the shoulders drawn hack, and the proper forward spring of the lumbar spine preserved, and a tender or carious spine is relieved of pressure. The subject can exercise freely, and threatened disorganization and curvature are averted. Fig. 18. Revolving Spinal Prop. Its spinal lever accommodates the angle. A A, plates which revolve on screw posts, so as to (it the planes of the curve. These plates are curved to the form, and may bo run up and down on the screw posts, to suit theheight of tho tlie hips, again ranging with the head and joints below, causing you to be perfectly erect, the shoulders still being, as in other experiments, the same as they were before erecting the body. We think we have now shown to the satisfaction of the reader, that in order to straighten the form of a crooked person, or habitual drooper, the support should never he placed higher than the hollow of the hack. And we earnestly entreat all who are interested in the matter of artificial support, either for themselves or others, to make the fore- going experiments, and follow their leadings. We have said, that “ a growing out” of the shoulder always attends a lateral curvature of the spine. This is because their relation to each other is simply that of cause and effect; for, when the right shoulder is enlarged, and the left diminished, the spine between the shoulders is found bending to the right. This, at times, is so much the case, that it passes under the right shoulder blade, crowding it out of its place. The returning line of this curve, in its circular descent to the medial line of the back, forms a single spinal curvature. By following the course of this curve, it will be seen to cross the medial line of the back, describing as a natural consequence, a curve to the left, in the lower part of the spine, which, Avith the former curve near the right shoulder, forms what is called a double curvature. This lower curve crowds the left liip out of its place, in the same way that the upper curve resulted in an elevation of the right shoulder. By this means, also, the fulcrum is removed from the centre to the left side of the figure, Avhilst .the serpentine course which the spine has assumed, materially diminishes the height of the body. iSpinal and Muscular Weakness.—We come now to speak of another modification of Spinal Affections, which may emphatically be termed Spinal and Muscular Weak- ness. Tills state lias often been mistaken for inflammation, or genuine irritation of the spine ; a circumstance which is mainly attributable to the fact, that many of the sub- 47 jects usually complain of symptoms peculiar to spinal ir- ritation. The error is natural enough, but not the treat- ment. Spinal weakness is distinguishable from spinal ir- ritation, by the absence of that intense tenderness which is usually felt m one or more of the spinal bones, and which causes the patient, on pressure, suddenly to cringe and shriek; whereas, in mere spinal weakness, this pressure simply calls forth such moderate expressions as “it is tender,” “it is sore,” or “it aches.” This distinction between spinal irritation and spinal and mus- cular weakness, is of the utmost im- portance in the treatment of spinal affections. The proper treatment for the relief of these painful maladies consists in restoring the deranged or disordered mechanism of the system to its primi- tive relations, which, we have demon- strated, is the legitimate work of the Body-Brace, Spinal Prop, Centripetal Lever, or Abdominal and Spinal Shoulder-Brace. And, if we are not greatly mistaken, the cases, cited by us on page —, will satisfy the reader, that whilst diseases of the spine must forever resist all efforts at compres- sion, they readily yield to the principle of support. Fig. 19. Fig. 19 represents tho Revolving Spinal Prop. Immediately strengthening the whole person, and arresting caries and curvature. First, by upward support which converts the abdominal viscera into an internal brace. Second, by its crutcli-like action, which holds the body’s weight from the spinal curve. Third, by a strong drawing back of the shoulders by the caps on the shoulder-bow in front of the heads of the humeri; and, Fourth, by the strong bracing and pushing forward action of the revolving dorsal plates on the vertical screw rods upon the curvature. By revolving action, these plates are self-adjustable to any slope of the spinal angle at either side, with no necessity for any impingement upon the spinous protuberance. As the case improves, thp vertical support may be successively increased by means of slides and screws in the side-posts. WHO SHOULD WEAE THE BEACE? 1st. All public speakers and singers who have any irritabil- ity of the throat, or an and cracked voice, and whose vocal exertions are succeeded by languor and fatigue, with sense of flatness, faintness, or sinking at the stomach, and aching of the back. 2d. Who have dull pains and sense of oppression about the chest, with limited or hurried breathing on slight exercise, ac- companied by short congh on attempting a full inspiration, and particularly where there is any predisposition to bleed at the lungs. Also, by confirmed pulmonics, as a very great tempor- ary relief to the last. (See “ Common Sense.”) 8d. Who are troubled habitually with palpitation of the heart on slight exercise of excitement; and, also, a general nervousness, such as hysterics, lowness of spirits, gloom, cause- less crying, religious hallucinations, hypochondria, melancholia, and temptation to suicide. All such as the above usually ap- proximate the unnatural shape, and complain, more or less, of its general results. 4th. Who have any degree of dyspepsia, and complain of dull dragging pains in the sides, irritating affections of the stomach, liver and spleen, accompanied by a sense of deathly sinking or “ goneness ” at the stomach, aggravated on exercis- ing, and on taking the erect posture ; together with a sense of shaking, heaviness, and pulling or dragging on walking or rid- ing. 5th. Who are habitually costive, have chronic diarrhea, or are in the latter stage of dysentery, and particularly all who are habitually afflicted with colic, and who have either bleeding or blind piles. 6th. Who are swag-bellied, have chronic peritonitis, and any variety of rupture of the bowels, or a predisposition to the same. 7th. Having affections of the prostate gland, or who have any difficulty in either retaining or evacuating urine, and particularly all of that unfortunate class of both sexes, who from various causes (whether they be personal folly or accident), are laboring under that seminal or genital weakness which, de- spite the best moral principles and all constitutional treatment, goes on to sap both body and mind of its strength, and too often terminates in insanity or imbecility. It cannot be too eagerly sought by young and old of both sexes, where the draining waste, the weakness of the loins and nerves, and the mentai depression and weakness continue, after reforming from their follies. The effect is often wonderful on both body and mind. 8th. All who have any variety of spinal affection, whether it be a double or single curvature, or spinal irritation, or only weakness, attended by dull pains between the shoulders, or continual wrangling or grinding pains in the small of the back and hips, with coldness, numbness, swelling pains and varicose veins, with weakness of the lower extremities, particularly in chronic milk leg, and the hardening of flesh and ulcerations so consequent upon it. 9th. All pregnant ladies who are disposed to abortions, or suffer much in the last period of their journey, and particularly every lady immediately after delivery, and for weeks after (in such case should be applied over a wide linen bandage). 10th. All who have any of the above symptoms, in connection with any bearing down (falling of the womb), whites, painful, interrupted or profuse menstruation. lith. All weak, lax-fibered, and rickety children, and youth who droop, lean and lounge, and who do not endure exercise well; and particularly young girls whose physical powers rather flag about the change to womanhood. If neglected then, they seldom fully recuperate afterward. 12th. Particularly those recovering from long confinement, by fevers, or any other cause, should use it—it will enable them to begin to move earlier and more among the convalescing in- fluences ; for sea-sickness, it is most grateful. And lastly. All who are from habit or occupation disposed to droop, and are of a sedentary and rather delicate frame, should always own one, to use casually in walking, riding, or travelling, thus averting the consummation of their downward tendency. All of the above maladies may be caused by the descent of 50 the internal organs, producing pressure from above on the one hand, and dragging on the other [re-read explanation], all of which the Brace may rationally relieve by supporting the back, and lifting the abdomen, thereby restoring a natural condition, and removing the physical power of discomfort. Reflect upon this before you say, “ It cures too many things.” Causes of the Hebility of Ladies, so Common at the Present Hay.—A neglect to support weak children. 2d. Neglecting to support fast-growing and Iax-fibered girls, at the change from girlhood to womanhood. 3d. The present length of whalebone dress waists, and the enormous number and weight of skirts at this day commonly worn pressing downward. HOW TO MEASURE EOR THE SELECTION OF ANT ONE OF TnE BRACES. 1st. Number of inches around the body, two inches below the tips of the hip bones. 2d. Do. straight around the chest close by the armpits. 3d. Do. from each armpit to the tips of hip bones on each side. 4th. Height of the person. HOW TO APTLY THE SEVERAL BRACES. 1st. Let every part on tlie shoulder, back and abdomen, be twisted to set flat and even. 2d. One tiling- always observe, viz.: Always have the front pad very low, and elevate the bowels with the hand, so as to have a lifting, and not a squeezing of the sunken organs. 3d. Commence to wear them loosely, and at short intervals at first, in all cases whero they produce any pain or nervousness. A tempered perseverance will always overcome any physical or other inconvenience. Particular Advantages of the Braces over other Support- ers.—1st. They are cool. 2d. They are light. 3d. The pads 51 can all be shifted up or down, right, or left as often as the spleen or necessity of the case may require. 4th. Their great and universal flexibility. 5th. They lift more than any other. 6th. Their back pads are four, and press on the weak hips, and particularly on the weak back, balancing and not restraining the body. 7th. The pads being of naked horn, stimulate and harden the muscles, while soft and cushioned ones relax and weaken, through heat and perspiration, besides giving them a rancid smell. 8th. They are so constituted as to admit of attaching to it any proper spinal apparatus, and also the most perfect pile and hernial trusses. 9th. They may combine with their mechanical influence the virtues of the galvanic battery, locally or generally applied. NOTES. It is certain that a displaced or dragged condition of the vital organs may produce mechanical diseases, or greatly complicate and modify vital ones ; since it is certain that the vital organs are as much under the law of a proper position and bearing as the bones are ; hence why correct internal treatment too often stops short of a perfect cure, the Brace being requisite to mend the broken law of a natural bearing of the vital organs. Is it not clear, that if the functions of fractured bones, or of , dislocated joints, must be relieved by the nice readjustment of > the same by mechanical means, then loss of function and irri- tation may also follow a dislocation of the vital organs ; and that the latter must also be relieved by mechanical means, and not by medicine alone ? There are millions of votaries of fashion and pleasure, who, notwithstanding whalebones, corsets, and long bodices, are but poor languishing caricatures of good figures, and are unable to enjoy the very fashion they bow their nocks to. These might secure the splendid . form they desire, together with improved 52 strength and grace, by the use of the Brace, which supports and braces the parts concerned; while the former only squeeze and compress them. It is now established by experiment as well as reason, that the Brace, when judiciously applied, in cases of typists fever, cholera, dysentery, diarrhoea, and other conditions where there is a tendency to fainting and collapse, immediately improves the pulse and strength, and removes the deathly sense of sink- ing and faintness (or goneness), by acting as a substitute for the strong abdominal muscles which should have kept the whole line of vital organs constantly packed or braced upwards in their proper places. Thousands of invalids struggle with the proper symptoms of many acute and chronic diseases, but linger to fully recover, whom the Brace would immediately enable to rise and obtain the benefits of air, exercise, and society, as muscular debility, and a consequent loose and unsupported stato of the vital organs, have alone retarded their complete recovery. Said a distinguished clergyman of Vermont to the author : “ Doctor, I feel persuaded that you are a louder and more ex- tensive preacher of the gospel than any other man, for, judging from my renewed powers and faculties to preach, since wearing your Brace, and from what I have heard from other enfeebled clergymen who have experienced a similar relief, you will be instrumental in continuing many a successful messenger of peace in the pulpit, who otherwise must be silent.” The difference between Banning’s Non-Friction Self-Adjusting Brace Truss for the relief and cure of Hernia is, that while the latter retains the Hernia by pressing upon the external ring and thus enlarging it; also giving undue pressure upon the spinal nerves and spermatic cord;—the former by its lifting 53 action and non-friction movement calls for but slight pressure, not upon the ring, but the inguinal canal, causing a consequent contraction of the rings, and in many cases a Speedy Radical Cure. Extract from a Patient's fetter. “ Description of Complaint.—Backache, terrible wrangling, twisting, pressing, bearing down or dragging in the groins ; back and limbs very weak; dull, heavy pains in the lower part of my body; numbness and constant inward heat at the lower part of my abdomen ; with prickling in my hips and down my limbs; inward heat and bearing down constantly very great; all of my disease lies in my back and lower abdomen. Oh ! hoio I long to see Dr. Panning's Braces Thousands might use the same language.—Banning. Miscellaneous Cases. The subjoined few cases are selected from many thousands of others, on account of their brevity, comprehensiveness, and expressiveness ; several of an older date are among them, in lieu of others of a late date, purely because they occupy a smaller space, and are so tersely expressed. From Sam11 Moss of New York. Dr. E. P. Banning: Dear Fkiend,—Some five years since, I ftade a brief state- ment of the great improvement of my son’s case of spinal cur- vature, under thy treatment. I now have the pleasure to add that his health i3 perfect. His form is so much improved as not to attract particular notice ; and his strength and activity such, as to enable him to run, jump, or wrestle, with impunity. So signal has been thy success with my son, as to compel me to advise all interested to resort to thee without delay. Samuel Ross, Dentist. From A. Tanner of TYarren, Fa. For twenty-five years I was sorely afflicted with obstinate costiveness, piles, terrible sick headache, and melancholy, to such an extent that about one-third cf my time I was unfit for corporeal or mental labor. I was soon perfectly relieved of them all, by the use of Dr. Banning’s Brace. Two years have now olapsed, and no return of my former troubles. I have also seen hundreds of similar cases equally relieved by the same means. I believe it would be invaluable, at least to all who are similarly afflicted. Ak.cuiba.ld Tanneb. From the Louisville Journal. Dr. Banning, National Hotel: Beak Sik,—I feel it to be due you as well as the community, to say, that although I have worn your Brace for relief of piles, ouly a short time, I have already experienced more complete and speedy relief from the most painful suffering of twenty years than I had ever anticipated or hopedand with great pleasure, I would recommend your agreeable and effective Brace to those similarly affected.. Mrs. J. N. McMichael. From the Louisville Journal. Mr. Peesto-CT : I wish through you to say to the suffering public, that after but a few days trial of Dr. Banning’s Pile Brace, I have ex- perienced inexpressible relief from most painful and exhaustive bleeding piles and general debility. My improvement in pos- ture, inward strength, and ability to preach, is very great. The relief is perfect. W. \V. Sellers. 55 Extract from a Letter of a Lady to her Brother, a Physician. Dear Brother,—* * * * * After trying various other supporters to no avail, I was induced by a friend to try one of Dr. Banning’s Body Braces ; have worn it some time, and can testify that language is inadequate to express the relief I have experienced from it. That constant dull pain in the right side is wholly removed by its use; likewise the pressing, bearing down of the abdomen ; the piles and constipation of the bowels are all relieved. You well know how difficult it has been for me for years to walk any distance ; but since I have worn the Brace I have walked miles daily with slight inconvenience. I could not believe anything could have been devised that would so perfectly support the body. And now, by deaf brother, I want you to recommend this most useful instrument to all your patients afflicted as I have been. M. K. Everets, New York. From N. McConaughty, Millville, 1ST. J. Dear Sir,—I have worn your Brace fourteen months, and am a rescued man. Seven years of constipation, piles, nervous derangement, and general debility, are forgotten as a dream. I own my life to your Brace. No money would induce me to part with it. God surely sent you to me in my utter extremity. May He send you everywhere, the apostle of humanity and health. Yours gratefully, N. McConaughty, Pastor Presbyterian Church, Millville, N. J. Edmund P. Banning, M. D. F, 'om J. W. Wiley, Pennington, N~. J. I have worn Dr. E. P. Banning’s Brace for several months, on account of abdominal weakness, admitting of a drooping of the internal organs, and have found much benefit from it. It is especially a relief and support in public speaking, and in this respect I have derived so much comfort from it, that I now deem 56 it indispensable to preachers and public speakers who are labor- ing under abdominal weakness, or a loss of expulsive force in speaking. To all such I cordially recommend this instrument. J. W. Wiley. From Lucretia Lambert, Allow ay st own, N. J. Dear Sir,—After wearing your Brace for one year, the most extreme and painful female (or uterine) weaknesses have van- ished. Bor ten years I was unable to walk or ride without in- tense suffering. Thousands had been spent upon the best physicians and supporters, without avail. But for your Brace 1 would not accept of this world full of money in exchange. I pray you devote your whole life to the treatment of similar sufferers. Lucretia Lambert. To E. P. Baxxixg, M. D. From Geo. llachins, Millville. Dear Sir,—I am happy to say that the Brace you applied to my daughter has not only restored her strength, but also removed every vestige of her double lateral curvature of the spine and ungraceful inequalities of her hips and shoulders. I think all parents of weak and fast growing or deformed children should consult you at once. Your obedient servant, George Hitchins, Pastor First M. E. Church, in Millville. Dr. E. P. Banning. From that old Veteran, Commodore Charles Ap C. Jones. Near Prospect Hill, Va., Oct. 8, 1846. Dear Sir,—Ever since 1814, when I received a gun-shot, wound (the ball still remaining in my body), I have suffered intensely from pain in my back; so, at times, as to prevent rid- ing or walking without destroying all comfort. I have tried the various belts and supports, but found the remedy worse thon Ilia rli&onaA 57 Since wearing your Spinal and Abdominal Brace, I have gone through some severe and protracted exercise without rest. On one occasion, I was for eleven hours either on my feet or in the saddle, without the least inconvenience then or after- wards. But for the Brace I could not have accomplished a tithe of this without intense suffering then and for days after- wards. I am certain that my general health also has been greatly renovated by your Braces, and I wish you great success in your pilgrimage for the relief of suffering humanity. Gratefully yours, Tiros. Ap 0. Joxes, U. S. Navy. Dr. E. P. Baxxixg. Extract of a Letter from the Rev. David Caldwell, Rector of St. Paul's Church, Norfolk, Va. I am now truly rejoiced to hear you are coming South. I hope you will find the trip one of profit to yourself, for I am sure it will be one of benevolence to others. If you wish, I would write you out an accurate description of how great ser- vice your Brace has been to me, especially as a stag and sup- port in speaking. If I could not procure another, I would not Eart with it for ten times its iceight in gold. I hope you will, y all means, visit Norfolk. I know many who need your Brace, and if they only knew its excellence, would furnish themselves with it. I am determined to keep a second Brace always on hand, provided against any accident to the first. I have been repeatedly urged to write to you for several of your Braces—and although wholly adverse to engage in secular matters, yet I regard your “ Body Brace ” such a blessing to individuals, that if you will send me one dozen by Mr. ■, or by the weekly packets between this port and New York, I will be responsible for them. David Caldwell. From Chas. S. Pope of Washington, D. C. Dr. Banning,—Before I commenced to wear your Abdominal and Spinal Shoulder Braces, I was helpless from bleeding piles, 58 bleeding at the lungs, indigestion, constipation, and great sore- ness, “ goneness ” at the stomach. Between bodily pain and mental distress, my hope was “ forlorn.” But, from the same day on which I applied your Braces, both mental and physical distress were diminished, and in a few days every one of my sufferings had vanished, and I have now in- creased many pounds in weight, and am able, irrespective of weather, to attend to the most laborious duties. It is with a transport of desire that I wish multitudes to apply your agree- able Braces for similar weaknesses. Charles Sv Pope. CUKE OF TOTAL TAKALTSIS. From Wm. Spring sled of Rochester, JF.Y. Sik,—When my wife came under your treatment and applied your Spinal Prop, she, besides the severest uterine weaknesses, had lor six months endured total paralysis of both limbs, with- out power to make the slightest movement, even of her toes; but immediately after, her uterine symptoms were relieved, and within four weeks she could move her limbs and stand; and now, in three months, she does her own housework. So won- derful is the result, and so great my desire to have all spinal aiid uterine cases apply to you, that it seems as if the stones would cry out were I to hold my peace. Ever your ob’t serv’t, Wn. Speingsied. E. P. Banking, M. D. From Mrs. Abbie Potter of Warren, Trumbull Co., O. E. P. Banning, M. D. : For ten years I liave been confined to my bed with spinal curvature, falling of the womb, incontinence of uterine, terrible constipation, and extreme indigestion and emaciation, and loss of taste in my mouth. For seven years I was unable to hold a pen, and at no hour of this time was I kept from attracting the attention of passei'3 in the street by my constant moans, without 59 heavy doses of morphine. But, Doctor, I am redeemed, and restored to both strength and health, by your simple abdominal and spinal brace. People come many miles to be “certain” that the miracle really has been performed. Could weak ladies know half of what your Brace has done for me, each one would hasten to possess it. Ever gratefully yours, etc. Abbie Potteb. From Mr. Jlobt. Montgomery of Youngstown, Mahoning Co., 0. Dr. Banning : My wife, who was for four years the subject of paralysis, of one leg and arm, and of great uterine trouble, never being able to sit up or to allow her feet to hang down, is most strangely restored to health and the free use of her limbs, by the simple application of your Brace, and this, after ail doctors and reme- dies had left us forlorn. And when I see that the result has been as philosophical as it is grand, I yearn to get your work on Mechanical Support into the hands of every family, and your Brace upon their weak or deformed bodies. Ever your obedient servant, etc. Hobt. Montgoiheet. From Mrs. II. Miller of Pittsburg. Sib,—Under God, I oive you or your Brace everything, it having utterly cured me of the most terrible instance of milk leg, with varicose veins and enormous swelling and ulceration I ever heard of. It had been of seventeen years’ duration, and amputation had been advised; shortly after the Brace lifted the weight of my bowels from the veins of my limbs, the swell- ing, hardness, and blackness, left, and in six weeks the ulcera- tion was gone. I, now, just for the pleasure of the thing, visit the market every morning. God bless you, dear Doctor, . Mrs. Hakbiet Miller. Dr. E. P. Banking. II. M. Brooklyn, October 24, 1865. Dr. Banning : Erom happy experience in my family, I cannot doubt that your Uterine Balance will, in your own hands, cure the most protracted and extreme Retroversion of the Uterus. C. McKeax, 158 Fulton avenue. Wiscassett, Me., October 24, 1865. Sir,—Your Uterine Balance having cured in my family an extreme case of Uterine Anteversion of eleven years’ duration, which resisted the best skill in Europe and America, I desir« to inf(*n all feeble ladies of the fact, and encourage them to make application to you. Dr. Banning. Samuel D. Doane. Brooklyn, N. Y., October 20, 18G5. Dear Sir,—Your Uterine Balance has given unsurpassed relief to a case of U terine Retroversion in my family, after thir- teen years of failure under the most distinguished Physicians. Chas. H. Ztjgaxle, Dr. Banning. Clinton ace., near Gates. From Medical Profession of Pittsburg. We, the undersigned, having used in our practice “ Banning’s Patent Brace,” for the relief' of cases of similar prolapsus uteri, cheerfully testify to its being the best instrument we have met with to fulfil all the indications required in the case, which can be required from an external support. A. N. McDowell, M. D. T. F. Dale, M. D. . Jos. P. Gazzam, M. D. 61 From 12cv. Jos. JSIcElroy, 1). T)., Pastor Scotch Presbyterian Church, New York. Mt Deae Sie,—I have been accustomed to public speaking as a Minister of the Gospel for half a century, and in the earlier part of my ministry I suffered considerably in the lower part of the abdomen after every time I preached. I tried various remedies, thinking that my suffering proceeded from weakness in that portion of my system. I used for a time the Russian Belt (as it is termed), but with no good result. Some twenty- two years ago, happening to see a report of one of your lectures in the “ Tribune,” I called on you, procured one of your “ Braces,” and from that day to this I have not been an hour without it, except when in bed. It has been of unsurpassable advantage to me—advantage, not only in speaking, but in walking. In both it imparts a buoyancy to the system. It produces, however, one peculiar effect which I wish to mention to you: I have found by experience again and again, that when I have put it on slack and loosely, not only has a disposition to void urine more frequently than usual followed, but diarrhoea has set in, and by simply tightening the brace, both these effects have been checked. The philosophy of this I know not, but 1 do know the fact. You are perfectly at liberty, my dear sir, to make what use you please of this communication. Truly, J. McEleoy. Dr. Banxixg. From Ex- Governor Wright of Indiana, formerly American Minister to Berlin. I most fully agree with the statements of Doctor McElroy, from a personal trial in public speaking for years, and believe all the Doctor has stated, as I have suffered for years with Diarrhea. J. A. Weight. From Professor Mott, of New York, and others. The undersigned have examined Dr. Banning’s novel views on the mechanical pathology of many affections of the viscera, and believe them to be highly interesting and worthy the seri- ous attention of the Medical profession. Valentine Mott, M. D., N Alex. B. Whiting, M. D., J. Keaeney M. D. St. George's Rectory, Jan. 26, 1854. E. P. Banning, M. D.: Dear Sir,—I have read with ranch interest your whole book, but especially your Lecture on the human voice. I consider your principles, in reference to the latter, entirely sound and practical, and should rejoice to have all our public speakers put them in thorough practice, both for their own health, and for the efficacy of their labors upon others. Your friend and servant, Stephen II. Tyng. Dr. Banning’s views on spinal curvatures and their deriva- tive affections, appear incontrovertible, and his various instru- ments and appliances for the cure of these maladies are unsur- passed for their elegance, lightness, mechanical ingenuity, and scientific adaptation to the ends contemplated in their employ- ment. J. T. Curtis,-M. D., 28 West Fifteenth street. New York, June 10, 1854. 63 New Orleans, La., July, 1870. E. P. Banning, M. D.: Dear Sir,—Though I hare worn your Truss only thirteen months, I am able to say that I am radically cured of a Double Bupture of immense size. Truly yours, Geo. McGifein. Cor. Camp and Canal sts., New Orleans, La. Columbus, Ga., Jan. 15, 1870. E. P. Banning,^.: It gives me pleasure to testify as to the remarkable efficacy of your Truss in the case of my little boy Eddie. Some twenty days ago, when, by the advice of my physician, I brought him to you he wras afflicted with a Hernia of considerable size, and with which for the last two years he had suffered considerably. Erom the day your Truss was applied he has been able to ex- ercise with comfort, and yesterday, when the Truss was re- moved, the Rupture did not descend. Please write me as to whether he shall continue wearing the Truss, and if so, for how long a period. Yours gratefully, A. G. Hendeicks. Savannah, Ga., Novi. 30, 1869. Dr. E. P. Banning, 9r Dear Doctor,—It gives me pleasure to be able to bear wit- ness as to your skill as a physician, as also to the intrinsic merit of your Umbilical Kupture Truss. My boy, aged seven, had an Umbilical Itupture of enormous size. It affected his health so seriously that we had no hopes of his living the year out. You not only dexterously reduced the Kupture, but under your treatment he has so far recovered as to give us no fear as to his Mfe, and the Rupture itself, to use liis own language, “ hardly comes out.” I examined it the other day and found that I could not put the point of my finger in the rent. Before he came under your treatment, the sack and contents would have filled a peck measure and the entire fist could have been thrust into the rent. I told Willie that I had received a letter from Dr. Banning, and he said “Dr. Banning is a nice man and shall cure all my babies.” Precocious rather. Mrs. B. joins me in grateful regards. Yours truly, C. C. C. Biujex. The above was certainly the worst case of Umbilical Hernia that ever came under my observation. Baxxixg, Jr. LIST OF ILLUSTRATIONS. FIG. PAGE Side View of the Erect and Drooping Postures 1 & 2 3 Body Brace 3 8 Abdominal and Spinal Shoulder Brace 3 8 Non-Friction Self-Adjusting Brace-Truss, with Prolapsus Ani Spring 5 9 The Same Applied 6 9 Body Brace and Bifurcated Elevator Applied 7 18 Abdominal aud Spinal Shoulder-Brace and Uterine Balance Combined 8 18 The Same Applied 9 19 The Hinge King Elevator 10 19 The Straight Uterine Balance 11 20 The Non-Friction SeV-Adjustmg Brace-Truss, curing Double Inguinal, Femoral, and Umbilical Hernia 12 25 Lateral Curvature of Spine 13 42 Centripetal Spinal Lever 14 42 Centiipetal Lever half Applied 15 43 Centripetal Lever in Full Activity 16 43 Spinal Prop 17 45 Revolving Spinal Prop 18 45 Revolving Spinal Prop Applied 19 47 Address all Communications to THE BANNING TRUSS AND BRACE COMPANY, 312 Broadway, New York.