THE SECRETS OF HEALTH OR How Not to Be Sick AMD How to Get Well from Sickness BY S. H. PLATT, A. M., M. D. Late Member of The Connecticut Eclectic Medical Society, The National Eclectic Medical Association, and Honorary member of The National Bacteriological Society of America; Medical Editor of The New England, Homestead, Earm and Home, etc. NEW YORK: ORANGE JUDD COMPANY 1895 Coptrio ht, 1894, 15 y ORANGE JUDD COMPANY PREFACE A new book with no good purpose is an impertinence. A new book with a good purpose, but with only thread-bare modes of expression, has no place. A new book with a right purpose and somewhat unfamiliar thoughts, is always a need of the times. This book comes burdened with three themes, all more or less common, yet two of the three so unlike anything here- tofore published for the people that if the purpose to enlighten them upon these subjects be right, the need for it is beyond question. Diet, Hygiene, and Home Prevention and Treatment of Disease I The spirit of invention and discovery has put so much into our modern life, and crowds men so rapidly through life, that these are the only safeguards against wreckage by overloading, or collapse in mid-ocean by over-pressure upon the boilers. Hygiene is in a general way somewhat understood, but of diet, lest the assertion might be deemed unduly disparaging, let Sir William Roberts, among the foremost of the medical profession of Europe, be our spokesman. In his words, "Our notions on dietetics are little better than a farrago of whims and fancies." And let Dr. William II. Porter, of like author- ity in America, repeat his humiliating confession: "The vast majority of medical men have no definite knowledge with which to answer the simple, practical question of their first patient, 'Doctor, what shall I eat?'" Yet R. II. Crittenden, Ph. D., of Yale University, declares, "We need as definite knowledge of the properties of the foods we employ as of the medical virtues of the drugs we make use of." IV PREFACE. This book seeks to supply that need; not for the physician alone, but so clearly and definitely that any intelligent person can by its aid prepare a scientific dietary for all the varied cir- cumstances of healthful life. This book likewise seeks to prevent the avoidable diseases that afflict mankind, and so to treat the unavoidable by simple, natural methods rather than by drugs, that they shall be shorn of much of their power, and recoveries be to health instead of lifelong invalidism, or to a mere exchange of diseases. The author has gleaned from all schools of healing, and for the convenience of those who might not be able to procure the preferable treatment, has added others under the different diseases. The list of authorities consulted (see page 554) is a general acknowledgment of indebtedness, to avoid filling space with special citations. The objection may be anticipated that "So many of the words employed are so unusual that the people cannot under- stand them." But the Glossary fully provides for that; and the author is unwilling to believe that a reading public that absorbs such immense editions of colossal dictionaries and encyclopaedias, scientific treatises and high-class literary period- icals, will turn away disheartened from such an undertaking, merely because of the necessary use of some technical terms. Besides, its careful reading will be an education in itself of no small value to all young people who would be abreast of the culture of the age. Hippocrates wrote, "It is a divine work to relieve pain." If this shall be the general outcome of the book, the writer will be profoundly thankful that thus he may in a measure fulfil the Higher Master's commission, "Herein is my Father glorified that ye bear much fruit," and in this spirit commits it to the care of that Providence that guides the sparrow's wing as unerringly as the swing of a world in space. THE AUTHOR. Springfield, Mass., 1895. TABLE OF CONTENTS. Page. PART I-How to Live-Hygiene 148 1. The Air and Ventilation-2. The Sunlight and its Uses in Health and Disease-3. Temperature and Humidity-4. The Supply and Purity of Water-5. Sewerage and Cesspools-6. Hints on House- building-7. The Various Kinds of Baths and Their Uses-8. Cloth- ing-9. Sleep-10. Rest and Recreation-11. Exercises for Health -12. Injurious Habits and the Harm They do-13. The Abuse of Drugs-14. Contagion and Infection. PART II-Our Living Machine-Its Mechanism and Motions. 49-80 Motion, Frame-work, Machinery, Covering-Vegetation, Growth, Sleep, Rest, Recuperation-Circulation, Blood, Respiration, Oxi- dation, Digestion, Absorption, Secretion, Excretion-Sensation, Feeling, Taste, Smell, Hearing, Sight-Intellection, Perception, Emotion, Volition, Origination - Degeneration, Sub-oxidation, Sub-nutrition, Ab-secretion, Ab-excretion, Ab-circulation, Mal-gen- eration-Generation, Organs, Sex, Functions, Conception, Gesta- tion, Maternity, Lactation. PART III-The Digestion-Its Organs and Processes 81-92 Salivary digestion; Gastric Digestion-Pepsin, Hydrochloric Acid; Starches, Sugars and Fats, Mineral Salts. Pancreatic Digestion, Trypsin; Fats and Grape Sugar Absorbed through the Lacteals, etc.-Table of Digestive Ferments-Amount of the Secretions-The Process of Digestion Described-Chemistry of Digestion-Nutrition -The Process of Elimination, its Products, Daily Quantity, Excit- ing Agents, What it Does, Ciiaracter of its Product Governed by Its amount, Illustrative Table - Correct Dietary Scientifically Ascertained. PART IV-Diet-What, How Much and When to Eat93-152 Energy Expended-Amount of Oxygen Required-Units of Nutrition- The Kinds of Food Required-All Made up of Thirteen Elements- Average Composition of Foods-Proportions of Daily Supply- Foods as Usually Classified-Our Nomenclature-The Fiber-Foods -Fat-foods-Force-foods-Fixed-foods-Oxygen-food-Its Supreme Importance-Average Normal Demand per Day-How Far the Peo- ple Fail-Two Reforms are Imperative-Subsidiary Foods-Tea- Coffee and Cocoa-Effects on Salivary Digestion-Effervescent Water, Vinegar, Wine and Brandy-Retardation of Digestion Bene- ficial-Mastication and Salivary Digestion-Food Value of Alcohol- Extractive Foods-The Amount of Food Materials Needed-Prof. Church's Dietary-Table of Food Elements Required in Different Circumstances-Similar Table-Conclusions Drawn from the Tables -American Waste-The Necessity for Dietaries-How to Make Diet- aries-Rules to Work bv-Nutrition not Governed by Cost-Wrong Feeding and Disease-Working Table for the Construction of Diet- aries-Its Availability Illustrated-The Ideal Diet-Table of Defec- tive Diets-National Examples of Diet-Condensed Rules tor the Preparation of Home Dietaries-General Principles of Correct Diets-Facts of importance to Aid Right Eating. V VI I HE SECRET OF HEALTH. Page. PART V-Foods and Their Preparation 153-262 1st. Foods in Common Use-Their Nature and Classification-When Appropriate ami when not Appropriate-Their Adulterations- Economical Substitutes for. 2d. Particular foods for Particular Needs-Fluids, Mushes, Puddings, Bread, Biscuit-Meats, Fruits and Jellies.-How to Prepare these Foods. 3d. Infant Foods: Their Preparation and Use. 4th. The Manufactured or Prepared Foods-Tabulated for Dietary Use-Their Nutritive Value Shown, this being a Practical Key to Their Use in Various Circumstances. PART VI-Special Treatments 263-337 1. The Faith Cure-2. Mimi Cure-3. Christian Science Cure-4. Hygienic Treatment -5. Fasting Cure-6. Abstinence Cure-7. Dietetic Cure-8. One Meal Cure-9. The Salisbury Treatment-10. Grape Cure-11. Fruit Method-12. The Fruit-and-Bread Cure-13. The Natural Method-14. The Camp Cure-15. The Rest Cure- 16. The Oxygen Treatment-17. The Movement Cure-18. The Mas- sage Treatment - 19. The Magnetic Treatment - 20. Electrical Method-21. 'Die Hall Treatment-22. Our Doctor's Colon Flush, an Exhaustive but plain Statement of the Simple but Effective Treatment by Means of Bowel Injections-23. The New Method Cure -24. The Inhalation Treatment-25. The Biochemic Cure-26. The Densmore Preliminary Treatment-27. The Kneipp Cure-28. The Climate Cure, the Objects Sought by it. How They are Accom- plished, and where to find the Desired Climate-29. The Tractor Cure-30. The Earth Cure-31. Our Doctor's Water Treatment, a Comprehensive Discussion of Hydropathy, Who may Employ it, When and How. PART VII-Care of the Sick 338-352 1. Hints on Nursing-2. The Sick Room-3. Bed and Clothing-4. Water Supply-5. Giving Medicines-6. Bed Sores-7. Food-8. Treatment of Patient-9. Useful Facts-10. Medication-11. Res- piration, Pulse ami Weight-12. Landmarks of Diagnosis-13. Questions Concerning Remedies-14. States and Indications - 15. Landmarks for Prescription-16. Diet as a Remedy-17. Walking as a Remedy. PART VIII-PARTICULAR METHODS AND SPECIAL DIETS353-387 Fifteen Methods of Treating Various Forms of Disease Without Too Much Drug Dosing Fully Described, and Directions Given for the Application of these Methods-Numerous Special Diets Prescribed for use Under Certain Circumstances. PART IX-Diseases and tHeir Treatment383-545 All the Principal Diseases and Most Common Ailments Described so that They May be Recognized-The Cause Pointed Out-The Best Treatment m Each Case Given in Detail, Including Full Directions as to Diet, Hygiene, Exercise, Baths and Similar Common Sense Methods, as well as Proper Medicines when Physic is needed. PART X-Appendix546-553 1. Quantities to be Taken by Adults ot Remedies Named in the Fore- going Pages, where the Amount of Dose was not Prescribed-2. Special Foods Omitted from their Proper Place but Named in the Dietaries-3. Index of Contents and Glossary of Terms Used. List of Authors Consulted.,,,554-556 LIST OF ILLUSTRATIONS. Fig. Page. Back-bone, brain and nerves, ... 31 and 32 77 Bath, sitz 43 328 Bed-tray, 55 341 Bowels or colon, 36 Bowels, portion of, .... 39 283 Body wrap, 44 329 Body, regions of, 57 345 Brain and nerves, 26 72 Brain, apoplectic clot in, ... . 60 403 Breast support, 61 412 Breathing tubes, . . . . • 63 and 64 440 Bronchial tube, 62 413 Chair pelvic treatment, .... 59 401 Chest ami abdomen, form of, .... 16 60 Circulation, the, 14 58 Cistern filter, 3 12 Cistern filter shut-off, .... 4 12 Corner commode, 54 340 Croup kettle, 48 333 Digestion, organs of, 34 84 Earth closet, 7 15 Ear, . . . . . . . .65 and 66 461465 Eye-ball, section of, 67 471 Feet, 68 474 Female form, natural, .... 76 524 Female form, unnatural, .... 77 524 Foot vapor, 47 332 Hair and sebaceous glands .... 13 56 Head vapor, 46 331 Heart, . . . . . . .70 and 71 488 Intestine, large, 19 64 Intestine, small, 40 284 Intestine, small, capillaries of, ... 37 281 Kidneys and t heir appendages, ... 25 71 Knee sprinkle, 51 336 I.aeteals 20 65 I.acteals and lymphatics, .... Lobule of lung* 15 59 Loin sprinkle, 50 335 Lung, 62 413 Lymphatic vessels and glands, ... 22 66 Medicine dropper, 53 339 Membrane of rabbit, 38 282 Muscles, 11 54 Muscles, anterior view of, ... 9 52 Muscles, posterior view of, .... 12 55 Muscular libers, 10 53 Nerve tubes and cells, 27 73 Nerves, cranial, 28 74 Nerves of body, 30 76 Nerves, spinal, 29 74 vii VIII THE SECRET OF HEALTH. Fig. Page. Nightshirt wrap, ...... 41 327 Pack, three-fourths, ..... 42 328 Pancreas, ....... 35 87 Pregnancy, position of organs prior to, . 72 520 Pregnancy, size of womb at different months, . 73 521 Reading stand, ..... 56 343 Salivary glands, ...... 23 68 Salivary glands, structure of, ... 33 82 Shawl wrap, ...... 45 330 Shoulder sprinkle, ..... 49 334 Skeleton, the, ...... 8 48 Skin, structure of, ..... 24 70 Sling for difficult respiration, ... 80 527 Soles, 68 and 69 474-475 Stomach, ....... 18 63 Teeth, 17 62 Trachea, ....... 62 413 Uterus and appendages, .... 81 541 Uterus, anterior displacement, ... 58 400 Uterus, posterior displacement, ... 79 526 Uterus, internal prolapse, .... 78 525 Viscera, ....... 32 80 Waist, natural, ...... 74 522 Waist, laced, ...... 75 522 Water tread, ...... 52 336 Well, model, 6 14 Wells polluted by cesspool, .... 5 13 Window ventilation ..... 2 7 Womb, positions of, ..... 58 400 Womb, sizes of during pregnancy, . . 73 521 Wood's idea for ventilating, .... 1 6 PART I. HOW TO LIVE. -HYGIENE. 1. The Air and Ventilation. 2. The Sunlight and Its Uses in Health and Disease. 3. Temperature and Humidity. 4. The Supply and Purity of Water. 5. Sewerage and Cesspools. 6. Hints on House Building. 7. The Various Kinds of Baths and their Uses. 8. Clothing. 9. Sleep. 10. Rest and Recreation. 11. Exercises for Health. 12. In- jurious Habits and the Harm They Do. 13. The Abuse of Drugs. 14. Contagion and Infection. Since to live we must, he is wisest who learns to live the best; that is, in nearest accordance with all the laws of his being. Hygiene is only a single department of those laws. It is simply the right method of preserving health. Its laws are clear, definite, and unchangeable. They have relation to air, water, sewerage, exercise, rest, sleep, baths, clothing, habits, contagion and infection. 1. THE AIR. The First Requisite of health is pure air, four-fifths nitrogen, one-fifth oxygen (the life - sustaining principle), a mere trace of ammonia and nitric acid, not more than 1.4 per cent, of aqueous vapor and from three and one-half to seven parts in 10.000 of carbonic acid (carbon dioxide, the gas of charcoal, with which so many Frenchmen suicide). 1 2 THE SECRET Of HEALTH. In each respiration about a pint of air is inhaled, which gives its oxygen to the blood and takes out in expiration from 4.6 to 5.2 per cent, (the amount varies), of carbonic acid. This expired gas, being more than seventy-one times the largest pro- portion admissible in inspiration, would soon surround every one with an atmospheric shroud of death were it not for the law of diffusion of gases, by which this excess of carbonic acid is scattered instantly through a large area of adjacent air. Hence, in confined spaces, the air often becomes fearfully impure. A school room 20x30 and 10 feet high contains 6,000 cubic feet of air. Fifty children are sometimes confined for hours in such a room, which has just air enough to last them four minutes. School rooms have been found that con- tained from 2 to 4 per cent, of carbon dioxide-which, of course, was made from the oxygen of the rooms-thus reduc- ing that supply, and rendered doubly deleterious by being mixed with the organic effluvia from the lungs and skin of many persons in a confined place. It is then known as "crowd- poison," and is the cause of typhus, jail and ship fevers. Public rooms have sometimes been found to contain from 29 to 72 parts in ten thousand of carbonic acid. Ventilation Required.-In order to show the relation of this point to common life, suppose there are four rooms each containing four persons and each representing a different class of people. Room Number One is in the home of a respectable city family, and is 16x14 feet and 10 feet high, containing 2,240 cubic feet of air. It is warmed by a coal stove and lighted by two six-foot gas jets. The only ventilation is by the cracks of windows and doors. Assuming that the stove and gas consume all the fresh supply of oxygen through the crevices of doors and windows, the people must depend upon the original supply in the room for respiration. (Of course the diffusion of gases would render this impossible literally, yet for the purpose of the illustration it is practically correct.) Another element must now come into the calculation. Angus Smith and Hartley affirm that a gas burner of six-candle power throws off every hour more than three cubic feet of carbonic acid, a man from six to seven-tenths of a foot, an oil lamp one-half a foot, and a tallow candle three-tenths of a foot. THE AIR. 3 This room contains 132,160 pints, or breaths, and the people alone would render the air irrespirable in fifteen and one-fourth minutes. The gas burners alone would render it unfit to breathe in about seven minutes. Yet how often does a family remain two hours, or more, in just such circumstances! Room Number Two is 12x14x9, containing 1,512 cubic feet of air, or 90,208 breaths, and is lighted by a one and one-half inch kerosene lamp, and warmed by a coal stove. The people alone would spoil the air for further respiration in ten minutes, and the lamp alone would do it in thirty-five minutes. Room Number Three is 12x12x8, containing 1,152 cubic feet, or 67,968 breaths, and lighted by a one-inch kerosene lamp. The people alone would render the air irrespirable in eight minutes, the lamp alone in about forty-one. Room Number Four is 10x12x7, having 840 cubic feet, or 49,560 breaths, lighted by a tallow candle, and with a four-inch double wick kerosene stove (which yields four cubic feet carbonic acid gas per hour). The people alone would render this air irrespirable in five and one-half minutes; the candle alone in forty-eight minutes; the stove in about four minutes. When the carbonic acid in a room rises from the highest permissible health point-namely, to ten parts in ten thousand -it begins to smell, and when it reaches one hundred parts in ten thousand, it is almost unendurable (Pettenkoffer). This is why persons entering such a room as we have described, from the free air, are almost suffocated, and the occupants would feel it as keenly were it not for the stupefying effect of gas upon the mind and its narcotic effect upon the nerves of sensation. Is it any wonder that nervous irritability, unre- freshing sleep, headache, paleness and lassitude follow such sitting-room comforts? Open Fireplace Ventilation. - Jenkins affirms that " a good ordinary fire" (open, he evidently means), " will take from six thousand to ten thousand cubic feet of air out of a room every hour. Hence, the desirability of open fires for assured ventilation. The expense objection can be greatly modified by having a furnace flue or close stove in another part of the room to furnish requisite heat, while the open fire is a good investment for cheer and health. Were this the 4 THE SECRET OF HEALTH. general practice, it would very sensibly reduce the sickness and the mortality rates of the country. An ordinary two-wick four-inch gas stove throws off about as much carbonic acid gas as two gas jets. Hence, the neces- sity is imperative to provide both special ventilation for the escape of this gas from lights and oil stoves, and to supply them with fresh air in addition to the requirements of the people. Carbonic Oxide is the gas that puffs from the stove before the coal becomes completely ignited, and burns with a pale blue flame. It is often found in rooms, attacks the red- blood corpuscles and paralyzes them. Dampers in pipes to shut off draft tend to generate this gas and diffuse it in the rooms, especially from hot-air furnaces. Sulphuretted Hydrogen and Sewer-Gas frequently impregnate the air, and to the latter is ascribed the production of typhoid and scarlet fever, diphtheria, dysentery and cholera. It is these noxious ingredients, so often existing in the closely-constructed houses of civilized countries, that partly account fer the physical degeneracy of enlightened peoples, as contrasted with the stalwart health of nomadic tribes. In France, in those localities that had seven per cent, of badly-constructed dwellings, one person out of every seventy- two died, while in those that had thirty-eight per cent, of such homes, every forty-fifth person died. Even Pure Air soon becomes deleterious, if not frequently changed. Stagnation becomes foulness, and foul- ness breeds disease. Unventilated rooms, and nooks and corners not swept by winds, are always pest-breeders. The Necessity for Ventilation.-What is ventil- ation ? It has been written about for generations, but what is it as practically of use in ordinary life? London, with eight persons to each house, lost twenty-four out of every 1,000 of her population. Vienna, with fifty-five to each house, lost forty-seven to every one thousand population. These facts indicate a difference in ventilation. Of ten thousand cholera patients, living one person in a room, sixty-six died. Of ten thousand, living four or more in THE AIR. 5 a room, three hundred and twenty-seven died. A difference still in ventilation. A healthy adult takes from the air every twenty-four hours sixteen cubic feet of oxygen, and gives to the air fourteen cubic feet of carbon dioxide, and an indefinite quan- tity of organic matter, still more poisonous, from his lungs and skin. The combustion of fires and lights adds still more. Morin gives these figures as the amount of fresh air required per head each hour: Ordinary hospitals and workshops 2,362 cubic inches Surgical wards and unhealthy shops 3,936 " " Primary schools 590 " " Higher schools 1,181 " " Assembly rooms, theaters, etc 1,771 " " The Size of the Ventilating' Orifices and the velocity of the air current determine the quantity obtainable. Morin advises fourteen square inches of ventilating space for each one hundred cubic feet of space in the room. This is about 12x161 inches for a room 11x13x10, and is probably about right for average spring and autumn weather in rigor- ous climates, but is four to six times too little for summer, and is as much too great for winter when the communication is directly with the open air. Every living room should have an open ventilator propor- tioned to its size and the number of its occupants, which should connect, preferably, with a thoroughly-ventilated and well-warmed hall; or by a pipe of sufficient caliber to carry all that the inlet ventilator admits, leading from the outside to a funnel-shaped end covered with wire gauze, or pierced with small holes, so as to sprinkle the cold air directly upon the stove, or within a casing partly surrounding the stove. The exit-ventilator should be in the baseboard of the side most distant from the stove, should connect with the chimney, and be in size proportioned to the number of occupants. For one person, 6x6 inches; two, 8x8; four, 8x12; six, 12x12; or two, each 8x9; eight, two, each 8x12; twelve, two, each 12x12. This will force a constant circulation of pure, warm air all 6 THE SECRET OF HEALTH. through the room, carrying off the layer of cold air that keeps the feet cold while modifying the upper layer of hot air that keeps the head hot, and thus induces headaches, colds, and disease. The Objection that "so much more fuel would be necessary," has no weight, because the heat-producing capacity FIG. 1. WOOD'S IDEA FOR VENTILATING, SO AS TO PRESERVE AN EQUABLE TEMPERATURE, of the occupants would be so largely increased that a much lower temperature could be safely maintained, with a corre- sponding less liability to shocks from the alternations between indoor and outdoor air at the extremes. As it is now, people THE AIR. 7 rush many times a day from a tropical heat, within, to a mid- winter temperature, without, and the reverse, and the mucous membrane is unable to stand the strain, and catarrh, fever and pneumonia result. To Equalize the Temperature, and at the same time secure proper ventilation, the plan shown in Fig. 1 is recom- mended by Dr. Castle in that admirable work, " Wood's House- hold Practice of Medicine." A, are the chambers; B, halls; D, downward current to furnace; E, upward current to outer air ; F, smoke pipe passing through center of ventilator shaft. The Best Available Method of ventilation for con- structed buildings is probably that suggested by Dr. Keene: Tack a piece of cloth across the lower ten inches of the window frame and raise or lower the sash according to the weather; or that of mismatching the window sashes by having a strip FIG. 2. WINDOW VENTILATORS. of wood three inches wide fitted under the lower sash, thus giving an upward current between the sashes into the room. But as outlets are as important as inlets, on another side of the room an escape flue should be in open communication. The practical end to aim at is to give constantly to every person a room ten feet square to eight feet high, with uninter- 8 THE SECRET OF TLEALTII. rupted free communication with the outer air. If the room be smaller, or more than one person occupy it, the avenue of communication must be correspondingly increased. In the light of these facts, ventilation, as ordinarily under- stood and practiced, is greatly deficient. In the War of the Rebellion tent hospitals gave much better results than the best of hospital buildings, because the ventilation was so much greater. Every room should have a window on two sides reaching nearly from floor to ceiling. 2. SUNLIGHT. Sunlight is closely connected, as a health agent, with ventilation. A House should never be so shaded that the sun cannot shine upon every part of it. New Orleans, in an epidemic of yellow fever, had six times as many cases on the shady as on the sunny side of the same streets. Buffalo, in the cholera of 1849, had a similar expreience. Many other facts are recorded in medical literature showing that these are not isolated inci- dents, but illustrations of a law of nature. "Where light is not permitted to enter, the physician will have to go," says the Italian proverb, and it is equally appli- cable to the direct sun-rays upon the dwelling. Shade is very desirable for comfort in hot weather, but the trees should stand far enough from the house to prevent the dampness that always accumulates in a shaded house. Streets should be twice as wide as the height of the houses bordering them. Sun Baths.-The nervous system of man is organized to respond to the vitalizing influence of the sunbeam, like a fruitful soil. Therefore, the skin should be freely exposed to the direct rays of the sun. When, by reason of occupation or fashion, this does not occur, a sun bath should be taken from one to three times a week, when the whole person is exposed naked for fifteen to thirty minutes. An invalid can lie upon TEMPERATURE AND HUMIDITY. 9 the carpet, or mattress, and turn from side to side. Should there be rush of blood to the head, it should be shielded. As a nerve tonic, few things are better than a sun bath. A man of eminence, finding his nerves giving way, fenced in a portion of his garden with boards twelve feet high and well jointed. Then he locked himself within every sunny day, and stripping naked worked from thirty to sixty minutes, and by the time his crop had ripened, his nerves were sound. The Growth Period of childhood and youth especially needs the vitalizing power of the sun's actinic ray. It is that ray (not the light, or heat ray) that the photographer employs in his art, and that ripens the seeds and fruits of the summer and autumn. The potato vine that sprouts in the cellar grows, but never matures unless removed to the open air. So children may grow, but the vigor and maturing power of normal youth can never be theirs unless they, too, fi d the open,-bask in its sunshine, drink in its inspiring oxygen, and by instinctive activity gambol every muscle into vigorous development. 3. TEMPERATURE AND HUMIDITY. Air Feels Damp, not by the moisture that it actually contains, but by what its temperature fits it to contain. The same air that feels very damp outside at 32° will feel uncomfortably dry in a room at 72°, because at that temper- ature it can hold 8.54 grains of vapor per cubic foot, while at 32° its capacity is only 2.13 grains. Hence, as air is heated, it should be fed with moisture. No heating arrangement should ever be heated red hot if the air that comes in contact with the red surfaces is to be breathed, because it is thereby greatly vitiated. Furnaces are usually heated to 100° or 500°, while air that is to be breathed should not touch a surface heated beyond 150°. The Best Way to Warm is to circulate pure warm air, instead of keeping the air stagnant and trusting to radiated heat. 10 THE SECRET OF HEALTH. Temperature and "relative humidity" are closely related. Call the air saturated with moisture 100; it may have lost all the way down to 12°. That loss is relative humidity, which sinks as temperature rises. From 67 to 69 humidity is best for comfort and health. The proper sitting-room temperature is 70°. Should you feel chilly in this temperature, do not increase it, but by exercise raise the heat of your physiological furnace within. The heating appliances of the day are paralyzing the heat- making functions of our bodies; hence, the colds, etc., from which we suffer so frequently, and which would be largely prevented by the adoption of the open fireplace, and of the heating arrangement as recommended on Page 3. Radiated heat diminishes in proportion to the square of the distance, so that the child on the floor ten feet from the open fire receives one hundred times less heat than the cat lying one foot from it; hence, the necessity for the heating stove, or furnace, also. Cooling can be accomplished on a small scale where one has a well into which a pail may be lowered, but it is far better, and the expense is so slight, if one cannot afford an ice house, to have an ice mound, which costs only a little straw and the labor. Simply raise a platform of earth above the level of the surrounding soil and slope it slightly from the center down to the edges. A layer of sticks and then of straw, or sawdust, ice closely packed on that, covered with straw, or sawdust, more sticks, then bank over with earth and sow with grass seed, or cover with hay, or straw, and you have a reservoir of cooling blessing for all the hot summer. Digging into a hillside saves some of the labor, but care must be exercised to provide for drainage. More elaborate ice houses with cold storage attachments are within the means of most farmers. 4. WATER. A Wonderful Blessing. The uses of water as a health preserver and restorer, are not known by one person in a WATER, 11 hundred. If this book teaches the masses to enjoy the count- less blessings of the proper and manifold uses of water, and to avoid abusing this great agent, it will confer untold benefits upon mankind. Intelligently used, but not abused, water will render many a family comparatively independent of doctor or druggist, saving much money, pain, sickness and sorrow. The Purity of Water is of the utmost importance. To test it take two clean four-ounce bottles of water, one from the well, the other perfectly clean rain water. Drop in each a piece of alum as large as a kernel of corn, and let them stand over night. The sediment in the morning will show the degree of impurity. Exeter, England, in 1832, had one thousand deaths from cholera, but when it reappeared in 1849 there were but forty-four cases. The water supply had been changed in the interval. In London's cholera season of 1848-9, two companies supplied the water. Of those who drank the Lambeth water 125 in each 10,000 of the population died. Of those who drank the Southwark, 118 in each 10,000 died, the loss being nearly equal. The Lambeth company then changed and drew their supply from a point, higher up the river, where the water was much more pure. In 1854, the Southwark deaths were 130, and the Lambeth thirty-seven. In Milbrank prison, England, the prisoners drank the Thames water, with frequent epidemics of fever and dysentery. The water was filtered, but no relief. An artesian well was sunk, and at once the diseases disappeared. One grain per gallon is all the organic matter that first- class drinking water can contain; yet some has ten grains without detriment to health, but it must be purely of vegetable origin. From five to twenty grains of mineral salts are deemed necessary, while thirty-five grains should never be exceeded, and animal matter must be entirely excluded. The Average Need for Water is half an ounce daily for every pound of weight. And the average used for all purposes is from fifteen to thirty gallons a day, while the minimum supply is one gallon a day on board of war vessels. 12 THE SECRET OF HEALTH. Water is Hard when it has an excess of carbonate of lime, or of calcium sulphate. The latter is not removable. To correct the former, boil it, or add washing soda, or quicklime. Soft Water is preferable for domestic purposes, but care should be exercised not to allow contact with lead or with copper when hot, for rain or soft well water will absorb enough of the metal to poison it. Head Pipes.-Only one-tenth of a grain of lead in a gallon of water will injure some people. However, if lead pipes must be used, it is said that one pound of sulphide of FIG. 3. CISTERN FILTER. FIG. 4. . SHUT-OFF FOR FEED PIPE. potassium in two gallons of water kept in the pipe until the inside is thoroughly blackened, will aid in rendering it harmless. Filters.-If the purity of the water be doubtful, it should be filtered by running it through charcoal and sand, and the filter should be cleansed frequently, else it will increase the difficulty. If this is inconvenient, boil the water. Dr. Parker suggests a good home filter: A common earthen flowerpot with a bit of zinc gauze, or clean flannel, over the whole, three inches of coarse gravel, three of white fine sand well washed, four of charcoal (animal preferred), and on the top a well-cleansed sponge, to be thoroughly cleansed once a week. WATER. 13 To purify water that is not well filtered, dissolve a lump of alum as large as a small butternut, in a quart, and stir slowly into a barrel of water. Cisterns, properly constructed and cared for, are the preferable source in populous districts. A house 40x20 feet, with an annual rainfall of forty-two to forty-five inches, will give sixty gallons a day throughout the year. The rainfall of the United States, except the mountain region south of Colorado, averages from forty-five to sixty-five inches. Ninety thousand cubic miles of water constantly float in the air to supply the rainfall. Cisterns should be cleansed every three to four months, and should be built with a shut-off to turn aside the first wash- FIG. 5. WELL POLLUTED FROM A CESSPOOL. ings of the roofs, as they contain dust, excreta of birds, and microbes of disease. Cisterns should always have a brick partition, as a filter, laid in cement, but not covered with it, separating the body of the water from the service pipes, as shown in Fig. 3. Of course, the usual automatic shut-off to prevent over-flow of the cistern should be provided, on the principle illustrated in Fig. 4. Families occupying rented houses without cisterns, can secure a good supply of clean 14 THE SECRET OF HEALTH. water by hanging up a clean sheet or canvas by its four cor- ners, putting a clean stone in the middle and placing under the stone a vessel to catch the water as it filters through. Wells constitute the main source of water supply for country and village people. But the well is often substantially but a drain-pipe for the soil. A drain-pipe under the soil four feet will drain a strip of surface ten feet wide over its whole length on level ground. But if there be an incline, it will drain to an indefinite extent on the upper side. Hence, wells should never be within sixty feet of any collection of obnox- ious (particularly animal) matter, such as privies, pig styes, barnyards, cesspools, etc., and if the incline is directly toward the well, at least 200 feet should intervene. Cut 5 illustrates how wells are often fouled by drainage. The water was unpleasant, and though the walls were relaid in cement, there was no improvement. The cesspool was on the opposite side of the house, fifty feet away, but the rock dipped toward the well. Then the cesspool was removed and the well was cured. The Supply of shallow wells is the underlying stratum of water beneath the soil, known as ground water, from the soaking down of rain and surface water and the filtering in from adjacent localities in a per- colating flow toward a natural re- ceptacle, such as a river, lake, or sea. Of course the purity of this supply is dependent upon the character of the soil, the amount and kind of surface waste, etc. Deep Wells may reach a geological stratum which contains a flow from mountain heights, and of remarkable purity. Open Wells soon accumulate decaying vegetable mat- ter, and living and dead reptiles, until the bottom becomes an oozy slime, sickening alike to sight and smell if but slightly FIG. 6. A MODEL WELL. SEWERAGE. 15 stirred, and contaminating all, though the water above it may be of crystal clearness. The Model Well is to make the excavation and wall it up in the usual manner a few feet, arch it over with a service pipe in position, and cover the arch with several layers of stone, each of a smaller size than those below, to prevent the earth working through, and fill in above and pack down. Such a well is recommended by Wood and is illustrated in Fig. 6. If a well, or vault, is to be entered, first lower in a cat, or small dog. If it dies, then purify the air by throwing in heated stones, hot iron, or pails of hot water to cause the vapor to ascend. Driven Wells.-The best source of supply is a driven well, provided it reaches a stratum of uncontaminated water. 7. SEWERAGE. Should be Perfect, not allowing leakage to soak into the soil near the house. Should be separated by water traps from every avenue of access to the house. Sewers should be flushed often, and should be disinfected with chemi- cals in all contagious diseases. Water closets should be in an annex entirely separated from all living and sleeping rooms. The Earth Closet.-Where no system of sewers exists, as in country places, the privy vault should be abol- ished and good earth closets substituted, for these reasons: 1. The stench is a nuisance to those obliged to occupy them. 2. They constantly menace the health of the family because sure to contaminate the ground water for a considerable distance around. FIG. 7. EARTH CLOSET. 16 THE SECRET OF HEALTH. 3. They are so uncomfortable because of odor, or temper- ature, or exposure, that habits of constipation are formed by hasty and imperfect evacuations. 4. A valuable fertilizer is needlessly lost. All these objections are completely obviated by the dry earth closets, one form of which is given in Cut 7, as used in England; the sloping bottom is easy to clean. Better, still, is the Rochdale pail closet, the pail being half a kerosene barrel, which is removed weekly and disinfected ; the week's contents weigh forty to fifty pounds. The construction of a pail closet is similar to any other, the pail taking the place of a vault. An Outdoor Privy, if used, should never be built with a vault, but always with a sliding box to receive the deposits and be emptied frequently. By this arrangement the privy may be so near the house as greatly to lessen the risk to delicate persons in reaching or using it. Construct it to avoid the four great objections to privies mentioned above and on the preceding page. The conditions of most privies in the country is a disgrace to civilization and a constant menace to the health of the people. Absorbents in an earth closet, or privy, will keep the deposit dry and odorless, provided, of course, that no slops, or other liquids, are poured upon it. Dry soil from the garden, or field, is the best absorbent. Sifted coal ashes is good. Ground gypsum, or what the farmers call land plaster (sulphate of lime), is a very valuable absorbent, and also adds to the value of the manure. Absorbed in this way, the night soil is comparatively unobjectionable for use like other manures, and when broadcasted and plowed, or spaded, under the soil, produces large crops. Never use wood ashes, quicklime, slaked lime, or Mason's lime, for this purpose. They do not absorb, but instead rot the mass and set free the odor which land has little power to absorb. The Cesspool should be lined with a cement of asphalt und sand, should be ventilated, and if within one hundred feet HINTS ON HOUSE BUILDING. 17 of the house, the ventilating pipe should be not less than thirty feet high. Traps (to prevent the foul gases reaching the house through the pipes) of the best construction should protect every place of access to the house. On this subject see Parke's Practical Hygiene. It should be remembered that the deadly sewer gas cannot be detected by smell. Probably the water-seal, if properly constructed, is the best trap in general use. Even the drying of the wet napkins of the baby by the fire, or in the sun in a room, without previous washing, is extremely deleterious. The Sink Spout, in many a farmhouse, is a source of death. If troughs can be arranged to carry the sink-slops off on to the grass, or garden, it is the best plan. The free use of absorbents and frequent cleaning out of a cemented basin into which the pipe empties in lieu of a cesspool, is the least that should be done. 6. HINTS ON HOUSE BUILDING. That New House should be so carefully planned that no change will be made in construction. It should be con- tracted so definitely that no room should be left for mis- understanding in any detail. Set upon good, solid ground, or, if on "filled in," or "made" ground, not less than three years after the filling in, as it takes that time for the deleterious gases to escape; so sheltered that it shall not be exposed to special drafts of air like the entrance to a ravine, yet so exposed that ordinary winds shall sweep all over it; not itself shaded, yet with yard so protected and grassed as to cool the ground ; with firm foundation resting upon concrete. The Cellar.-If the soil is damp, the cellar walls should be over an outer wall and air space, and drain to protect from dampness. The cellar floor may be of six inches of concrete covered with cement, the cellar walls, inside, from the found- ation to one foot above the cellar floor lined with asphalt, brick, or cement, and the drain pipe never connected with the cesspool, or sewer pipes. The cellar should be well lighted 18 THE SECRET OF HEALTH. with windows on at least three sides, to permit of perfect ventilation. Whitewash once a year, at least. A damp, or foul, or close cellar is a disease breeder. Fruits, vegetables, etc., stored in it, should be frequently inspected, and all rotten stuff removed. Any water or gas pipes should run overhead, not under the cellar floor. House Warming.-If heated by steam, the system of air flues heated from steam pipes is best. If heated from a furnace, the air should come direct from outdoors to the furnace, never from the cellar. Some modern houses are so constructed that the warm air from the furnace permeates the space between floors and ceilings, and is let into the rooms by registers. A water tank should be inserted in the hot-air chamber of the furnace, so that its escaping moisture will permeate the hot air. If stoves, or steam radiators are used for heating, an open vessel of water should be kept on each, as its evaporation adds to the supply of oxygen in the air of the room, besides avoiding that dry heat so trying to the mucous membranes. The Rooms should not be less than ten feet high, and large enough to give 9,246 gallons of air to each adult occu- pant, and 6,600 for each child under ten years, per hour. If there be two of each, 31,692 gallons, or 253,536 breaths, will be needed, for they will breathe 4,320 times an hour, and every exhalation will spoil 120 other breaths besides itself, thus requiring every hour 518,400 breaths of air to provide for themselves and the waste by excess of carbonic acid. See "Air," and "Ventilation." As twenty-five per cent, of heat is usually lost by con- densation on the window glass, all rooms with large windows should be supplied with double glazing, or double sashes. If possible, every room should have the direct rays of the sun during some portion of the day. The walls should be hard-finished, or painted, - never papered, as paper is a favorite camping ground of disease germs. Paper is no longer fashionable. BATHS. 19 The Floors should be hard wood, waxed, or scoured, and with rugs that can be easily aired, where necessary for com- fort. Carpets are physiological abominations, holding disease germs by myriads and yielding them with a seemingly infernal maliciousness on any sweeping. Au Annex, with reservoir at the top, where there is no pressure supply, set wash bowls, water closets and bath room to suit, a separate ventilating flue from bottom to top, and connected only by a single door with the hall of each story, should not be omitted upon any ordinary consideration of expense. As a "farmer's boy," the author believes that these ideas can, and should, be carried out in an adapted way even in the construction of farmhouses, and that they would be found a good investment, with rich returns of health. Beds should consist of cotton or linen sheets, woolen blankets (the feeble can use blankets for sheets), mattress and pillows of straw, husk, or hair. The bed should be aired daily all day, and sunned three times a week in health, and every day in sickness, if practicable. Every bedroom should have a little closet for a chamber- vessel with a separate ventilating flue; a little recess, with a piece of baseboard hinged for a door, is sufficient. 7. BATHS. The Principal Objects of Bathing are cleanliness, some change in the functions of the skin, some change in the determination of the blood, change in the temperature of the body, or part, and change of functional activity. Baths arc named from the degree of temperature employed :-Cold, 33° to 55°; cool, 55° to 65°; lukewarm, 65° to 70°; tepid, 70° to 85°; warm. 85° to 95°; hot, 95° to 100°. Cold Baths, suddenly and powerfully contract the capillaries of the surface and force the blood inward, thus stimulating the heart and large arteries to a vigorous effort to drive it back, which, if successful, is the reaction which glows 20 THE SECKET OF HEALTH. and invigorates. But, if the vital organs be weak, and the capillaries sluggish, congestions, dangerous to health, and even to life, are apt to result. Cold baths should be taken in a very few minutes. Cold whole baths remove solids from the system by increas- ing respiration. Cold local baths, that is, applied to one part only, in reac- tion draw the blood to the part in order to replace the heat lost in the bath. Taylor says that a sitting bath, the water of which has been raised two degrees, has caused the absorption by the blood of the oxygen of four or five cubic feet of air, " enough to raise a half pint of water from the freezing to the boiling point, and eliminated from the system more than a half ounce of its solid material." Sea Bathing is the most stimulative form of cold bath- ing, the invigorating effects of the simple cold bath being heightened by the saline constituents of the water, and the revulsive effect of the waves against the skin ; aided, also, by the bracing air of the shore, temporary change in food and habits, etc. A good substitute for a sea bath is the following mixture of salts dissolved in about thirty-eight gallons of water for one bath : Ten pounds of chloride of sodium (com- mon salt), five pounds of sulphate of sodium (Glauber's salt), seven and one-half pounds of chloride of magnesia, and two and one-half pounds of chloride of calcium. Summer Surf Temperatures. Nantucket75° to 76° Cape May70° to 80° Norfolk, Va81° to 82° Charleston, S. C86° to 87° Florida coast87° to 88° Cool Baths, in a person of ordinary health, slightly relax the skin, impart vigor, soothe the extremities of the nerves, and abate internal blood pressure. But in prostrate conditions, the effects are the same as from cold baths. Tepid Baths are mild yet efficient relaxants to the skin and extremities of the nerves, relieving internal engorge- BATHS. 21 merits and soothing the entire system. Yet they are not suit- able to strong, local, or general congestion, flaccidity of struc- tures, cool surface, colliquative perspiration, threatening gan- grene, or chronic weakness of vital energy (Cook). They should take ten to fifteen minutes only. Warm Baths are stimulating and relaxing to the sur- face, and soothing to nervous excitability. If continued long, they excite perspiration, and may cause oppression, languor, and giddiness, because the internal process of heat production is retarded, elimination of solids is checked, and respiration diminished. Time, thirty to sixty minutes. Hot Baths, rarely over 100°, strongly arouse the capil- lary circulation, by the effort of the body to return the surplus heat given to it, relieve local rheumatism and neuralgia, accompanied by partial congestion, when applied locally in the form of fomentations. They are not advisable when the skin is cold and clammy, except when impregnated with the strongest stimulants. With perspiration, excessive and warm, they are of great service. Hot baths are useful to restore warmth to the body in cases of profound shock, or after exposure to severe cold, but in the latter case the circulation must first be gradually restored. They should be avoided if the patient expects to be exposed to cold within a few hours. Hot baths should not be taken except as a remedy for disease, baths of lower temperature accomplishing all that is needed for ordinary purposes. Pack Baths consist in wrapping the entire body in a sheet wrung out of water, with blankets so enveloping him as to maintain a tepid warmth in every part, thus producing the same effects as the tepid bath, but to a far greater degree, even to the extent of promoting the absorption of internal effusions. Sleep ensues as a consequence of the general relax- ation, and care must be used, or, if the pack be continued too long, the over-relaxation may produce, in serious cases, inability to tone up afterward. Coinpresses are simply cold local packs; fomentations hoi. For the latter wet from two to four thicknesses of cotton, 22 THE SECRET OF HEALTH. or linen, in the water or decoction selected, heated according to the case, and cover with three to six thicknesses of dry flannel, projecting on all sides three inches beyond the wet, and bind firmly in place. If continuous heat is required, change the wet cloth frequently without removing the dry, by lifting the dry and slipping the wet under it as hot as can be borne. In congestions the moisture is absorbed through the capillary walls detaching the adhering corpuscles and unclogging the blood vessels. Vapor Baths.-110° to 140°. The famous Russian bath is vapor. The early Thomsonian method was to seat the patient, naked, in a chair set on slats across the top of a tub of hot water, into which hot bricks, or stones, were put. Blankets enveloped the patient. Another method is to generate the heat by putting an alcohol lamp under a chair, suspending a basin of hot water over the lamp, and have the patient sit on the chair with blankets tent-like about both. This is the hydro-alcoholic bath. Another way is for the patient to sit in a box, or cabinet, and have the vapor conducted in from outside. Still another is for the patient to lie in bed with the clothes raised by supporting half hoops and have the vapor conducted under the bed clothes, or a vessel of steaming hot water put in. Another is to surround the patient in bed with several hot bricks wrapped in cloths and pour vinegar or alcohol on them. However they may be taken, vapor baths should not be continued many minutes after the face perspires freely. They are far more penetrating and powerful than sponge baths, securing a full outward flow of blood, breaking up internal congestions, and stimulating the entire surface. In scarlatina, measles, smallpox, erysipelas, hydrophobia, chronic skin affections, colds, rheumatism, ague, flooding, acute dysentery, lockjaw, dropsy, chronic abscesses, etc., they are invaluable. The bowels should be first emptied by a full injection of hot water, or the contents may be absorbed and carried through the system toward the BATHS. 23 The vapor bath should not be risked in conditions of decided prostration, in heart troubles or diseases of the large blood vessels, or in internal mortification. Persons of very delicate nervous organization are liable to faint in it because of the sudden flow of blood from the brain to the surface, and they may feel prostrated for days by it. » The Turkish is a hot-air bath, followed by sundry washings and manipulations, which render it sometimes of great value, but the custom of treating all patients alike causes frequent injurious results. The Franklin Bath consists in exposure of the whole body naked to the air. It should be attended with general hand-friction of the skin, not long enough to produce general chilliness, and repeated with sufficient frequency to have the system welcome it as a luxury. General Bules for Bathing.- Those suffering from heart disease, faint spells, or congestion of the brain, should never bathe in the surf. Full baths of any kind should not be taken within one hour before a meal; within two hours after a meal; when much fatigued, or otherwise exhausted; when the body is cooling after perspiration; when cold from previous exposure (except the warm bath). The ears should be protected with light cotton plugs, in surf-bathing. Should lassitude result from surf-bathing, or persistent chilliness, or numbness, discontinue it and rest, also take a strong cup of coffee, but do not try to " walk it off," as that will exhaust still more. Contrary to general opinion, the feet should be first wet. In all baths, heavy shocks should be avoided. The bath should be adapted to the person. If a cold bath is recom- mended for a certain condition, and the patient is used to warm baths only, begin with a tepid, gradually reduce to cool, then to cold. The abuse of water by enthusiastic believers in its virtues, is as much to be guarded against as its proper use is to be encouraged. 24 THE SECRET OF HEALTH. Women should take only such baths during the last two months of pregnancy, or while menstruating, as are appro- priate to their condition. The rule not to bathe within two hours after a meal, is of the utmost importance, as many cases of fatal "cramp" are due to the plunge into cold water when the stomach contains much food. A patient suffering from dry asthma with cold perspiration during the paroxysm, would be injured by a tepid bath. In excessive urination with a dry skin, a tepid sponge, or vapor, bath, will diminish the flow. On the other hand, a cool bath, when the skin is moist, especially with an astringent added, will increase the discharge from the kidneys when that is deficient (Cook). Persons who have reached the decline of life, whether at fifty or seventy years of age, should avoid chills from what- ever baths they allow. 8. CLOTHING. The Use of Clothes.-The natural demand for cloth- ing is for sanitary reasons. Moral reasons exist, but they grow largely from custom. As all bodies radiate, or absorb, heat according as they are surrounded by a medium of lower or higher temperature than themselves, therefore, in a variable climate, clothing becomes a matter of grave importance. In summer, clothing that will rapidly conduct the heat away; and in winter, that which will retain it best, seems most desirable. But moisture from the surface of the skin plays an important part in the conduc- tive capacity of different articles of clothing. Thus cotton and linen are rapid conductors of heat, and are made much more so when moist or wet. Flannel, on the other hand, is a poor conductor either moist or dry. Therefore, flannel is the preferable clothing for winter use. Experience shows, also, that in the greatest heats of summer it is superior to either cotton or linen for those who are exposed to the direct rays of SLEEP. 25 the sun, because its poor conductivity protects its wearer from the intensity of the sun-heat. The expensiveness of wool is often a serious objection against its use, but this can be obviated to a considerable extent by keeping layers of warm air between the skin and the outer cold. Wear the thinnest kind of all-wool garment fitting very loosely next the skin, and over that one of coarse cheaper wool, also fitting loosely. There will thus be, first a layer of air next the skin, another between the under-wool, and the upper-wool undergarments, and still others between that and the outer articles of apparel. The Color of outside clothing is also of great importance, light absorbing less heat from the sun's rays than dark. For instance, white cotton shirting absorbs 100 heat-units, light sulphur yellow 103, dark yellow 140, light green 155, turkey red 165, dark green 168, light blue 198, black takes in 208. As Disease Germs are much more readily absorbed by woolen clothing than by cotton and linen, loctors, nurses, and others who come in contact with infectious diseases, should wear linen and cotton clothing in preference to woolen, as far as other considerations will allow. But silk would be preferable to either for their undergarments. The Fit.-While clothing should be made to fit properly, any article that restrains muscular movements, obstructs the circulation, or compresses the organs, should be condemned. Dyed Clothing should be worn with caution, as the materials used for coloring purposes are often poisonous. Clothing can easily be made non-inflammable by soaking in a solution (of three ounces) of four parts borax and three parts Epsom salts dissolved in ten to twelve ounces of water. (Wood.) Garments for outdoor wear should be warmed before wearing unless kept in a warm room. 9. SLEEP. The Brain, the fountain head of all nervous energy by which we think, and do, and live, never recuperates except 26 THE SECRET OF HEALTH. in sleep. Hence it is that so much time is allotted by Nature to this function of our organism. Other functions, such as eating, walking, and speaking, are subject to very great and long continued modifications, but sleep, with comparatively slight variations, is imperative, because of the necessity for brain-recuperation. Time for Sleeping.-Ten hours until puberty is estab- lished, nine hours from that period until physical growth is complete, and eight hours sleep for mature life, are the average demands of nature. He who ignores this law, does it at his peril. Nature never forgets. She may seem to disregard for a time, but every habitual violation is written in her book, and will, as certainly, be visited with penalty, as life furnishes the opportunity. To Secure Good Sleep, the following conditions must be observed: The bed should be not so hard as to " make the bones ache," nor so soft as to unduly heat the body. The bedclothes should be light and warm, and always in cool and cold weather comprise an extra to be laid across the feet and drawn up in the night when the natural sinking of the body-heat calls for an extra covering. All persons should sleep alone, if practicable. Invalids and healthy people should never sleep in the same bed, nor invalids and children, nor aged people and children. Hearty meals should not be eaten just before retiring, but it is better to eat a little bread, or even drink a cup of weak black tea, than to feel the gnawings of hunger in bed. The brain should not be worked hard within one or two hours in health, and two to five hours in illness with brain pressure, before retiring. Sleep that is disturbed by uneasy tossings may become tranquil by giving the covering a hearty shake, lifting the night clothes to the armpits and giving the body a hasty hand- rub in the cool air, and lying down in a different position from the last. SLEEP. 27 Never retire with cold feet, but, instead of resorting to the debilitating hot brick, or water bottle, plunge the feet for an instant into cold water and jump into bed without drying them, and they will soon glow. But if the person is too feeble for reaction to take place thus, then give the cold plunge and dry with a flesh brush, or coarse towel, and, if necessary, rub or whip them into warmth. The night clothes should hang entirely free from the shoulder and be some inches longer than the limbs, so as to envelop the feet. Ventilation should be perfect. But should it be possible to provide adequate ventilation only by exposing the bed to a current of air, protect the bed by a screen, or curtain, between that and the ventilator. The more the nerve force is drained, the more sleep is required. Hence, brain work needs more than manual labor. Those who use alcoholic stimulants require more than abstainers. Large eaters need more than small eaters. Preg- nant and nursing women should have more than others. Rapidly-growing children can scarcely get too much sleep. 10. REST AND RECREATION. Why Needed.-The great American nation has become nervous, dyspeptic, sexually weak, and physically degenerated, largely by the untamed spirit of drive and conquest, which is the product of its environment and history. Three more generations of retrogression, and, as a people, we shall be the scorn of the civilized world. It is time to halt; and the first reformation should be on the high ground of rest. Greed must check his speed, ambition must take time to breathe, competition must ease up for a holiday. Commodore Vanderbilt, with all his immense finan- cial interests, set an example in this respect worth following. He would never allow work, however pressing, to keep him busy after 2 p.m. ; then rest and recreation the rest of the day. "But with his means he could well afford to rest," objects the 28 THE SECRET OF HEALTH. worker. No, with his means he could not afford to do other- wise ! And he was wise enough to see it. The Incessant Grind of the busy brain needs a let-up; and it will have it, or the impinging fibers will grind each other away. This is the very point that we are deploring. The damage to the brain-fiber is reporting itself in the nerves, stomach, manhood power, and physical stature and strength of the younger generation. More holidays, and half-holidays, a sacred rest-hour in the hum of the day, business locked into the mill, bank, counting-room, office, store, or shop, when it is closed for the day, instead of being welcomed at the home fireside and transformed into a hideous nightmare in the sleep-hours! Rest, rest, rest, is what we need. Vacations all through the year. Let up, hold up. Stop! is the imperative of an imperiled race, or neurasthenia with all its untold horrors will be the distinguishing characteristic of our land. Reform in Schools.-But the mandate will never be heeded until the example is set in our public schools. Stuff, cram, force, is the very spirit of school boards and teachers' institutes, until the young brain takes on its habitual type of high pressure, which will be maintained later on in the busi- ness of life until the machine crashes and the untimely end is reached. None the less imperative is Nature's call for rest. The Habit of Semi-Sleep rest should be cultivated. Sit easily in an easy chair, hands folded on lap, chin fallen upon chest, eyes closed, and breathe slowly way down to the pelvis bone, minute after minute, and soon (thinking only of the deep breathing) the whole organism will sleep, conscious- ness only being half dreamily alert. This rest-faculty ought to be cultivated, especially by all nervous people and brain workers. Rest One Day in Seven, is a law of Nature, as well as the commandment of God. The observation of Sir Robert EXERCISE. 29 Peel, that no man can work seven days in the week without prematurely breaking down, has been abundantly demon- strated in many ways. 11. EXERCISE. The Muscles and their Uses.-There are nearly 500 muscles in the body, and the life of every one is dependent upon exercise. One huildred and forty-seven are used in every deep inspiration with forcible expulsion of the air. In ill health muscles always loss their power to a greater, or less, extent. In most cases, to restore the muscular vigor is to cure the disease. But to do this, appropriate exercise must be had. To continue to exercise parts already overworked but increases the general evil. Yet, after twenty-five years of age, prescribed special exercises seem drudgery, unless they have a strong pleasure element, or are intimately linked with the common utilities of life. General Principles.-Before describing exercises upon which we shall rely as a special treatment for disease, some general principles should be strongly insisted upon, the viola- tion of any one of which will throw the responsibility of failure, if it should occur, upon the patient. (These exercises are, in part, selected from Taylor, Emerson, Nissan, Blakie, Foster and Checkley). 1. Take them very slowly, unless otherwise directed. 2. Rest as long before repeating any movement as the movement consumed. 3. Graduate the force of the movement to the existing strength of the patient. 4. Always with free ventilation ; better in the open air. 5. Always in light, loose clothing, or none at all. 6. Always with the help of abundant sleep. 7. Always with clean skin and open bowels. 8. Always with an extra quantity of pure, soft water, drank cold or hot. 9. Always in as cheerful frame of mind as possible. 30 THE SECRET OF HEALTH. 10. Always with the help of one to three sun-baths a week. 11. Always with some purpose sufficiently commanding to secure persistence. " It is the continuance that gives value." 12. Always with the utmost power of the exercise put forth in the middle of it. 13. Always with sufficient regularity to institute a phys- iological habit. 14. Always with a due regard not only to what should, but also to what should not be done. 15. Seldom, or never, immediately after a full meal. 16. Never when too much hurried to be mentally restful in the use of that particular period of time. 17. Never when greatly fatigued. 18. Never with the use of narcotics, if it can be avoided. 19. Never to the extent of inducing fatigue that cannot be relieved by an hour's rest. 20. Never with jerks and rapid movements, unless the last are directed. "Jerks are a sign of weakness." 1. Correct Standing.-Feet firmly planted, toes turned out, body erect so that a perpendicular line from the toes would touch chest, chin and lips, arms hanging loosely. 2. Neck Exercise.-Erect. Throw head back so as to see as far over back as possible, then slowly rotate the head so as to see as far back as possible in all directions; body must not turn. Twice and reverse four to six times. 3. Proper Breathing. - Correct standing position, slowly draw in the breath so as to produce the utmost expansion of the short ribs, and protrusion of the upper abdomen. 4. Hand Exercise. - Squeeze a rubber or yarn ball slowly and forcibly five to twelve times with each hand, then four to eight times with both hands. 5. Wrist Exercise.-Elbows close to sides, forearms held horizon- tally in front, palms up; then bend the wrist so as to bring the ends of the fingers as near the arm as possible. Then bend the hand as far backward as possible. Each movement ten to twenty times with each hand. 6. Forearm Exercise.-Lift a weight suspended from a stick held in the hand; or, put the further end of the stick under a bed, sofa, or shelf, and lift against it. Repeat ten to twenty times. EXERCISE. 31 7. Upper Arm Exercise.-(Biceps.) Standing correctly, lungs fully inflated, attempt to lift the left hand to the shoulder while the right rests on it and resists. Repeat ten to twenty times. Reverse and repeat. (Triceps). Stand facing a wall, two feet from it. Now place hands on a level with the ears, three feet apart, against the wall. Hold back the head and slowly drop the body in until the chest nearly touches the wall. Then push it back by the arms. Three to fifteen times once a day. 8. Shoulder Exercise. - a. Stand correctly, hold weight in one hand, arms extended horizontally, and elbows not bent; slowly carry weight to front of the opposite shoulder, then around back of the working shoulder and return. Slowly drop to the side, and take weight in other hand and do likewise. Repeat two to ten times, according to size of weight. After a time both arms can be used together, with a weight in both hands. b. Stand. Lungs inflated and breath held; revolve the arm like the spoke of a wheel, the shoulder being the hub, carrying it backward as far as possible. Two revolutions. Exhale. Other arm same. Then both arms together, same. Then reverse the direction of the revolutions, and proceed as before. «. Stand erect, closed fists at shoulders. Strike forward as far as possible, with one hand, then with the other. Five to ten times each. When strong, strike with both together, straight from shoulder. 9. Chest Exercise.-Depth. Nail a hand-slat across the end of a ten- or twelve-foot board, the slat projecting a foot each side. Lay the board across a pole so that the further end of the board on the ground, the hand end will stand a foot above the head. Weight the ground end. Now stand a foot or eighteen inches from the handles, grasp them with both hands, fill chest to utmost , and hold it in while forcing the handles down to the waist, the legs kept straight. Repeat the "teter" motion ten to seventy times. Breadth.-(a.) Stand correctly, thick of hands on sides, fingers point- ing forward. Contract ribs so as to bring hands as close together as possible. Now send them as far apart as possible by muscular effort. Repeat six to fifteen times. b. Stand correctly, extend arms and lock thumbs down in front. Inhale. Raise arms, holding breath, as high as can be done with- out bending; slowly return the arms and exhale together. c. Stand correctly. Inhale and hold. Lift elbows to a level with shoulders, hands on same level in front of chest, elbows bent, then strike out with both hands, until they are in line with the 32 THE SECRET OF HEALTH. shoulders, and return. Exhale, drop. Repeat eight to twelve times. „ J,. Stand the length of the arm and hand from and facing a corner; extend the arms sideways on a level with the shoulder and press against each wall. Now slowly fall forward (feet not moving) until the nose touches the corner. Inhale and press back to the upright position by the unmoved hands. Repeat three times. Apex-fulness.-Stand with head four to six inches back, face upward, lungs inflated, arms wing-way; carry weight from one shoulder around to the other and back, then from the horizontal up and down to eighteen inches. Each arm six times. 10. Back Exercise.-(a.) Standing, heels nearly touching, toes out nearly at a right angle, stretch upward arms extended, then sweep down in a curve, bending every joint but the knees in the effort to touch the floor. Rise slowly. Then, finger tips on chest, carry head backward and down until the front neck is stretched, then bend the knees and allow the body to go down as far as possible without bending the back, then slowly rise. Repeat three times. b. Between two chairs rest one elbow on each, and heels on floor, body rigid, face up, hold there a minute. Repeat three times. 11. Side Exercise.- a. Sit upright, left hand against left side, right hand upright against the head. Carry head and arm as far over toward the left hand as possible without raising right hip from seat. Return slowly. Repeat three to live times with eacli hand. If stronger exercise is desired, carry weight in upright hand. b. Hop straight ahead first on one foot, then on the other. Begin moderately, and go a little further each day. 9« Standing, right arm bent gracefully over the head, the left hanging loosely. Throw weight upon the foot under the raised arm, carry- ing the other foot out sideways as you bend far in the direction of the free foot, holding the head up toward the raised arm. Repeat one to three times each side. Return slowly. 12. Loin Exercise.-a. Stand. Stoop forward, and with both hands pull steadily for one minute on something fixed to the floor. Rest. Now pull with one hand while the object is oblique from your front, then rest and pull with the other hand in similar position. Once or twice a day, three to six pulls with each hand. b. Sitting, feet spread far apart, arms upright nearly against head, fall slowly over, the body upon one knee. Rise slowly and fall on the other knee. Repeat five or six times eacli way. The sitting position must be held. Weights can be used in the hands. 13. Abdomen Exercise.-(a.) Sitting, legs extended, hands on head, bend forward far as possible and return slowly. Repeat five to eight times. EXERCISE. 33 b. Lying with legs projecting from the couch and falling to the floor, hands over head, slowly raise the legs to a perpendicular, hold one or two minutes, and slowly return them. Repeat four to six times. c. Lying. Arms crossed under chin. Raise trunk on elbows and toes and hold a minute or more; return. d. Same as c, only instead of holding on elbows and toes, horizontally, the hips rise as far as possible, and there hold, making an arch. e. Sit on bed, legs off, body and thighs at right angles, fingers grasp- ing loins. Now faM backward, bringing thighs up, hip joints rigid; as soon as your back touches the bed, spring up from the shoulders to first position, and so rock back and forth twenty to sixty times, A mother can hold her babe as a weight against her chest. /. Stand two or more feet from a wall, place hands against it as high as shoulders, throw chest forward as far as possible. g. Lying on floor, heels against thighs, hands clasped on top head, slowly raise hips as high as possible, resting on feet and shoulders, and hold a few seconds. Down slowly; rest; repeat two to six times. Breathe five times deeply in each time of rest. h. Draw abdomen in and out without breathing. 14. Thigh Exercise.-Front.-Stand feet six inches apart, head and chest high. Now drop by bending the knees, then slowly rise. Repeat five to ten times. The severity of the exercise will be graded by the distance dropped. Back.- (a.) Stand against the wall and press the heel backward hard against the baseboard many times. b. Stand erect, and without motion at the hip, kick up backward, bending the knee only. Twenty to fifty times for each leg. c. Kneel on cushion, feet under a sofa, hands on hips and pitch slowly forward until the head has moved fifteen to twenty inches. Repeat three to six times. 15. Calf Exercise.-(«.) Stand three feet from and facing a wall one foot resting against it, heel close up and with ankle sharply bent, and hands on loins. Now spring that knee forward and hold it with calf strained a moment. Ease off slowly. Repeat five to ten times for each foot. b. Stand and rise and fall on the toes of each foot, alternately, ten to twenty times or run on tiptoe. Breathe long, deep and steady; lips closed. 16. Shin Exercise.-(a.) Walk on the heels with the toes held high, one to four times around the room. b. Lay any weight on the foot and lift it from the floor five to ten times for each foot. 34 TIIE SECRET OF HEALTH. c. Stand and stoop as far forward as possible three to seven times without lifting the heels. 17. Ankle Exercise.-(a.) Walk on tiptoe. b. Stand with upper part of one foot resting upon a chair placed back of you. Now press down with the hand on that heel firmly, and when the ankle is well bent, ease up and let it return against some pressure. Repeat each foot six or eight times. c. Sit with legs across an extra chair, and feet together. Turn the feet to one side slowly as far as possible. Hold a moment and slowly reverse. Repeat ten or twelve times. 18. Foot Exercise.-(a.) Stand on a stool on one leg with one hand against a wall, the other on the loins. Now swing the free leg as far forward and backward as possible fifteen to twenty times. Then the other. b. Sit with one ankle across the other knee, with a thin-soled slipper on the raised foot. Now take, a stick fifteen inches long and one- half of an inch thick, and strike thirty or forty light blows on the sole. Then treat the other foot. 19. Visceral Exercise.-(a.) Creep several times around a good-sized room before dressing in the morning, and after undressing at night, on all fours. b. Standing, thick of hands on hips, thumbs forward and downwards, move hips a little forward and hold them there all through. Now bend the body (above the hips) forward, head falling, and slowly move head and body around to the right side, then back to front, left, back to front, then entirely around forming a circle. c. Stand with head, shoulders and spine strong. Lift forearms to a horizontal position out in front, the upper arms hanging easily from the shoulders, and the hands from the wrists. Now swing the forearms rapidly up and down with great energy without moving the body. Then whirl them in a circle one way, and reverse. One to two minutes once a day. 20. Poise Exercise.-Stand correctly, hands resting lightly on the opposite shoulder. Now, chest leading, poise the body as far for- ward as possible, then backward, keeping the chest in the same leading position and return. Now take the weight on the ball of the right foot, heel gently touching the floor, and swing the left foot in a circle around the right and back, and finally holding it behind the right, poise the body around the same as on both feet at the beginning. Transfer weight to the other foot and repeat. 21. Walking Exercise.-Correct standing position, tips of fingers resting lightly on shoulders, weight on one foot, slowly send its hip out at the side as far as possible, holding chest steady and EXERCISE. 35 shoulders level. Now the head is below its normal height. With- out rising glide the weight obliquely to the other foot by bending the knee of the weighted foot and straightening the free knee, at the same time sending its hips out sideways. Repeat and return. 22. Whole System Exercises.-Take exercises No. 10 a; also 11, a; 12 b: 13 e; 14; front. 23. Tranquilizing.- Sitting, legs far apart, hands on head. Body twists as far as it can with moderate rapidity one way, then the other. Repeat fifteen to twenty times. 24. For Capillary Circulation.-Stand, legs spread, hands reach- ing high, every muscle from fingers to toes stretched upward one minute. Repeat four to ten times. When to Use These Exercises.-It may sometimes be desirable to incorporate these movements into the ordinary duties of life. While this is not preferable, on account of liability to overdo, and lack of intervening rests, yet for necessary cases the following suggestions are made: I. When holding a standing conversation, or waiting. 2 and 3. At any leisure moment, sitting or standing. 4. Whenever anything soft and squeezable is in the hand. 5. Playing with the baby, or waiting. 6. Whenever a suitable stick is found in the hand. 7. Whenever carrying light weights from place to place, one hand only in use (Triceps). Whenever passing empty- handed through a door. Use the casings as a wall. 8. a. In carrying weights; b and c, in going from place to place. 9. (Depth). Playing with children. A child as weight. (Breadth), a. In dressing and undressing; b and c, whenever resting a moment from sewing or writing; d, when looking for anything in a good corner. 10. a. To pick up a pin; b, when amusing children and young people. II. a. When sitting anywhere; b, in going short dis- tances. 12. a. When standing by the stove, or any heavy object; b, sitting waiting. 36 THE SECRET OF HEALTH. 13. b. On getting out of bed; c and d, while lying in bed; e, getting up; f, wherever a wall, or tree, is found; h, anytime and anywhere. 14. (Front). When carrying the baby; (Back) a, when standing anywhere against a wall; b, amusing the children. 15. a. Anywhere, standing facing a wall, or large stone; b, standing talking, or going from place to place. 16. a. Walking a short distance; b, carry coal hod on toes; c, anywhere. 17. a and b. Going upstairs ; c, reading newspapers and fiction. 18. a. When standing on a balcony; b, while dressing. 19. a. To amuse the children, or up and down stairs; c, when not knowing what else to do. 20. While standing. 21. Watching the cooking, waiting for carriage, etc. 23. When sitting anywhere. 24. After sitting. Nearly all these exercises can be adapted to the feeble by the attendant becoming the point of support, or in cases of the very feeble, he can, on the same principles, give passive exer- cise, firmly and moderately forcing the desired muscular movements. Bicycle Exercise.-Next to a systematic use of the foregoing exercises, bicycle riding is, perhaps, the most desirable within the reach of ordinary invalids. For them the pneumatic tire is specially desirable. The rider should sit naturally, chest out, head up, and be very careful that his saddle be so soft and springy, or his person so padded that irritation of the genital organs, does not result. Enough can- not be said in condemnation of the racing posture in riding. It contracts the chest, crooks the spine, irritates the prostate, and ages men years before their time. With these qualifica- tions, the bicycle is commended especially for two reasons- (1) It concentrates the mind on what is being done, and (2, demands the exercise of thoughtful skill which diverts the HABITS. 37 thoughts from self and all morbid channels, and thus induces mental recuperation. 12. HABITS. By habits is meant any customary indulgence that depletes the vitality of the individual. The Drink Habit.-The testimony of Hon. Chauncey Depew is important as a practical summary of the case from the standpoint of actual examples: "Twenty-five years ago I knew every man, woman and child in Peekskill. And it has been a study with me to mark boys who started in every grade of life with myself, to see what has become of them. I was up last fall and began to count them over, and it was an instruc- tive exhibit. Some of them became clerks, merchants, manufacturers, lawyers, and doctors. It is remarkable that every one of those that drank are dead; not one living of my age. Barring a few who were taken olf by sickness, every one who proved a wreck and wrecked his family, did it from rum, and no other cause. Of those who were church-going people, who were steady, industrious, hard-working men, who were frugal and thrifty, every single one of them, without an exception, owns the house in which he lives, and has something laid by, the interest on which, with his house, would carry him through many a rainy day." The following facts concerning both moderate and exces- sive drinking are conclusive. Dr. N. S. Davis, before the Chicago Medical Society, said: " All excesses and irregularities in eating, or drinking, are injuri- ous, as also are excessive and exhausting mental and physical work. And still more injurious is the use of any unnatural drinks, which, like those containing alcohol, directly interfere with the function of the haemoglobin of the blood and diminish the activity of both the leucocytes and tissue cells, and thereby greatly impair the resisting power of the whole system. Abundant experience has shown that an alley filled with decayed garbage does not more certainly invite cholera germs in the neighborhood than does the use of alcoholic drinks invite them to the tissues of the individuals who use such drinks." Dr. G. Lowther truly wrote in The Voice (See Sept. 22, 1892): TWe places where intoxicating liquors are sold have proved to be generators and conductors of cholera. Not only so, but the users of alcohol are the most ready victims of 1he disease. This is accounted for by the fact that, by its use, the digestion is deranged, the blood 38 THE SECRET OF HEALTH. vitiated, the nerves unstrung, and further, that the presence of alcohol in the system renders it more susceptible to infection. But, account for the facts as we may, here are the testimonies of physicians, and others, during the scourges of 1832 and I860: Dr. French, a medical health officer in Liverpool, says: "The out- break of cholera in July, 1866, in that city, was in a house where a woman died of another disease. They kept the body for three days, during a drunken debauch, in a crowded room, filled with the fumes of tobacco and alcohol. This revel was called 'a wake.' One week from that time forty-eight persons had died from cholera within a radius of 150 yards from that place." During the epidemic of 1832, Dr. Bronson said: "In Montreal, 1,000 persons have died of cholera, only two of whom were teetotalers." A Montreal paper said: "Not a drunkard who has been attacked has recovered from the disease, and almost ail the victims have been at least moderate drinkers." In Albany, N. Y., the same year, cholera carried off 366 persons above sixteen years of age, all but four of whom belonged to the drinking classes. Packer, Prentice & Co., large furriers in Albany, employed 400 persons, none of whom used ardent spirits, and there were only two cases of cholera among them. Mr. Delevan, a contractor, said: "I was engaged, at the time, in erecting a large block of build- ings. The laborers were much alarmed, and were on the point of abandoning the work. They were advised to stay and give up strong drink. They all remained, and all quit the use of strong drink except one, and he fell a victim to the disease." He says also: "I had a gang of diggers in a clay bank, to whom the same proposition was made; they all agreed to it, and not one died. On the opposite side of the same clay bank were other diggers who continued their regular rations of whisky, and one-third of them died." In New York city there were 204 cases in the park, only six of whom were temperate, and these recovered, while 122 of the others died. In many parts of the city the saloon-keepers saw and acknowledged the terrible connection between their business and the spread of the dis- ease, and, becoming alarmed for their own safety, shut up their saloons and lied, saying: "The way from the saloon to hell is too short." In Washington the board of health was so impressed with the terrible facts that they declared the grog shops nuisances, ordered them closed, and they remained closed for three months. A prominent physician of Glasgow reported: "Only 19 per cent, of the temperate perished, while 91 2-10 of the intemperate died." One extensive liquor dealer of Glasgow said: "Cholera has carried off half of my cus- tomers." In Warsaw 90 per cent, of those who died from cholera were HABITS. 39 wine drinkers. At Tifels, Prussia, a town of 20,000 inhabitants, every drunkard died of cholera. Sir William Roberts states as the result of actual experi- ments that proof spirit, brandy, whiskey, or gin, in food pro- duced these effects upon digestion: Thirty per cent, retards digestion eighty minutes beyond the natural time ; 40 per cent, retards digestion 200 minutes beyond, and 50 per cent, per- mitted almost no digestion. In harmony with the foregoing, is the probability of life, as based on statistics of beneficiary societies : At 20 44.2 years, if temperate At 30 36.5 " « " At 40 28.8 " " " At 50 21.25 " " " At 60 14.28 " " •* At 20 15.6 years, if intemperate At 30 13.8 " " " At 40 11.6 " " •• At 50 10.8 " " " At 60 '. 8.9 " " " The Opium and Chloral habits are universally and justly condemned. The Tobacco Habit is of such general tolerance that its merits should be considered. In favor of it, it is claimed that inveterate tobacco users sometimes live to a great age, therefore, it cannot be harmful. Mr. Samuel Jesoup died May 17, 1817, at Heckington, Eng., at the age of sixty-five years. Yet it is in legal evidence in the Lincoln Assizes that from 1794 to 1810, sixteen years, lie swallowed 84,584 pills- fourteen and one-half every day - of the old - fashioned alopathic make; that from 1811 and in 1815 he took sixty-two pills a day, and in 1814, 141 each day. Besides these, he took "juleps and electuaries, and 40,000 bottles of mixtures set out in fifty-five closely-written columns of apothecaries bills." Yet he lived to be sixty-five. As well claim that those carloads of drugs were not harm- ful to him. The reasonable inference is that a constitution that could resist all that so many years might have endured the assaults of time without that for at least a hundred years. Medical authority and general indulgence are also urged 40 THE SECRET OF HEALTH. as justifying the use of tobacco. But these weigh nothing against the facts to which attention is now called. Eighteen years ago the author published a book, in which the following propositions were maintained : 1. By the operation of the chemical ami physiological laws involved in the use of tobacco, its invariable tendency is to induce disease in a healthy organism. 2. That the tobacco habit tends directly to induce other habits of an injurious character. 3. The tobacco indulgence transmits to posterity diseased condi- tions and perverted tendencies. 4. It strengthens selfishness and demoralizes the mind. Neither the facts nor logic of that treatise have ever been overthrown. The propositions stand impregnable. In con- firmation, some more recent facts may be cited: From the records of the senior class of Yale students for eight years, it has been found that non-smokers were 20 per cent, taller, 25 per cent, heavier, and had 62 per cent, more lung capacity than smokers. In the Amherst graduating class of 1891, non- smokers were 37 per cent, taller, 24 per cent, heavier, 42 per cent, larger chest girth, and average lung capacity of 8.36 cubic inches (equal to more than one-fourth of an ordinary inspiration) than the smokers. (Dr. John Ellis). Let common sense say whether an article that thus dwarfs the body can fail equally to affect the mind. Says Prof. Paul Paquin from the standpoint of science, purely: "One marked result of its use is the semi-intoxication of the nerve- cells, thereby rendering the brain slow, the mind cloudy, and deranging the whole governing power of the organism to a degree incompatible with the regularity and accuracy which should characterize the respective duties of the various organs." The Supreme Passions of Man, p. 109, the very latest and highest authority, Roh6, says: "The depressing effects of tobacco, due principally to the nicotine upon the nervous and digestive systems, have long been recognized. Recently, however, it has been found that very serious symptoms are produced upon the sense of vision by the constant or excessive use of tobacco. A special form of amaurosis, termed tobacco amaurosis, has been fre- quently noticed." The great Lord Wolseley said*: "I did not smoke for a week before Tel-el-Kebir was won, and as I wanted every iota THE ABUSE OE DRUGS. 41 of nerve before I went up to take Khartoum, I gave it up then." That which robs a man of " nerve," ought to be given up. Much could be added on moral and hygienic grounds against this disgusting habit. 13. THE ABUSE OF DRUGS. Drug Dosing may legitimately be classed among the unsanitary habits of civilized people. It is stated that the people of Great Britain swallow 5,500,000 pills daily, equal to 178 tons, which would fill thirty-six freight cars. The Boston Globe says that there are 5,000 patent medicines of American make on the market, of which one in eight is thought to have some real value. The sales exceed $22,000,000 h year in the United States; seven-eighths of this vast sum are a thousand times worse than thrown away, for any drug that is of no real value, is a positive detriment. In France the sale of proprietory medicines is only allowed after the formulae have been given to the Academy of Medicine. In Germany the sale is strictly prohibited, unless the formula is on the bottle. Even thus, in three years, sixty-one com- pounds were officially denounced. But in the United States any man can throw any compound upon the public, and the more astound ingly he can falsify, the more rapid will be his sales. Some proprietary articles are valuable, but they are few. Cosmetics and Skin Ointments and Lotions are particularly dangerous, because of the poisons that they con- tain. Ranke found mercury in the liver, glands of the abdo- men, brain, spinal cord, some of the nerve extremities, spleen, heart, and many of the muscles of the trunk, in a case where sublimate inunctions had been made several months before. Physiologists affirm that there are 2,500 square inches of skin upon the body, each with 417 to 2,800 pores, and that through all the 2,500,000 pores in the skin, thirty ounces of what we eat and drink pass off every day. With like facility these pores carry into the blood matters lodged upon the skin ; hence, mercury will salivate ; potassium-tartrate of antimony 42 THE SECRET OF HEALTH. will vomit; arsenic and lead will poison; iodine will stimulate the glands; turpentine will appear in the urine, if but rubbed upon the skin. Mercurial and arsenical salts constitute the potency of most skin preparations. Prof. Chandler's analyses of fifteen popular hair restorers showed an average of 5.25 grains of lead in every fluid ounce. Physicians, Themselves, many among the most emi- nent, have become profoundly disgusted with drug-dosing. Here is the honest declaration of old Dr. Kush, of Philadelphia: " I am Hebe Incessantly led to make an apology for the instability of the theories and practice of physic; and those physicians generally become the most eminent who have the soonest emancipated them- selves from the tyranny of the schools of physic. Dissections daily convince us of our ignorance of disease, and cause us to blush at our prescriptions. What mischief have we done under the belief of false facts and wrong theories? We have assisted in multiplying disease; we have done more, we have increased their mortality. I will not pause to beg pardon of the faculty for acknowledging, in this public manner, the weakness of our profession. I am pursuing truth, and am indifferent whither I am led, if she only is my leader." Said the celebrated Dr. Abercrombie : "Since first cultivated as a science, medicine is fraught with the highest degree ot uncertainty. We cannot properly be said to act upon experience, as we do in other branches of science." Sir Ashley Cooper, the famous surgeon, in a lecture before the students of Guy's hospital, said: "The art of medicine is founded on conjectures, and improved by murder." Dr. Hoffman, the celebrated physician of the last century, wrote: "As regards most medicines, the physician is deceived, as their true properties are quite unknown, and we know of no general law of Nature for their remedial employment in disease." The world-famed Dr. Hufeland made this remarkable statement in his published works: "Man has two great enemies to fight-sickness and the doctor ! " Prof. John Hughes Bennett, of tlie Edinburg University, says: "AU those who have acquainted themselves with what is known of the structure and composition of the tissues, the laws of nutrition, and the pathological changes which occur in organs during disease, must feel astonished at the unfounded assumptions, want of evidence, and even unreasonableness, which characterize writings on the action of medicines." THE ABUSE OF DRUGS. 43 Said Sir John Forbes, after fifty years' practice of the current sys- tem of medicine: " Our estimate of this kind of treatment must be entirely of a damnatory character, the slight amount of good ever derived from it being counterbalanced by a huge sum of evil." It may be objected that these confessions were made in an age of less scientific knowledge. Granted. But has the advance in science materially changed the main fact con- fessed? Here follow some of our own day: Dr. Bickat says on Page 114, of Popular Science Monthly of Novem- ber, 1883: " To what errors have not mankind been led in the employ- ment of medicines ? It is not a science at all, it is a shapeless collec- tion of inaccurate ideas." Dr. Schrodt: The entire system of therapeutics is founded upon an erroneous conception of disease. Dr. Magendie: I hesitate not to declare, no matter how sorely I shall wound our vanity, that so gross is our ignorance of the real nature of the physiological disorders called diseases, that it would, perhaps, be better to do nothing, and resign the complaint (we are called upon to treat) to the resources of nature, than to act, as we are so often compelled to do, without knowing the why and the wherefore of our conduct, and at the obvious risk of hastening the end of the patient. Dr. Jules Vires: Our system of therapeutics is so shaky, that the soundness of the basis itself must be suspected. Dr. Boek: Twenty-five years' experience at the sick-bed and the dissecting table, in the nursery and on the battlefield, has convinced me that, with rare exceptions, the disorders of the human body, which have been treated after such an infinite variety of drug systems, can be as well cured without any drug at all. Dr. Francis Cogswell: I wish not to detract from the exalted pro- fession to which I have the honor to belong, and which includes many of my warmest and most valued friends; yet it cannot answer to my conscience to withhold the acknowledgment of my firm belief, that the medical profession (with its prevailing mode of practice) is pro- ductive of vastly more evil than good; and were it absolutely abolished, mankind would be infinitely the gainer." John Mason Good, M. D., author of " Study of Medicine," etc.: The science of medicine is a barbarous jargon, and the effects of our medi- cines on the human system is, in the highest degree, uncertain, except, indeed, that they have destroyed more lives than war, pestilence and famine combined. The great Prof. Wunderlich wrote in 1852: "Instead of investiga- tion, we find empiricism; instead of facts, we have theories; instead of 44 THE SECRET OF HEALTH. correct conclusions, dogmatic rides; instead of ascertaining causes, useless talk." Dr. Richter says in his work on "Medicine:" "No science is so full of erroneous conclusions, mistakes, dreams, and lies, as the so-called science of medicine! Many who would get well, if left alone, are killed by the art of the doctors. If one sees a physician take a pen to write a prescription, one feels like saying: 'Lord forgive him, for he knows not what he does.' " If drugs are so potent for mischief in the hands of edu- cated physicians, what folly it is for the people to dose them- selves at haphazard ! 14. CONTAGION AND INFECTION. Wall Papers are often the abode of millions of disease germs, as well as sometimes deleterious by reason of the chemical poisons used in their colors. Household Pets have many times carried diphtheria and scarlet fever to their human playmates. Dr. F. J. Leviseur has traced many cases of ringworm and fevers to the fondling of cats. Kissing the Dead is a practice full of peril to the living. Disinfect all Bowel Discharges from typhoid fever patients. In Lausanne, Switzerland, some were thrown into a small stream, which soon disappeared into the earth, but reap- peared half a mile away in a clear mountain spring. Yet the use of that spring water caused 144 cases of typhoid fever. Numerous cases have occurred by simply rinsing milk cans in infected water. When the city of Munich was supplied from wells, the death rate from typhoid was 24.2 per cent, in 10,000 inhab- itants. When sewered and furnished with a general supply, it sank to 1.4. The Cause of Many Mysterious Fevers and bowel diseases in apparently healthy localities is owing to the fact that slops are poured on the ground close to the house. Ground-air, that is the air that fills the spaces between the particles of earth, not only contains more carbonic acid than the atmosphere, but it absorbs poisons from the decaying CONTAGION AND INFECTION. 45 organic particles in the slops, and sets in a constant current toward the cellar by reason of its heat, whence it rises through the house. The disease generated thus spreads in the ratio of the density of the population. Thus Dr. Farr found that in England and Wales the death rate and density corresponded : Deaths in 1,000 Population Per Square Mile. Population166 186 379 1,176 4,499 12,351 63,823 Deaths 17 19 22 25 28 32 39 Proximity in Square Yards. Yards147 139 97 46 28 17 7 Life duration 51 45 40 35 32 29 26 years. Antiseptics and Disinfectants for Water-Closets, Vessels and Drain-Pipes:-Hot water, two and one-half gallons; copperas, four pounds; carbolic acid, four pounds. In cases of typhoid fever, dysentery, etc., keep this mixture in vessels and pour it down the water-closet freely. Or cop- peras, ten pounds, in a bucket of water. A teacupful for a bed-pan, or chamber vessel, each time it is used, or for the last, one fluid ounce of chlorinated soda, or ten grains of permanganate of potassia to a quart of water. Another, sul- phate of zinc, eight ounces, carbolic acid, one ounce, water, three gallons. For drains, ditches and sewers, disinfect with chloride of lime; one pound is sufficient for one thousand gallons of run- ning sewage. For heaps of filth, cover with charcoal, two or three inches deep, or with dry earth. For washing clothes, in cases of erysipelas, smallpox, etc.: Sulphate of zinc, two and one-half ounces; carbolic acid, one ounce; hot water, one gallon. Water acidulated with com- mercial sulphuric acid, is excellent. Fumigation after Contagious Diseases, with sul- phur, is the only practical method. To disinfect blankets, heavy clothing, etc., open them, close the room tight, stuff all cracks and paste paper ovei- the keyholes. Put the sulphur in iron pans set on bricks in tubs containing a little water; use hot coals in igniting it, or pour alcohol over it and light with 46 THE SECBET OF HEALTH. a match. Hasten from the room and keep it closed for twenty-four hours, then open the windows wide and air it thoroughly. Use two pounds of sulphur for a room ten feet square, larger rooms in proportion. Or, dissolve one pound of sulphuric acid in three times its volume of water in a strong earthen vessel, add three pounds of chloride of lime, and shut into the room the same as sulphur. In both cases avoid inhaling the fumes. For Air of Sick Room:-Permangante of potash and oxalic acid, each one ounce. Mix and moisten with twice the quantity (by bulk) of water; add a little more water in two hours' time. This will emit ozone freely enough for a large room; it is an active disinfectant. FIG. 8. THE SKELETON. FART II. I. OUR LIVING MACHINE. its Mechanism and motions. Motion, Frame-work, Machinery, Covering - Vegetation, Growth, Sleep, Rest, Recuperation-Circulation, Blood, Respiration, Oxidation, Digestion, Absorption, Secretion, Excretion - Sensation, Feeling, Taste, Smell, Hearing, Sight-Intellection, Perception. Emotion, Volition, Orig- ination- Degeneration, Sub-Oxidation, Sub-Nutrition, Ab-Secretion, Ab-Excretion, Ab-Circulation, Mal-Genera- tion-Generation, Organs, Sex, Functions, Conception, Gestation, Maternity, Lactation. The human body is a wonderful machine, that is operated by a still more wonderful spirit. It is important that we should know its construction, in order to be able to run it and care for it to our best advantage. THE FRAME-WORK. 1. The Bones.-Its frame-work consists of two hundred and six bones, which serve the three-fold purpose of protection to the softer parts, preservation of form and possibility of motion. Their peculiar structure affords lightness, as well as strength. While their exterior is hard and resisting, the central portion consists of a cavity which contains an oily substance called marrow, interspersed by hollow tubes, about which layers of bone substance are arranged. 50 THE SECRET OF HEALTH. All the bones in their proper position constitute the skel- eton, which consists of four principal divisions, namely, head neck, trunk and limbs. The Head, or skull, is made up of twenty-nine bones. Those behind and above (eight in number) form the brain-case, and are as follows : One occipital bone, at back of head ; one frontal, the forehead; two parietal, on top and sides; two temporal, the temples; one sphenoid, the floor and sides of brain-box; one ethmoid, between top of nose and brain case. The front bones of the skull, fourteen in number, consist of one lower jaw bone; one vomar, between the nostrils; two upper jaw bones; two palate bones, supporting part of the roof of the mouth; two malar bones, supporting the cheek below and outside the eye ; two lachrymal bones, between the nose and eye-socket; two nasal, on roof and sides of nose ; two turbinate, inside the nose. The other skull bones consist of three pairs of ear bones, the malleus, or hammer bone, the incus, or anvil, and the stapes, or stirrup; also the hyoid, to which the roof of the tongue is attached. The skull bones protect the senses of hearing, sight, smell and taste. With the exception of the lower jaw bone, which is attached to the skull by a joint, for the opening and closing of the mouth, nearly all the skull bones are dovetailed into one another by what are termed sutures. The bones on the sides and top of the brain-case are made up of three layers, the outer one tough enough to bear a heavy blow, a central softer layer which deadens the jar of such a blow, and an inside layer of hard bony matter. The Spinal Column is made up of a chain of twenty- six bones, called vertebrae. The upper seven in the neck are the cervical vertebrae, the next twelve at the back of the thorax, or chest cavity, the dorsal, and the next five the lumbar or loin vertebrae, behind the cavity of the pelvis. The two small bones at the end of the spinal column are known as sacrum and coccyx, the sacrum being the larger and the coccyx the THE FRAME-WORK. 51 end bone. Projecting from the back of each vertebra is a bony bar called the spinal process. A canal, which contains the spinal cord, runs through the whole back-bone except the coccyx, and opens into the skull-chamber above. The verte- brae are separated from each other by thick layers of cartilage, which adds to the elasticity of the frame, and so cushions the spine as to prevent shocks to the brain by jumping and falling. The Ribs are twenty-four slender curved bones, twelve on each side of the chest. Each of the first seven ribs is attached behind to a vertebra, and in front to the breast-bone. The next three are united in front by a connecting cartilage and attached to the seventh rib. The two lower ribs are free, or floating, at their front extremities. The Limbs, with the bones which unite them to the trunk, consist of one hundred and twenty-six bones. The shoulder comprises on each side a collar-bone, or clavicle, in front, and a shoulder-blade, or scapula behind. Both these unite near the shoulder-joint. The bones of the arm and hand consist of the arm-bone, or humerus, which reaches from the shoulder to the elbow; two forearm bones lying side by side between the elbow and the wrist, that on the thumb side being the radius, and on the little finger side the ulna ; and twenty- seven small hand bones, eight carpal lying close to the wrist joint, five metacarpal in the palm of the hand, and fourteen phalanges, three in each finger and two in the thumb. The hip bones, one on each side, meet in front and form, with the sacrum, a bony ring inclosing the lower part of the cavity of the abdomen. This ring is known as the pelvis. The leg and foot bones are sixty in number. They cpnsist of the thigh bone, or femur (the longest bone in the body), which reaches from the hip-joint to the knee ; the tibia, or shin-bone, and the fibula, which run side by side from knee to ankle- joint ; the knee-pan, or patella, in front of the knee-joint; and twenty-six foot bones, seven ankle and heel, or tarsal bones, five metatarsal and fourteen phalanges, these corresponding in position with the bones of the same name in the hand. 52 THE SECRET OF HEALTH, FIG. 9. ANTERIOR VIEW OF THE MUSCLES. THE FRAME-WORK. 53 These are all shown in the skeleton frontispiece. The Bones are Hinged to each other by contrivances called joints, or articulations, which are of two kinds; the ball and socket, as the shoulder and hip; and the hinge joint, like the knee, fingers, etc., and are bound in their places by ligaments. A joint is dislocated when it slips out of its bed. But a jointed frame-work must have some mechanism of motion in order to move. 2. The Machinery is made up of muscles, tendons and cartilages. Muscles are bundles of fibers which have the power to shorten themselves, upon appropriate nervous or electrical excitation. They are striped, or voluntary, under the control of the will; and unstriped, or invol- untary, not under the control of the will. Tendons are white glistening bands, which have few vessels and no nerves, and connect the muscles with the bones on which they act. Cartilages form the original frame-work which ossifies into the skeleton, having portions covering the ends of bones, called articular; other portions constituting a part of the skeleton, called costal; and still other portions arranged in plates to preserve the shape, called reticular, that do not ossify. 3. The Covering.-The Skin is composed of the ex- ternal horny covering, the cuticle or epidermis, without vessels or nerves, and the derma or true skin, which is an elastic tis- sue containing the sensitive papillae, the seat of the sense of touch, the sweat glands, the sebaceous glands, fat cells and hair follicles. A modification of the cuticle appears as the nails, and another modification forms hairs, which springs from the fol- FIG. 10. MUSCULAR FIBERS. 54 THE SECRET OF HEALTH. licles as a shaft, consisting of a central substance, a fibrous portion and an external covering of flat scales. This power of motion, thus secured, is preserved by a certain VEGETATIVE PROCESS, Including growth, sleep, rest and recuperation. 4. Growth is the accretion resulting from the nutritive supply being normally in excess of the wastes of the system prior to maturity, and still existing in the form of repair- processes all through life. It is the special function of the medulla (the upper enlarged portion of the spinal cord), the FIG. 11. MUSCLES, cord and the viscera (the organs in the cavities of the cranium, thorax and abdomen), to preside over growth and repair. This is accomplished mainly by sleep, rest and recuperation. 5. During- Sleep all the voluntary powers and con- sciousness are suspended, and the drain of active and conscious life saved, so that the nutritive functions can pour their tides of quickening energy into the channels of growth and repair. 6. Rest is the equivalent of sleep, as far as it goes, but, being more or less incomplete, it capnot take the place of sleep. VEGETATIVE PROCESS. 55 I Temporalis. 2. Occipital portion of theOccipitO- Frontnh* 3. Complexus 4. Splcnius. 5. Masseter. 6. Sterno-CIcido- Mastoideus. 7. Trapenus H. Deltoid 2 10. Triceps Eaten- sor 13. Tendinous por lion of the Tri- ceps 14. Anterior Edge of the Triceps 15. Supinator of Fore-arm 16. Pronator of Fore-arin 17. Extensor of the Finger*. 18. Extensor of the 1 humb. 19. Extensor 1 cndons 20. Insertion of the 1 rtccps 21. Extensor of Wrist 23. Extensor of Fingers 21. Broad Muscle of Back 25. Its Tendinous Origin 26. Posterior part of the Obliquus Externus 27. Gluteus Medius 28. Gluteus Magnus. 29. Biceps Flexor of the Leg. 3tl. Semi-Tendinosus. | Double Muscle of the Calf. 33. AchtUcs Tendon. FIO. 12. POSTERIOR VIEW OF THE MUSCLES. 56 THE SECRET OF HEALTH. 7. Recuperation is repair in function, as repair itself is reconstruction of the organism. The brain never thoroughly recuperates except in sleep, because consciousness, which is inseparable from the waking state, is a vital process entailing exhaustion of vital force. All this is accomplished by the medium of THE CIRCULATION. By this is meant the flow of the blood through the whole system, carrying to the tissues the elements of repair, and bringing from them the wastes that must be expelled. FIG. 13. SOFT HAIR PASSING THROUGH THE CANALS OF SEBA- CIOUS GLANDS. 8. The Blood is an alkaline, saline fluid, about one- eighth the weight of the body, consisting of two parts: 1, The liquor sanguinis, or plasma, a transparent colorless fluid, in Ayhich float, 2, the red and white blood corpuscles, consisting of forty per cent, of the blood. The red corpuscles average 1-3200 of an inch in diameter, and number about 125,000,000 in a cubic inch. THE CIRCULATION. 57 The most important constituent of these corpuscles is the haemoglobin, an albuminous compound. About 17-1000 parts of the red corpuscles are capable of absorbing 7-10 of a cubic inch of oxygen to each 1-64 of a grain of haemoglobin, when it is called oxy-haemoglobin, which gives the bright scarlet color to arterial blood. The function of the corpuscles is to absorb oxygen in the lungs and carry it to the tissues. The white corpuscles are about one to three hundred and fifty or four hundred of the red, and consist of a soft, color- less substance, each granule measuring about 1-2500 of an inch in diameter. The Circulatory Apparatus consists of the heart, arteries, capillaries and veins. The heart is a hollow, muscular organ, pyramidal in shape, measuring five and one-half inches in length, and weighing from ten to twelve ounces in the male, and eight to ten ounces in the female. It consists of four cavities, a right auricle and ventricle, and a left auricle and ventricle, completely separated by a vertical partition. The right is the venous side, receiving the blood from the vena cava, and propelling it through the pulmonary artery into the lungs. The left is the arterial side, receiving the arterial blood from the lungs by the pulmonary veins, and propelling it through the aorta to the system at large. The heart function is to propel the blood to all portions of the vascular system. During the dilatation and repose of the heart, its chambers are filled with blood, which, by the mus- cular contraction, is forced into the blood vessels. These two conditions of the heart are termed respectively the diastole and systole. Course of the Blood Through the Heart.-The venous blood returned to the heart (after having been used in the system and thus become enfeebled or weakened) by the superior and inferior venae cavae, is emptied, during the dias- tole, into the right auricle, on the contraction of which it is forced through the right auriculo-ventricular opening into the 58 THE SECRET OF HEALTH. right ventricle, and distends it. Upon contraction of the ven- tricle, the blood is propelled through the pulmonary artery into the lungs, where it undergoes aeration, and is changed in color, making it fresh and strong again. The arterial blood is now collected by the pulmonary veins and poured into the left auricle; thence it passes into the left ventricle, which becomes fully distended. Upon contraction of the ventricle, the blood VEIN a. Capillaries of lungs. b. Pulmonary artery. c. Pulmonary veins. d. Right auricle of heart. e. Left auricle of heart. /. Left ventricle. a. Right ventricle. h. Pericardium. k. Veins bearing blood to right auricle from all parts of the body. l. Capillaries of all or- gans except the lungs. m. Aorta bearing blood to all parts of the body except the lungs. ARTERY FIG. 14. THE CIRCULATION. is propelled into the aorta, and by it distributed to the system at large, to be again returned to the heart by the veins. The conduits of the blood are : Arteries, which are elastic pipes, carrying the blood from the heart to the body, and ending in the THE CIRCULATION. 59 Capillaries. These are minute vessels connecting the terminating arteries with the commencing Veins, which are return pipes bringing the blood back from the body to the heart. The Lesser, or Pulmonic Circulation, is the arteries lead- ing from the heart to the lungs, and the return veins from the lungs to the heart. The Greater, or Systemic Circulation, comprises the great distributing artery, the aorta, and its branches, and the return- ing veins from all parts of the frame except the lungs. The circulation renders possible another intimately asso- ciated vital function- 9. Respiration, which has for its machinery the nose, trachea, bronchi, lungs, diaphragm and chest. The Nose is the projection on the face formed by the two passages called the nasal fossae, or nostrils, separated by the septum narium, which is a cartilage supporting the roof of the cavities, and furnishing a passage for the air to reach the Trachea, which is a cyl- indrical tube of sixteen to twenty rings of cartilage, about four and one-half inches long, nearly one inch in diam- eter, beginning at the lower border of the larynx and fork- ing into the two Bronchi, which are tubes similar in formation to the trachea, extending into the lungs, where they divide. Each is sub-divided into bronchial tubes. The right bronchus is about one inch long, and divides into two parts in the three lobes of that lung. The left bronchus is nearly two inches long, and divides into three parts in the two lobes of that lung. FIG. 15. LOBULE OF LUNG. 60 THE SECRET OF HEALTH. The Larynx is a cartilaginous box, lying between the base of the tongue and the trachea, and containing the true and false vocal cords, with a cartilaginous lid called the epi- glotis, for the passage of air to and from the lungs. The Lungs are two; the right has three lobes, and weighs about twenty-two ounces. The left has two lobes, and weighs about twenty ounces. Each is composed of a multi- tude of alveoli, or air cells, that are from one two-hundredth a. Inspiration. b. Expiration. c. Chest-cavity. d. Diaphragm. /• Collar-bone. g. Hip-bone. h. Coccyx. st. Sternum. ab. Abdomen. FIG. 16. FORM OF CHEST AND ABDOMEN IN RESPIRATION, to one-seventieth of an inch in diameter. These air cells are divided into compartments called lobules, around the ends of the bronchiole, or termination of the bronchial tube. The Diaphragm is the great muscle of respiration, and constitutes the floor of the lungs. The Chest, or thorax, is the cavity formed between the ribs, breast bone, spine, shoulder-blades, and the diaphragm. The ribs have been already described. THE CIRCULATION. 61 The Function of Respiration is the absorption of oxygen into the blood and the exhaling of carbonic acid from the blood. This is done by two movements : 1. Expansion of chest walls, depression of diaphragm, and inspiration of about one pint of air; one-fifth of the air is oxygen, a large part of which is absorbed into the blood. 2. At the same time, four and nine-tenths per cent, of carbonic acid is exhaled, with a contraction of the walls of the chest and rising of the diaphragm. In inspiration the twenty to thirty cubic inches of air which passes in is called tidal, or breathing air. A forced inspiration adds about one hundred and ten cubic inches more, which is called complimental air. After ordinary expira- tion, about one hundred cubic inches remain, which can be expelled by forcible effort; this is called reserve air. It still leaves about one hundred cubic inches more which cannot be expelled at all, called residual air. THE FOLLOWING TABLE SHOWS THE AIR CAPACITY OF THE LUNGS IN HEALTH AND CONSUMPTION. Height. Cubic Indies. First Stage. Second Stage. Third Stage. 5 ft. 1 in. 174 117 99 82 5 " 2 " 182 122 102 86 5 " 3 " 190 127 108 89 5 " 4 " 198 133 113 93 5 " 5 " 206 138 117 97 5 " 6 " 214 143 122 100 5 " 7 " 222 149 127 104 5 " 8 " 230 154 131 108 t> " 9 " 238 159 136 112 5 " 10 " 246 165 140 116 5 " 11 " 254 • 170 145 119 6 " 262 176 149 126 According to Hutchinson, the average spirometer measure of females is 40 cubic inches less than that of males. The capacity of the lungs materially affects another im- portant vital process- 10. Oxidation, which is the absorption of the inspired oxygen by the haemoglobin of the blood as carriers to the tissues, where the chemical changes involved in nutrition and elimina- tion are wrought by the oxygen. 62 THE SECRET OF HEALTH. These changes are called metamorphosis of tissues, and consist in the disorganization of the used tissue-cells and the building up of the nutrient materials in the blood-plasma into new tissue-cells. This leads to another vital process. 1 1. Digestion. The machinery of digestion consists of mouth, oesophagus, or gullet, stomach, duodenum, liver and intestines. FIG. 17. UPPER AND LOWER TEETH. The Mouth contains the tongue and thirty-two teeth, sixteen in each jaw, namely : four incisors, two canines, four bicuspids, six molars. Mastication is the process of disinte- grating the food by the motion of the lower jaw and tongue, combined with the solvent properties of the saliva, of which about two and one-half pounds are secreted during twenty- four hours. Deglutition is the forcing of the softened mass through the pharynx into the Stomach, which is a bagpipe-shaped pouch about thir- teen inches long and five inches deep, with a capacity of about five pints. It has three coats, serous, muscular and mucous. THE CIRCULATION. 63 By the muscular coat a churning motion is given to the organ. In the mucous coat are imbedded large numbers of mucous and gastric glands-the former at the pyloric, or liver eild; the latter at the cardiac or heart end. The peptic secretion is acid, and is under the control of the central nervous system, and is composed of 9.75 parts water, pepsine 15 parts, hydrochloric acid 4.78 parts, mineral salts 5.22 parts, and is further described under the head, The Process of Digestion. FIG. 18. THE STOMACH. The Small Intestine, about twenty feet long and one and one-half inches in diameter, is divided into three parts; first, the duodenum, ten inches long, which ascends two and one-half inches, to the under surface of the liver, then descends three and one-half inches in front of right kidney, then passes four inches transversely to the left, and empties into the 64 THE SECRET OF HEALTH. Jejunum, which (about seven feet long) coils about in the umbilical (navel) region, and is usually found empty after death. This empties into the Illeum, which twists around below the navel, is about twelve feet long, and empties through the ileo-caecal valve into the FIG. 19. PART OF LARGE INTESTINE. Large Intestine, which is about five feet long, about two inches in diameter, extending upwards from the right groin to the under surface of the liver, called the ascending colon; then across just below the liver, gall-bladder and THE CIRCULATION. 65 spleen, to the left side, called the transverse colon ; thence passing downward in front of the left kidney to the sigmoid FIG. 20. THE LACTEALS. flexure, called the descending colon ; then through the flexure (curved like the letter /) to the rectum, which is six to eight inches long, and terminates at the anus. Thus the total length of the intestines is about twenty-four feet. ■FIG. 21. LACTEALS AND LYMPHATICS. 66 THE SECRET OF HEALTH. The Liver weighs from three to four pounds, situated in the right side, extending across into the left side. It is com- posed of numerous lobules 1-20 of an inch in diameter, cluster- ing around the branches of the hepatic veins. Each lobule is composed of, (1) hepatic cells, about 1-1500 of an inch in diam- eter ; (2) lobular veins, forming a net-work in each lobule; (3) an intralobular vein, and (4) plexuses of lymphatics, nerves and bile-ducts. FIG. 22. LYMPHATIC VESSELS AND GLANDS. The function of the liver is to secrete and excrete bile, which is a golden brown, viscid and alkaline fluid, constantly being formed, and discharged by the hepatic ducts into the gall-bladder, to the amount of about two and one-half pounds in twenty-four hours. THE CIRCULATION. 67 The Gall-Bladder is a pear-shaped bag, three to four inches long, holding from one to one and one-half ounces, the function of which is to store the bile for digestive purposes. The pancreas is a gland about seven inches long, lying behind and transversely across the stomach, opening into the duo- denum, and secreting a transparent, colorless, strongly alka- line fluid, which, like the saliva, transforms starch into glu- cose, and is further explained in the process of digestion. 12. Absorption is by the agency of the veins and lymphatics. The food substances, having been mixed in the stomach in the form of chyme, as it passes through the ali- mentary canal the veins absorb from it water, albuminose, glucose and mineral salts, and carry them directly to the liver. The fats are absorbed by the lymphatics, or lacteals. The lymphatics are a system of minute transparent vessels in nearly every part of the body, having valves but no nerves, and which convey lymph to the blood. The lacteals are the lymphatics of the small intestine, designed to convey the chyle into the blood. Lymph is blood plasma transuded from the capillary blood vessels. Chyle is the oily constituents of food made into an emulsion by the pancreatic juice and the bile. Lymphatic glands are solid bodies in the course of the absorbent vessels, having valves but no nerves. External Absorbents.-On the outside of the body there are two and a half millions of pores, little holes called medically, emunctories, out of which is constantly passing the effete matter of the body; that is, the used-up tissues. There are also millions of holes, called lymphatics, which absorb proper and improper applications. If you rub into your arm pus, or matter, after a time it will be taken into the system, and disease of some form is the sequence. Many other sub- stances poison some skins in the same way. The laws of absorption are very plain. All physicians know the immense benefit derived from the external use of mustard, poultices, plasters, etc. Apply a decoction of tobacco 68 SECRET OF HEALTH. under the arm; it will produce first, emesis; second, diarrhoea; and third, death. A teaspoonful of quicksilver in a tin plate, rubbed with the fingers until an amalgam is produced, in a few days will give a mercurial sore mouth. Croton oil rubbed over the abdomen will bring on a diarrhoeal discharge. One thousandth part of a drop of vaccine virus absorbed into the FIG. 23. THE SALIVARY GLANDS. arm will produce cow-pox. It is by means of this power of absorption that inunctions of oil aid nutrition in wasting diseases. 13. Secretion.-The Salivary secretion is an alkaline fluid poured from the parotid, sub-maxillary and sub-lingual glands, and has the chemical property of converting starch nto grape sugar. THE CIRCULATION. 69 The Gastric secietion, which is pepsin (the organized, nitrogenized ferment of the gastric juice) in combination with hydrochloric acid as hydrochloro-peptic acid. The Biliary secretion has already been described on Page 64 The Intestinal secretion is an alkaline, viscid fluid, which converts starch into glucose, and assists in the digestion of the albumens. The Mammary secretion, consisting of two to three pints in twenty-four hours, of human milk, with composition, as shown in the table on another page. The Lachrymal secretion, or tears, is a saltish fluid poured from the lachrymal gland situated over the upper eyelid, upon the surface of the eye-ball, for the purpose of lubrication. The Synovial secretions are exudations from the synovial membrane of a viscid, glary fluid, for the purpose of lubrica- tion. The Mucous secretions are exudations from the mucous membrane, varying in quality and consistency according to the condition of the membrane. The Lymph secretion is a clear, transparent fluid, slightly alkaline, found in lymphatic vessels. It contains corpuscles called leucocytes, resembling the white corpuscles of the blood, each about 1-2500 of an inch in diameter. When exposed to the air, it coagulates the same as blood. The total quantity poured through the thoracic duct in twenty-four hours is three and one-half pounds. The Genital secretions are explained in the parts treating of manhood and womanhood. 14. Excretion.-Skin excretions are : (a) Sebaceous, a peculiar oily matter secreted by the sebaceous glands to lubri- cate the skin and soften the hairs, (b) Perspiration, or sweat; a clear, colorless, slightly alkaline fluid, about two pounds of which are thrown off by the sudoriferous glands every twenty- four hours through the pores, which are estimated to be about 2,500,000 to the whole body, (c) Carbonic acid, about 1-200 as much as from the lungs, is thrown off in twenty-four hours. 70 THE SECRET OF HEALTH. Lung excretions are: (a) Carbonic acid loading every expiration to the extent of 5.9 per cent., or more than 1000 cubic inches an hour, (b) Water, depending in amount largely upon the dryness of the air breathed, is exhaled from the lungs a. Horny layer of scarf-skin. b. Mucus layer of scarf-skin. c. Papilla? on surface of true skin. d. The true skin. e. Fat cells under true skin. f. Canal of sweat gland. h. Convoluted part of sweat gland below the true skin, t. Shaft of fine hair. k. Root of the hair. l. Sebaceous gland emptying into a hair follicle. FIG. 24. STRUCTURE OF THE SKIN. with every expiration, (c) Organic matter, as explained under the process of digestion, on another Page, is constantly excreted in the process of expiration. THE NERVOUS SYSTEM. 71 Kidney excretion, or urine-pale yellow, or amber, per- fectly transparent, acid fluid with an aromatic odor and spe- cific gravity of 1.020 ; forty to sixty ounces excreted in twenty- four hours, containing in that time water 52 fluid ounces, urea 512.4 grains, uric acid 8.5 grains, phosphoric acid 45 grains, sulphuric acid 31.11 grains, inorganic salts 323.25 grains, lime and magnesia 6.5 grains (Braubaker), which is carried through the ureters into the bladder. A. Large artery of abdomen. Ve. Large vein of abdomen. Ar. Artery that feeds left kidney. Vr. Left venal vein. A'. Kidney. U. Ureter. Ve. Bladder. Ur. Beginning of urethra. FIG. 25. THE KIDNEYS AND THEIR APPENDAGES. Bowel excretion, foecal matter or alvine discharges, con- sisting chiefly of indigested matters, excretin, stercorin and salts, from four to seven ounces in twenty-four hours. THE NERVOUS SYSTEM. Sensation is the function of the nerves of sensation. The nervous system is divided into the cerebro-spinal, or nervous system of animal life, consisting of the brain, the spinal cord, the ganglia, and the cranial and spinal nerves, and the sympa- thetic, or nervous system of organic life. 72 THE SECRET OF HEALTH The Sympathetic system consists of a chain of ganglia connected by nerve-filaments, and situated on each side of the spinal column, running downward. They are grouped as cranial 4, cervicle 3, thoracic 12, lumbar 5, sacral 5, coccygeal 1. The Nerve Tissue is formed of (a) white fibrous mat- ters, and (b) gray vesicular matter. The white matter is composed of a number of tubes, like a sub-marine telegraph cable, consisting of a central axis cylin- 1. Cerebrum. 2. Cerebellum. 3. Medulla. 6. Olfactory nerve. 7. Optie nerve. II. Fifth pair, or tri- facial nerves. 14. Ninth pair, orglos- so-pharyngeal. 15. Tenth pair, pneu- mogastric. 17. Twelfth pair, hy- poglossal. FIG. 26. THE BRAIN AND NERVES. der, surrounded by the white substance, of Schwann, and envel- oped in a tubular membrane, or nerve sheath; a bundle of such tubes, invested by a covering called the neurilemma, or perineurium, is a nerve. The gray matter consists of a fine connective tissue, or stroma (that is, bed-formation), called neuroglia, in the meshes of which are embedded the gray cells or vesicles. Classes of Nerves.-Nerves are divided into- Afferent, or centripetal, which convey impressions inward toward the center, and may be either (a) Sensitive, when they carry impressions which give rise to sensation; or (b) Reflex, THE NERVOUS SYSTEM 73 or excitant, when they reflect impressions outward from the center and produce motion, secretion, etc. Efferent, or centrifugal nerves, which transmit impulses generated in the center, outwardly. These are (a), motor, when they convey impulses to the muscles; (b) vasomotor, when they regulate the caliber of the small blood vessels; (c) secretory, when they influence secretion; (d) trophic, when they influence nutrition; (e) inhibitory, when they restrain or inhibit action. Nerve Impulse travels in the sensory nerves about 190 feet per second, in motor nerves 100 to 200 feet a second ; but in the spinal cord much less rapidly. Nerves of special sense are located in the skin. Touch, or feeling, is gen- eral in all parts, but particu- larly active in the inner sur- face of the fingers. Taste is located mainly in the mucous membrane of the upper part of the tongue, and is the function of the chordatympani, as its general sensibility is of the trifacial nerve. Smell is located in the mucous membrane, lining the nasal cavity. It is a function of the olfactory nerve. Sight is the function of the optic nerve expanded on the retina of the eye. Hearing is the function of the auditory nerve, in the inner ear. THE BRAIN. Intellection, comprising perception, emotion, volition and origination, is a function of the brain, which is the central organ of life, situated within the skull; average weight, forty- nine and one-half ounces for males, and forty-four ounces for females. The brain is divided into four parts. FIG, 27. NERVE TUBES AND CELLS. 74 THE SECRET OF HEALTH. FIG. 28. CRANIAL NERVES. A. Cord and sheath. B. Spinal nerve. C. Its motor root. D. Its sensitive root. FIG. 29. SPINAL NERVES. THE BRAIN. 75 The Cerebrum, about seven-eighths of the whole, con- stituting the upper and front portion of the brain. This is the seat of reason, intelligence and will; it also contains the motor centers of the arms, legs, speech, trunk and head; and the sensory centers of sight, hearing, taste, smell and touch, in which sensations become conscious to us. The Cerebellum, beneath the posterior lobe of the cerebrum, weighs about five ounces in the adult, and is composed of two hemispheres and an elongated lobe called the vermiform process. Its function is the coordination of movements. The Pous-Varolii is a great transverse commissure, or connecting band, binding together the cerebrum above, and the cerebellum behind, and uniting both below to the medulla. Its functions are (a) to transmit motor impulses and sensory impressions from and to the cerebrum; (b) as centers which convert impressions into conscious sensations and originate motor impulses, independent of intellectual processes, as instinctive reflex acts, such as the coordination of the auto- matic movements of walking, etc. The Medulla Oblongata is the upper and large part of spinal cord, one and one-half inches in length, three-fourths of an inch in breadth, and one-half inch in thickness. Its partic- ular functions are: 1. As a conductor (a) of sensitive impressions upward from the cord to the cerebrum ; (b) of voluntary impulses from the cerebrum to the cord and nerves; (c) of coordinating im- pulses from the cerebellum. 2. As an independent reflex center presiding over-a, mastication; b, the secretion of saliva; c, sucking and swal- lowing ; d, vomiting; e, speech; f, facial expression; g, heart action; h, the contraction and dilation of the blood vessels; i, the disease diabetes; j, respiration and its modifications, laugh- ing, sighing, sobbing, sneezing, etc.; k, convulsive move- ments ; I, closing the eyelids, and dilation of the pupils; m, sweating. 76 THE SECRET OF HEALTH. FIG. 30. NERVES OF THE BODY. THE BRAIN. 77 The Spinal Cord is from sixteen to eighteen inches in length, one-half inch in thickness, weighs one and one-half ounces, cylindrical in shape, divided into two lateral halves composed of white matter on the exterior and gray matter on Fig. 31. .4. Cerebrum. li. Cerebellum. b. Spinal cord. Fig. 32. 1. Hemispheres of cerebrum. 3. Cerebellum. 4. Olfactory nerve. 5. Optic nerve. 7. Third pair to muscles of eyes. 8. Pons varolli. 9. Fourth pair io oblique muscles of the eyes. 10. Medulla. 12. Spinal nerves. 13. Bronchial plexus to muscles of skin and arms. 14. Lumbar and saeral plexuses. FIGS. 31 AND 32. SIDE AND REAR VIEW OF BACK BONE, BRAIN AND NERVES. interior, and surrounded by three membranes-the Dura-mater Arachnoid and the Pia Mater. The functions of the cord are, (а) to transmit impressions to, and volitions from, the brain; (б) to act as independent centers of reflex activity. THE SECRET OF HEALTH. 78 Reflex is a mode of action supposing a feeling surface, a sensory nerve, a nerve center, a motor nerve and a muscle. The sentient surface receives the impression which the sensory nerve transmits to the nerve center, from which the motor nerve communicates a command to the muscle. Reflex acts may be normal, such as deglutition, coughing, sneezing, walking, and the like; or diseased, such as lock-jaw, vomiting, epilepsy, etc. Another function of the cord is as a conductor of coor- dinating impulses from the brain; that is, the balancing power of different muscles, by which walking and other complex movements are carried on, and the results of perceptions, emotions, volitions and origination are achieved. DEGENERATIONS. The complex processes of organized life may take on retro- grade movements, which are degenerations. Sub-oxidation.-One of the most common and most fatal of these is sub-oxidation, which consists in the absorption by the blood in inhalation of a less amount of oxygen than the processes of nutrition and elimination require for normal accomplishment. This point will be elaborated under the head of diet. Sub-nutrition is when the nutritive elements of the food are either deficient in quantity, or imperfectly assimilated through deficient absorption or by sub-oxidation. This point will also be further considered under diet. Ab-secretion is when the secreting function is imper- fectly performed or its product is abnormal, as in deficient pepsin in the gastric fluid, or an excess of hydrochloric acid in the same. Ab-excretion is when the excretory organs throw off too little or too much, or the character of the excretion is changed, as in Bright's disease and diabetes, and in uric acid urine. Ab-circulation is when an undue proportion of blood centers in one part, the excess vacating another part, as in the gorged brain and cold extremities of apoplectic seizures. DEGENERATIONS. 79 Mal-generations is when the nutrient materials in the blood, that are designed to build up new tissues, having too little vitality to accomplish that, generate instead, an inferior order of germ life; just as infertile soil grows weeds instead of grain. GENERATION. This implies sexes and respective organs of pro-creation, the functions of which are conception, gestation, maternity and lactation, all of which will be duly considered in the parts, Manhood and Womanhood. FIG. 32. THE VISCERA IN POSITION III. THE DIGESTION. ITS ORGANS AND I'ROCESSES. Salivary Digestion; Gastric Digestion-Pepsin, Hydrochloric Acid ; Starches, Sugars and Fats, Mineral Salts. Pancreatic Digestion, Trypsin; Fats and Grape Sugar Absorbed Through the Lacteals, etc.-Table of Digestive Ferments- Amount of the Secretions-The Process of Digestion De- scribed-Chemistry of Digestion-Nutrition-The Process of Elimination, Its Products, Daily Quantity, Exciting Agents, What it Does, Character of Its Product Governed by its amount, Illustrative Table-Correct Dietary Scien- tifically ascertained. Digestion supposes something to digest. The old questions, "What shall I eat? What shall I drink? and wherewithal shall I be clothed?" are just as pertinent and just as pressing now as when, nearly 1900 years ago, the Nazarene taught a religious trust that recognized a Supreme Father's care, even in these common needs of common life. Yet the gist of the questions has changed, for it has reference now to A Right Selection, rather than to procurement, of those universal necessaries. In that right selection is the essence of practical wisdom. The foods thus selected consti- tute the chosen diet. Function of Digestion.-The proper consideration of diet necessarily some familiarity with the fqnc- 82 THE SECRET OF HEALTH. tions of digestion. This may be defined as the chemical pro- cess which the food undergoes, under the control of vitality, in its transformation from its condition as a food into nutrient material, adapted to supply the growth and wastes of the ani- mal body, and maintain its heat and energy. This process is conducted through several different stages, viz.: 1. Salivary Digestion, which consists in the change which starch almost instantly undergoes in its conversion in the mouth, while being mixed by mastication with the saliva, FIG. 33. STRUCTURE OF THE SALIVARY GLANDS. The clusters of pouches and their ducts all emptying into the large duct or tube that discharges the fluid into the mouth. into maltose and dextrine, by means of the salivary diastase or ptyalin, which is an alkaline substance possessing this special kind of energy. The importance of this preliminary digestion may be seen from the fact that such a large proportion of starch enters into the composition of all the grains, leguminous seeds, the potato, THE DIGESTION. 83 cassava, arrow root, tapioca, sago and the cellulose (the funda- mental material of the structure of plants), which, together, constitute a large part of the food of mankind. About 1500 C. Cm's, or 48 ounces by weight, of saliva are secreted every twenty-four hours by each adult, to thus change the starch in his six pounds of food. Tiie saliva diastase, or ptyalin, is also called a ferment, by which is meant, "An albuminoid repository of cell-force, detached from the cells, which possesses the property of decom- posing alimentary (food) compounds and reconstructing their elements into other chemical compounds, without giving any thing material to, or taking anything material from, the sub- stances which they act upon." Any saliva that passes into the stomach is neutralized by the acid of the gastric secretion. 2. Gastric Digestion, otherwise known as stomach, or peptonic digestion, is the change which albuminous and fatty substances undergo in the stomach by the agency of pep- sin. These albumens are muscular flesh, casein of milk, and the white of the egg from the animal kingdom; and gluten, legumin and albumin from the vegetable kingdom. The acid of the pepsin changes all nitrogenous albuminous substances into a uniform acid-albumin called syntonin; the pepsin slowly gelatinizes a small part of the syntonin into propeptone, then into albumoses, and finally into a liquid, dif- fusible peptone. One grain of pepsin converts 2,000 to 6,000 grains of albumin into peptones, and a discovery has just been made of a pepsin that will convert 30,000 grains of albumin to one of pepsin. The most of the albumin passes unchanged into the alka- line juice of the intestine. Pepsin is a ferment containing about 0.3 per cent, of hydro- chloric (muriatic) acid (Richet says 0.17), in loose combination with leucin, a chemical product, the use of which in the ani- mal economy is unknown. The starches, sugars and fats are unaffected in the stomach except that the nitrogenous envelope of the starch granule, or 84 THE SECRET OF HEALTH. oil globule, may be digested away and the starch or oil set free. The stomach digestion of the fats probably consists only in a slight decomposition, with a liberation of a small quantity of free fatty acid. Roberts holds that stomach digestion is aided by the salts that always exist in the food, such as acetates, malates, lac- L M O P O. (Esophagus. S. Stomach. L. Liver. M. Pyloris. /. Small intestines. C. Large intestines. P. Pancreas. N. Spleen. G. Gall-bladder. FIG. 34. THE ORGANS OF DIGESTION. tates, butyrates, etc., leaving their own organic acids, and uniting with the hydrochloric acid, thus setting free in the mass of the food lactic, malic, acetic and butyric acids. The importance of this fact will appear further on. Any pepsin that passes into the intestine in neutralized by the alkali of the intestinal juice. THE DIGESTION. 85 Saliva. Ptyalin, or diastase. Converts starch into maltose, dextrine and sugar. a. Pepsin. a. Changes proteids into peptones. Gastric juice. b. Milk curdling, Rennin it. Curdles caseine of milk. c. Lactic acid. c. Splits milk sugar into lactic acid. cl. Fat-splitting. d. Splits fats into glycerine and fatty acid. Secretion of Brunner's Liquefies proteids at 98.5° F. glands. a. Amylopsin. Converts maltose into glucose. Changes starch into maltose b. Trypsin. Converts proteids into peptones in alkaline and neutral media. Pancreatic juice. c. Steapsin. Splits fat into glycerine and fatty acid. d. Curdling ferment. Curdles the casein of milk. e. Emulsive. Emulsifies and partly saponifies fat (i. e. changes it to soap). Emulsifies neutral fats Changes starch into sugar. Converts glycogen into sugar. Excites contractions of muscular coat. Bile and bile acids. Stimulates the muscles of the hair-like prolongations of the membrane. Excites activity in the skin-like inner covering of the intestines. Moistens the intestinal walls. Lubricates the colon. Antiseptic,-prevents decomposition. a. Glycogenic. Transforms glucose into glycogen. b. Bile secreting. For use as above in digestion. c. Bile excreting. To eliminate poisons and drugs from the blood. Liver. d. Peptone transformingChanges peptones into serum-albumin and globulin. e. Germ and ptomaine Destroys germs and converts their poisonous ptomaines into inert destroying. ptomaines. a. Diastatic. Converts maltose into glucose. Intestinal juice. b. Proteolytic. c. Invertin. Changes fibrin into peptone. Converts cane sugar into invert-sugar. d. Milk-curdling. Curdles the casein of milk. Blood. a. Diastatic fibrin forming. b. Fibrin forming ferments. Most tissue. Diastatic ferment. Muscle. Peptone-forming ferments. THE DIGESTIVE FERMENTS AND THEIR ACTION. (Compiled from Roberts and Porter.) Digestive fluid or tissue, The contained ferment. Its action on food materials. 86 THE SECRET OF HEALTH. Along the curves of the stomach and in the duodenum are glands known as Brunner's, the function of which will be seen in the table on the preceding page. 3. Pancreatic Digestion also called intestinal, or tryptic digestion, is the change which the starch which may have eluded the salivary digestion, and the albumens that may not have been wholly transformed by peptonic digestion, and the fats (most of which have been but little changed by stom- ach digestion) undergo, by means of the alkaline ferment, tryp- sin, into peptones in the case of albumins; into dextrose in the case of starch; and into fat emulsion and soaps in the case of fats. The soaps are formed by the glycerine and fatty acids of the fats dissociating and the acids combining with the alka- line bases of the bile and pancreatic juice. The fats and grape sugar are absorbed directly into the blood in an unaltered state through the little lacteals (mouths) that line the small intestines, and saponification takes place largely in the blood. One grain of diastase converts 2,000 grains of starch into sugar, according to ordinary estimates, but Roberts, upon the authority of Horace Brown, and by his own experiments, states that pancreatic diastase can transform 40,000 times its own weight of starch into dextrine and sugar. 4. Systemic Digestion.-From this it appears that be- yond intestinal digestion there is what may be called a systemic digestion; that is, a process of continued conversion of the food elements into final products throughout the whole physi- cal structure. According to Draper, more than twenty-one and one-half pounds of solvent secretions are poured daily into the abdomen to assist in the digestion, nutrition and elimination of two or three pounds of food (i. e., pure nutrients), and the wastes of the system, as follows: Saliva, 3.30 pounds Pancreatic juice, 0.44 pounds Gastric juice, 14.08 " Intestinal juice, 0.44 " Bile, 3.30 " THE DIGESTION. 87 The Processes Described.-By even this brief survey of the digestive process, it will be seen that it is no simple work. To convert starch into maltose, the change runs succes- sively through eight varieties of dextrine. FIG. 35. ENLARGED VIEW OF PANCREAS. And surrounding organs, with part of stomach cut away. This and Fig. 32, on Page 80, show all the internal organs in their relative positions. To convert albumin into peptones, the acid pepsin must first be formed from the alkaline tissues. The pepsin contains 0.3 per cent, of the strongest mineral acid, that its antiseptic 88 THE SECRET OF HEALTH. effect may preserve the food from putrefaction. The acid is probably formed by the free carbonic acid that is always in the blood acting upon the chloride of sodium (common salt) which is also always in the blood, and setting free a small por- tion of its hydrochloric acid. The pepsin acting upon the albumins, a series of interme- diate change-products occur analagous to the dextrines in starch-digestion, before the end product, peptone, is formed; but these are but very imperfectly understood. Then comes the mixture of the bile with whatever the stomach has passed on into the duodenum or small intestine. The bile is strongly alkaline, from the amount of carbonate of soda held in it, and also contains fats, soaps, and many organic and inorganic constituents. Its action is as an antiseptic in the upper part of the small intestine, while it aids the absorp- tion of fats in the other portions. The pancreatic secretion is also added to the duodenal mass of food passing on towards its last transformation, com- pleting the starch changes that the saliva-diastase failed to carry through. Also attacking the fats, which are really com- pound ethers (i. e. combinations of alcohol and glycerine, with stearic, palmitic or oleic acid), and splitting them up into gly- cerine and the fatty acids, which (by the aid of the carbonate of soda contained both in the pancreatic secretion and in the intestinal juice) are completely emulsified, ready to be absorbed by the intestinal lacteals and carried into the blood. The trypsin also seizes upon the albuminous substances which the stomach pepsin had failed to completely change into peptones, and by methods not understood, changes them into a number of different peptones. With all this there are often lactic and butyric acid fer- mentations, with all the chemical changes that they involve. Gas in the Bowels.-Partly as by-products of these pro- cesses, the intestines contain also- THE DIGESTION. 89 Sulphuretted hydrogen gas, H,S. Carbonic acid gas, CO2. Nitrogen gas, N. Hydrogen gas, H. Marsh gas, CH4. "firedamp." Oxygen gas, O. Chemistry of Digestion.-The digestive tract is thus proved to be a veritable chemist's laboratory, in which both analytic and synthetic processes of the most elaborate kind are continually going forward, under the direction of the mysteri- ous master-genius, vitality, and elaborating therefrom the wonderful organisms of animal life. That elaboration can only be wrought as diet becomes the handmaid of vitality, and furnishes the requisite materials. Nutrition is the vital process by which the food, digested as already described, is taken up by the lacteals as chyle, and transferred .to the blood, thence to the lungs to be vitalized by the absorption of the oxygen of respiration, thence to every minute tissue of the body to offer to it the pabulum which shall supply its wastes. Elimination. - But continued organization would be but another name for mammoth aggregation, were there no disorganization. Organized life consists in the balance of the two. But even a balanced disorganization, without adequate elimination, would be but a vast accumulation of debris. Hence excretion, which is physiological elimination, be- comes an important factor in the construction of a dietary based upon physiological needs. The Process of Elimination is the separation of the dead wastes and the useless or harmful substances in food, from the living tissues ; and it is the function of the excreting organs to expel them from the system. The perspiration from the skin, carbonic acid gas from the lungs and skin, urine from the kidneys, and fecal matter from the bowels are the gross forms of excretion. In nutrition the oxygen of respiration unites with the car- bon and hydrogen of the food and consumed tissues, and forms 90 THE SECRET OF HEALTH. carbonic acid and water, which escape through the lungs, skin and kindeys. All digested substances leave the body, as urea, carbonic acid and water. The urea is formed by the union of the oxy- gen with the nitrogen, and a part of the carbon and hydrogen of the food and tissues, and escapes only by the kidneys. ATWATER THUS TABULATES THE DAILY EXCRETIONS. Through lungs and skin, Through the kidneys, Through bowels and kidneys, (Carbonic acid ( Water I Urea, etc. | Minerals < Water < Undigested ( matters 38.8 ozs. 12.7 " 1.2 " 0.7 " 71.4 " 1.4 " or 1100 grams or 361 " or 34 " or 20 " or 2024 " or 38 " Totals, 126.2 ozs. or 3577 grams Deleterious and Poisonous Excretions.-Some of the excretions are intensely poisonous. They are formed in the body even in health, by the chemical changes which the nitrogen molecules undergo, commonly as the result of incom- plete oxidation. Between the albumen of food and the ex- creted urea, twenty-eight nitrogenous compounds have been discovered, some of which are deadly poisons. The Exciting Agent, Oxygen.-All the foregoing processes of digestion and excretion are the results of chemi- cal changes in the food and its elements wrought by vital force. The chief factor, in each case, is a definite proportion of oxygen received through the blood from the lungs. What Oxygen Does-This oxygen produces a certain effect, governed the amount taken into the system. For instance, take the albuminous group of foods represented by the white of egg or lean meat, which consist of carbon 72 parts, hydrogen 112 parts, nitrogen 18 parts, oxygen 22 parts and sulphur one part, illustrated by the chemical formula C72H112N1SO12S. In a state of normal health, an adult who eats such food, for every 139 parts of oxygen he takes into his blood, will convert the elements of this albuminous food into urea four parts, uric acid one part, creatinine two parts, car- bonic acid 55 parts, water 38 parts, sulphur one part, all of THE DIGESTION. 91 which are excretive matters, and in a state of health are expelled from the system. This is the normal standard. It is secured by the inspiration of one pint of air 18 times every minute, which is about the average quantity inhaled by healthy adults. The Character of Its Product, Governed by Its Amount.-Now as the quantity of oxygen absorbed varies from this standard, the result of its work will vary. Thus when the greatest possible amount of oxygen is taken into the system, 154 parts of it will convert one part of the albuminous food (composed as above) into urea nine parts, carbonic acid 63, water 37 and sulphur one part. This excess of urea indi- cates rapid waste of tissue, without disease products-the body burns instead of sickens. On the other hand, the absorption of only 76 parts of oxy- gen converts the above elements into urea only two parts, uric acid two, creatinine two, glucose five, carbonic acid 22, water 10, sulphur one. This is the diabetic condition, kidneys over- worked for lack of sufficient fresh air or oxygen to properly act upon the food. Illustrative table, showing the excretory products resulting from the absorption into the system of varying quantities of oxygen: Condition of the Oxy gen. The proportion of oxygen named in the first column converts the albuminous foods above described into the following number of parts of excretory products. Other substances. body or system. • j § joni id. CD J3 Those marked * are deleterious; those s = CD <D c5 marked t are deadly c? Q o OD poisonous, and their formation in the svs- Normal, Gouty condition, or lx. 4 1 - 55 38 1 tern is possible under certain conditions. rheumatism, Calculi (stone), heart and nerve 13G 2 2 2 52 40 1 troubles. Atrophy of liver, 129 2 2 2 38 33 1 ♦Oxalic acid, 7 parts rickets, etc., 94 2 2 2 31 19 1 ♦Lactic acid, 7 parts Diabetes, Fever, diabetes, 76 2 2 2 22 10 1 ♦Glucose, 5 parts chorea, etc., 67 2 2 2 21 24 1 ♦Hippuric acid,4 parts f Sundry 129 2 1 1 52 36 1 tAmphi-creat'n, 1 pt. J diseased 122 3 1 1 49 32 1 fLeucin l,santho-cre. 1 (conditions, 116 1 1 1 46 33 1 tCruso-creat'n, 2 parts 92 THE SECRET OF HEALTH. The System Poisons Itself.-Prof. Wood points out that, as the result of this process of under oxidation, a list of nearly two hundred other ptomaines and leucomaines might be added, among them some of the most virulent poisons known. These poisonous products, as well as some not poison- ous, are called leucomaines, in distinction from somewhat sim- ilar products which are formed after death by putrefaction, called ptomaines. There can be no doubt that much human disease originates in these abnormal chemical processes of digestion and elimina- tion, hence further reference will be made to this page in other parts of the book. From this survey how amazing is the process of digestion! What perils beset it at every step! And how little wonder that so many suffer from derangement of the function! Foods May Be Defined as those substances which, when taken into the animal body, furnish, by the normal pro- cesses of nutrition, some element necessary to support life. A perfect food is such a combination of food qualities in one substance as will furnish all the food elements necessary to support life in health and vigor. A Correct Dietary.-The scientific method of ascer- taining what is included in a correct dietary, is by analysis of the tissues to determine what constructive elements are neces- sary, and by analysis of the excretions, approximate the amount of each that is needful to replace the daily waste. Comparing these results with experience, as recorded by competent observ- ers, deductions may be drawn that may be considered as prac- tically accurate. fart ttt. DIET. What, How Much, and When to Eat. Energy Expended-Amount of Oxygen Required-Units of Nutrition-The Kinds of Food Required-All Made up of Thirteen Elements-Average Composition of Foods-Pro- portions of Daily Supply -Foods as Usually Classified- Our Nomenclature-The Fiber-Foods-Fat-Foods - Force- Foods - Fixed-Foods - Oxygen-Food - Its Supreme Im- portance-Average Normal Demand per Day-How Far the People Fail-Two Reforms are Imperative-Subsidiary Foods-Tea-Coffee and Cocoa-Effects on Salivary Diges- tion-Effervescent Water, Vinegar, Wine and Brandy- Retardation of Digestion Beneficial-Mastication and Sali- vary Digestion-Food Value of Alcohol-Extractive Foods -The Amount of Food Materials Needed-Prof. Church's Dietary - Table of Food Elements Required in Different Circumstances-Similar Table-Conclusions Drawn From the Tables-American Waste-The Necessity for Dietaries -How to Make Dietaries-Rules to Work By- Nutrition not Goverened by Cost-Wrong Feeding and Disease. Working Table for the Construction of Dirt a rtfs.- Its Availability Illustrated-The Ideal Diet-Table of Defec- tive Diets-National Examples of Diet-Condensed Rules for the Preparation of Home Dietaries-General Principles of Correct Diets-Facts of Importance to Aid Right Fating. The animal body is a machine that is constantly expending energy in life-processes and in work. The steam engine can 93 94 THE SECRET OF HEALTH. only exhibit the force that is put into it in the fuel consumed. An engine with no fire has no power. The animal engine works incessantly; for even in sleep the lungs must play and the heart must beat. That little beat- ing heart does 4,320 pounds of pumping work in eight hours sleep. Those lungs lift the bony ribs over 8,000 times in those hours of rest. The digestive and assimilative organs have run a chemico-vital laboratory through every square inch of the entire organism, every moment of those hours. The excretory functions have been pulling out of every tissue and expelling the waste materials that have been rendered useless by the preceding day's activities, every instant of that restful time. There must be fuel to feed such use of power. Hence, the practical questions are : What amount of energy is expended in every twenty-four hours in the vital processes and the work of the animal machine? What kind of materials is necessary to supply that energy? What amount of those materials is required? Inasmuch as the machine wastes with use, what kind of other materials is necessary to make good that loss ? What amount of those materials is required? Are there still other materials requisite ? 1. Energy Expended.-All molecules of food are burned or oxidized, by the action upon them of a definite num- ber of oxygen atoms, into the ultimate forms in which all food escapes from the system, namely: Urea, uric acid, creatinine, carbon dioxide, water, or a sulphuric acid-forming compound. Different elements require for their reduction different propor- tions of oxygen. But the average of 750 grams (or 1,173 pints) of oxygen has been fixed upon as the daily number required by each adult person. (See Dr. Porter, Merck's Bul- letin, Dec., '92, p. 732.) This process of reduction in the human machine, as in the engine, develops both heat and energy, or work. "Work Done.-In each twenty-four hours, Mr. Kendrick estimates the physical work done by the heart and circulation DIET. 95 THE POTENTIAL ENERGY OF FOOD. CALORIES IN THE NUTRIENTS IN ONE POUND OF EACH FOOD-MATERIAL. Beef, round, rather lean 807 Beef, neck 1108* Beef, sirloin, rather fat. 1x73' Beef, flank, very fat..* .7. 9750- Beef, side, well fattened 1463 Mutton, leg , 114a Mutton, shoulder xa8x Mutton, loin (chops) . 1755 Mutton, side, well fattened 1906 Smoked ham 1960 Pork, very fat 3459- Flounder » 286 Cod 310 Haddock'. 331 Bluefish 404 Mackerel, rather lean 4 430 Mackerel, very fat ioa6 Mackerel, average 696 Shad . 730 Salmon 07 Salt cod 416 Salt mackerel 1364 Smoked herring 1343 Canned salmon 1036 Oysters „ „ Heni' egg, Cows' milk 308 Cows' milk, skimmed 176 Cheese, whole milk 3044 Cheese, skimmed milk 1166 Butter 369t 3679 Wheat flour J655 Wheat bread {278 Rye floor. 16t4 Beans...' 1519 Pe- itl6 Oatmeal ...... . ,830 Corn (maixe) meal ,6x6 Bice.. 1627 t79S Potatoes , 4,7 Sweet Potatoes . 4,6 Turnip. . ,39 The potential energy represents simply the value of the food, and hence is only an incomplete measure of its whole nutritive value. Besides serving as fuel, our food has other uses, one of which is, if possible, still mor$ important, namely, that of forming and repairing the tissues of the body, the parts of the machine. W. O. Atvatmb. Ctftlury Magaxint. Reprinted by consent. 96 THE SECRET OF HEALTH. of the blood at 50,400 kilogrammeters; the work of respira- tion, 11,700; that of eight hours mechanical work, 125,000; total, 187,100. Heat Produced.-He adds 620,000 more expended in heat production; that is, in keeping up the circulation. This makes a total of 807,000 kilogrammeters, or 5,800,000 foot pounds. In other words, the energy expended and work done in keeping up the animal body and heat is, in an adult, daily equal to the power required to lift 5,800,000 pounds weight one foot from the ground, if it could be directed to the production of mechanical power, as in the steam engine, and without waste. It will also be seen that the production of heat (called heat equivalence) employs five times as much energy as the entire mechanical work done in eight hours labor. Dr. Lees says that a very strong man generates every day a measure of heat sufficient to lift 13,500,000 foot pounds. Life implies heat, for heat is the great condition of change. Snow vanishes from the surface of vegetation before it does from the naked soil, because vegetation is alive. The Units of Nutrition.-Prof. Atwater, following Frankland, Stahmann, Rechenberg, Danilewsk and Rubner has presented the matter in the form of "Units of Nutrition," thus: Four thousand calories of heat are expended every twenty-hours, in the human body. Therefore, the vital ques- tion is to select food that will yield that amount of heat. The methods lead to the same practical result, so far as the necessary supply of heat-food is concerned, the difference being that the oxygen method is based upon the normal amount of oxygen, and measures the food by the oxygen required for its complete reduction, while the heat method is based upon the normal heat, and measures the food by its heat-producing power. But the medical aspect of the diet question is most pro- foundly affected by the quantity of oxygen required. There- fore we shall use both systems. Eleven hundred and seventy three pints of oxygen, evolv- ing 4,000 calories (6,120 foot tons), one calory making 1.53 foot DIET. 97 tons of heat from the food consumed every twenty-four hours, is the average demand of the human organism. This immense physiological expenditure of force is best seen by noting the fact that three hundred foot tons is deemed a fair average of mechanical work for laboring men. Our non-laboring readers may best appreciate this day's work by the fact that in walking on a level a man does work equivalent to raising one-twentieth of his weight to a height equal to the distance walked ; e. g., a ten-mile level walk is about equal to raising 200 tons one foot. Therefore, the laborer's day's work is equal to a walk of 15 miles. If the 6,120 foot-tons of energy generated every day could all be expended in walking the dis tance traversed in 24 hours would be about 306 miles. The Kind of Food required to yield that enormous amount of energy, is most important; yet if this were the only question, practical dietaries could be easily prepared. But our body-machine, like the engine, wastes in work, and the wastes must be re-supplied. As it will not do to replace an iron bolt in the engine with a wooden pin, so in the body, the wear and loss must be replaced by that of its own kind. THE KINDS OF ELEMENTS IN A BODY WEIGHING 148 POUNDS. Carbon, 31.3 pounds. Oxygen, 92.4 " Hydrogen, 14.6 " Nitrogen, 4.6 " Calcium, 2.8 " Phosphorus, 1.4 " Potassium, 0.34 " Sulphur, 0.24 " Chlorine, 0.12 " Sodium, 0.12 " Magnesium, 0.04 " Iron, 0.02 " Fluorine, 0.02 " Thirteen Elements weighing 148. pounds. These thirteen elements exist in the form of the five compounds : Water, 90. pounds. Protein, 26.6 " Fats, 23.0 " Carbohydrates, 0.1 " Mineral salts, 8.3 " 148.0 pounds. These compounds are made up of the five gases, oxygen, hydrogen, nitrogen, chlorine and fluorine ; and the eight solids, 98 THE SECRET OF HEALTH. of which iron, calcium, magnesium, potassium and sodium are metals, and carbon, phosphorus and sulphur are non-me- talic. (There are also minute portions of silicon, manganese and copper, but these are not deemed essential constituents of the body.) Hence, wherever any waste occurs in any one or any num- ber of these elements, the food must re-supply it. Therefore, Foods have been Classified by Bunge, as, 1. Those which supply energy and can replace exhausted constituents,-proteids and fats. 2. Those which supply energy only,-carbohydrates, gela- tine and oxygen. 3. Those which repair waste only, and furnish no energy, -water and mineral salts. Ordinarily, these classes are mixed in various proportions in different foods. But of these three classes of foods, Class of food. Carbon. Hydrogen. Oxygen. Nitrogen. Protein, Fats, Carbohydrates, 53. per et. 76.5 " 44. " 7. per ct. 12. " 6. " 24. per ct. 11.5 " 50. " 16. per ct. none. » none. THE AVERAGE COMPOSITION IS: The Average Body Contains, of protein, 18 per cent, (consisting of albuminoids 11 per cent., gelatinoids 6 per cent., and extractives 1 per cent.,) fats 16 per cent., and carbohydrates less than 1 per cent. The Food Needed to sustain the wastes of the average body just mentioned, and the composition of this food, have been carefully computed by Prof. Atwater, who finds that the average daily diet for this purpose should consist of the follow- ing foods, or those furnishing a like amount of the various food compounds. DAILY FOOD REQUIRED TO SUSTAIN THE WASTES OF THE SYSTEM. Lean beefsteak (no bone), 8 ounces. Bread, 20 " Potatoes, 30 " Butter, 1 " Water, 37 " Oxygen, 30 " DIET. 99 AVERAGE COMPOSITION OF COMMON FOODS. Reprinted, by consent, from Edward Atkinson's "Science of Nutrition." Nitrogenous. Carbohydrates. Proteida. Water. Ash, etc. Starch. Sugar. Fats. Apples Butter Cabbage Potatoes Bacon.. Milk Bread (rye)- Bread (white) Bice Clams Crackers (Boston) Wheat Bggs Indian Meal Beef, Average... Catmeal Mutton.... v. Ham Mackerel Bluefish Tripe..... Fowl; Beans. ,.s. Cheese Fffftids.. .40lbs. Starch, etc.... 1.00 ** Fats40 Salts .»o *' Total.... 1.90 lbs. Confuted and Drava by Mas. Kluh H. Richamx. 100 THE SECRET OF HEALTH. These seven and seven-eighths pounds of food contain: Protein, 4.2 ounces, or 118 grams. Fats, 2.0 " or 56 " C. Hyd., 17.6 " or 500 " Minerals, 0.8 " or 24 " Water, 71.4 " or 2,024 " Oxygen, 30.2 " or 855 " Totals, 126.2 ounces, or 3,577 grams. The metamorphosis of tissue that the doctors talk so much about as a necessary factor of health, is the process of wear and replacement. When the engine wears to a certain point, it must be sent to the repair shop to have the worn bolts, etc., replaced. The Repair Shop Within.-The human engine carries its repair shop within itself, and replaces as the wear occurs. It may be brass, iron or steel that is needed in the engine. It may be one, or another kind of food in the animal. Foods as Usually Classified.-Proteids, fats and carbohydrates have been named. These are called by differ- ent writers: 1. Proteids, or albumens, albuminoids, nitrogenous, tis- sue-foods, CHONS, repair foods, essential foods. 2. Fats, or hydrocarbons, and carbohydrates. 3. Carbohydrates, or C H O, non-nitrogenized, starch- foods force-foods. 4. Mechanical foods, water and mineral salts. It is impossible to draw sharp lines of distinction between the carbohydrates, fats and proteids as they exist in foods, because they are so often combined in the same article. Yet some articles consist so largely of one kind that they may be somewhat loosely thus classed. Our Nomenclature.-To prevent confusing our read- ers, we shall call the proteids fiber-foods, the fats fat-foods (although usually grouped under the carbohydrates), the carbo- hydrates force-foods, and the mechanical foods fixed foods. The Fiber-foods have the following characteristics: 1. They consist of carbon, oxygen, hydrogen, nitrogen and sulphur. PIET. 101 2. They cannot be formed in the body by the union of the elements of other foods with free nitrogen. 3. They only can repair the wastes of tissues consisting of nitrogen, such as blood, muscles, sinews, skin and the vital organs. Muscle contains one twenty-seventh its weight of nitrogen. 4. When consumed, about 20 per cent, of them are not assimilated. 5. While they cannot be formed from other foods, they form the fats of the tissues, and yield both heat and force. 6. They are expelled from the system, as urea, uric acid, creatinin, carbon-dioxide, water, and a sulphuric acid-forming compound. 7. Carniverous animals require daily one-twentieth of their weight of them in the form of lean meat. 8. They only can support life through long periods. 9. They consist chiefly of the albumen, white of egg, casein of milk, myosin of lean meat and fish, ossein of bone, gluten of grains and legumen of peas, beans, etc. 10. They are the most expensive kind of food. 11. About 26.6 per cent, of the body is made from them. 12. They consume 3.15 grams of oxygen per 100 grams of proteid. 13. Of the animal fiber-foods, 96 per cent, are absorbed, while of the vegetable only 70 to 80 per cent., and sometimes only 60 per cent., are absorbed. 14. They are the "plastic material out of which our living structures are reared, and are always present in the primitive cells and seeds of life. The Fat-Foods have these characteristics: 1. They are first consumed in the process of digestion. 2. They yield heat, or force, interchangeably. 3. They are particularly necessary in low temperature. 4. They lubricate and cushion the bones, muscles, etc. 5. They are a store of heat and force. 6. They are expelled as carbon-dioxide and water, 102 THE SECRET OF HEALTH. 7. They cannot sustain life without the fiber-foods. 8. The animal fats are absorbed, unchanged by digestion, and produce heat and energy within the blood current. 9. The fat contains one-tenth its weight of glycerine. 10. They may be formed from all three classes of food. 11. The vegetable fats are split up into a fatty acid and a glucose in the process of digestion. The acid then unites with the soda in the alimentary canal and forms hard soap, which is a natural laxative. 12. An excess of fat food increases the working forces. Killnor has proved that a horse fed with six and one-half ounces of linseed oil each day is able to do 646,000 pounds more work than without it. 13. They comprise about 16 per cent, of the weight of an average man. 14. They consist of carbon, oxygen and hydrogen. 15. They consume 2.8 grams of oxygen per 100 grams of fats. 16. They also assist in the digestion of the fiber and force foods. 17. They cannot be resorbed by the system beyond the quantity necessary to replace the carbon consumed by the oxy- gen of respiration. The Force-Foods have the following characteristics: 1. In the body they constitute less than one per cent., and consist mainly of glycogen-liver-sugar, and inosite-mus- cle-sugar. 2. They consist of carbon, oxygen and hydrogen, the same as the fat-foods, but in different proportions. 3. They are found in the starches, sugars, dextrines, gums, etc. 4. They yield heat and force interchangeably. 5. They are particularly needed for force. 6. They cannot sustain life long without the fiber-foods. A dog will soon starve to death on bread from superfine flour, but will live comfortably on graham bread. DIET. 103 7. They consume less oxygen, molecule for molecule, than either of the other foods, but their affinity for it is greater, hence they are oxidized before the fiber-foods are. They require 1.07 grams of oxygen per 100 grams of force foods. 8. The system loses a large percentage of energy in pre- paring the digestive fluids by which they are fitted for ab- sorption. 9. They are changed into fats, and consumed as fuel. 10. Seventeen parts by weight, of starch, are equal, as oxidizable food, to ten parts of fat. Fixed Foods.-1. Mineral Matters.-As these comprise 6 per cent, of the whole weight of the body, 30 per cent, of the bones, and one per cent, of the flesh and blood, mineral salts to the extent of one ounce a day, are also required as food. The need is shown particularly by the fact that all animal and vegetable tissues, and in every cell two complex organic com- pounds are found which are very rich in phosphorus, namely, lecithin and nuclein ; hence, these compounds must be consid- ered as essential food substances, particularly since the first exists in milk. The nucleins contain from 3.2 to 9.6 per cent, of phosphorus. As milk contains from seven to fourteen times less iron than other foods, and as the new born animal's liver contains from five to nine times as much iron as in the mature, it might hastily be assumed that iron is not a food element. But Bunge has shown, on the basis of Bischoff's and Schmidt's estimates, that the blood of a man weighing 154 pounds contains from 37 to 41 grains of iron. But as most vegetables contain from one- half to two per cent, of minerals, the need is ordinarily sup- plied without special care. 2. Wafer.-About 75 per cent, of the muscles, and from 61 to 70 per cent, of the entire body consists of water; hence, large quantities of this element are necessary. The mineral salts and water are termed mechanical foods, because they enter and pass out of the body unchanged. We call them fixed foods for the same reason. 104 THE SECRET OF HEALTH. Oxygen Food.-Every molecule of food requires a cer- tain number of oxygen atoms, to reduce it by chemical changes to the ultimate forms in which all food escapes from the sys- tem, namely, urea, uric acid, creatinine, carbon-dioxide, water and a sulphuric acid-forming compound. See table on Page 91. The oxygen is just as important as the other food elements, because without it in due proportion, neither can the food be worked up into appropriate blood-plasma for the tissues, nor can the wastes be removed from the system. Hence the question, " What shall I eat?" must be answered not only in a specified number of ounces per day of the fiber, fat, force and fixed foods, but also in a definite number of oxygen atoms, as well; for, if the oxygen be deficient, the force-foods will exhaust it, to a greater or less extent, thus leaving the fiber-foods to undergo deleterious changes, as will hereafter be shown. The Diminished Use of Oxygen.-The tendency of civilized life is towards a diminished consumption of oxygen. As indoor and sedentary employments multiply, homes in- crease in "modern improvements," means of travel become more effeminate, outdoor life is relegated to the essentially outdoor occupations, and clothing becomes more luxurious, the oxygen absorbed by the average citizen approaches the minimum amount with which nature can run the human mechanism. Hence it becomes specially necessary to adjust the diet quite as much to the oxygen supply received, as to the heat and tissue waste stiffered. Supreme Importance of Oxygen.-It is impossible to overestimate the importance of this phase of the subject; hence we give it special consideration, and particularly in view of the fact that it will prove the key to much of the med- ical and hygienic matter of this book. The average normal demand per day for oxygen must be the basis for just comparisons and practical rules. Authorities have been cited, by writers upon the subject, whose estimates, DIET. 105 reduced to a common standard of pints of oxygen (0.54 grams to a pint), are as follows: Pettinkofer and Voit calculate that from 7 to 11 cubic centigrams of oxygen are required to every gram of weight. Take 9 centigrams as the average, and 140 pounds as the weight; this would be 10,585 pints per day of oxygen required by an adult in a healthy state. Menries-837 pounds of oxygen taken from the atmosphere each year. This gives 1,925 pints per day. Preyer-One gram of haemoglobin can only hold 1.27 cubic centi- grams of oxygen in combination. Allowing 226 grams of haemoglobin in the blood, that gives about 1.4 pints of saturation at any instant, which is being changed and renewed at the rate of one cubic inch 18 times a minute, or about 748 pints in 24 hours. But no allowance is made here for the tissue absorption of oxygen. It is absorbed through the walls of the blood vessels as it goes, and the haemoglobin which is in muscles (as proved by Kiihne and Ray Lamkester), being an oxygen- carrier there, as well as in the blood (Bunge, Page 397), an indefinite quantity of oxygen may be thus transferred from the blood stream. It is known that oxygen diffuses in the tissues of the stomach, of the salivary glands and of the placenta; it therefore seems reasonable to conclude that oxygen is absorbed by other tissues also, to an unknown extent. Hiifner, Marshall and Bunge-There are 2.6 grams of iron in the blood of a man weighing 140 pounds. About three parts of oxygen combine with one of iron. This is 14 pints of saturation at any instant, but constantly changing, as in Preyer's estimate, giving 762 pints in 24 hours, besides what may be absorbed directly through the blood vessels. P. Quinquad-The blood can absorb normally 240 cubic centimeters of oxygen to every 1000 grams of blood. This gives 4.60 pints each third of a minute, and 19,872 pints per day, on the assumption that its whole supply is changed every round of the circulation. Brubaker-One inch of oxygen remains in the lungs at each inspi- ration. Hence 25,920 cubic inches, or 748 pints, are needed in 24 hours. No inquiry is made just here as to whether it is the oxygen from respiration alone, or including that contained in the food (of which there is an average of 572 pints per day consumed), respecting which the above estimates are made; for the dis- crepancies are so great that in this particular no reliance can be placed upon the authorities named. So let us try a differ- ent plan of getting at the amount of oxygen needed. 106 THE SECRET OF HEALTH. Chemical Analysis has shown, so it is affirmed, that the respired air has lost 20 per cent, of its oxygen while in contact with the lungs. Allowing 28.875 cubic inches, or one pint 18 times a minute, as the average inspiration of air, one- fifth of which is oxygen, of which oxygen one-fifth is absorbed, and 1036 pints of oxygen is the daily quantity consumed, which equals but 560 gramms. Chemical analysis has also shown that the reduction of a normal quantity of food-stuffs to their excrementitious pro- ducts requires an average of 802 grams of oxygen. This conclusion is reached by averaging the authorities, as repre- sented by Dr. Porter and Prof. Atwater, the first a physician, the second a chemist. Dr. Porter's statement is that the entire oxygenating capacity of man is less than 832 grams, and that 750 grams are normally inspired. Prof. Atwater says 855 grams are the average inspired, closely fol- lowing the average of Prof Ranke's experiments that showed 857 grams as the intake, with liberal food both at rest and at work. Dr. Porter's possible increase is 82 grams. Giving Prof. Atwater a proportionate increase, or 93 grams, and averaging the two, gives 87 grams as the possible normal increase. The Margin of Oxygen.-Hence we conclude that the adult body in health must have 802 grams (or 1,485 pints) of oxygen daily, and that 887 grams (or 1,642 pints) may be used. This margin of 87 grams (or 161 pints) of oxygen is therefore all that exists within the domain of health to meet the end- lessly varied conditions of human life. The Value of This Margin.-It becomes, therefore, a question of vital importance to determine the precise value of these 87 grams of reserve oxygen in quantitative respirations. If the minimum 802 grams is obtained by 25,920 respirations, or 18 every minute, then each respiration must equal 1.3 pints, or 38.5 cubic inches of pure air. By the same ratio the 87 grams will require 2811 respirations. Therefore, to reach the fullest oxygenating capacity of the system, we have only to increase the respirations 119 per hour, or about two respirations a minute. DIET. 107 Hence, any excess beyond 20 respirations a minute is fruit- less panting after an unattainable good, unless there be defi- ciency of lung capacity that makes the more frequent breath- ing in a measure equivalent to the loss. To Under-Oxygenate is Easier.-On the other hand, in order to under-oxygenate the system, all that is necessary is to drop out one respiration a minute; or, cut down each of the 25,920 respirations from one and one-third pints to one pint of pure air; or to breathe the usual number of respira- tions, but in bad air that lacks its proper allowance of oxygen; or to convey into the body an excess above the normal amount of food of, say three to four ounces in 24 hours, for a person weighing 140 pounds. The Balanced Poles.-In view of this, eating and breathing must be regarded as the balanced poles of a vibrating mechanism, which can work harmoniously only as that balance is maintained. It is all-important to ascertain precisely what that balance is. The Fundamental Point.-Practically, the funda- mental point is that every 802 grams of oxygen required for the reduction of the food consumed by every person, demands, upon peril of his health, the average inspiration of one and one-third pints of air 18 times every minute. Why is this so? Because the carbon which the food sup- plies, and which is the product of the vital changes, clogs and poisons the system. But, meeting the oxygen absorbed in res- piration, the carbon combines with the oxygen to form car- bonic acid gas, which is expelled at the next expiration. Thus the worn-out tissue is dissolved and removed. But if the oxy- gen be deficient, the eliminating process fails, and in the pres- ence of the effete matter retained, the normal reduction of the food becomes an impossibility. How Far the People Fail.-How does this fact cor- respond with the actual respirations of the people? Turning back to Page 103, we find that 25,920 respirations a day yielded but 560 grams, a deficiency of 242 grams, according to the 108 THE SECRET OF HEALTH, ordinarily accepted estimation. Here is a lack of nearly one- third, showing that under-oxidation is the common experience. Let us try another estimate. How Far College Students Fail.-By the kindness of Miss M. Anna Wood, physical examiner for Wellesley Female College, Massachusetts, we have been furnished with tables of the examinations of 1,500 students of that college. From these, we extract the following averages: Age 19.10 years; weight, 119.4 pounds; height, 5 feet, three inches; girth of chest, 28.8 inches; girth of chest when full, 31.4 inches; chest expansion, 2.2 inches; depth of chest, 6.9 inches ; lung capacity, 150.3 cubic inches. Taking the graduating class of 1891, numbering 104, as fully average, we find these results : Average hours of daily outdoor exercise before entering college, one and three-fourths hours. Almost one-third of the number had poor or indiffer- ent health. Nearly half of them were nervous before entering, and 60 per cent, were nervous before graduation. Less than four per cent were sleepless before entering; 27 per cent, were sleepless before graduation. These may fairly be assumed to represent the large army of female teachers, students, indo- lents and sedentaries, as to lung capacity. The Air of Respiration is divided by physiologists, into: a. Tidal-That which passes in and out in quiet breath- ing, 20 to 30 cubic inches, b. Complemental-That which can be drawn in by a forced inspiration, 110 cubic inches, c. Re- serve-That which remains after ordinary expiration, but which can be expelled by forced expiration, 100 cubic inches. d. Residual-That which cannot be expelled, 100 cubic inches. The combined tidal, complemental and reserve measure the the lung capacity, which in a person 5 feet 7 inches, is 230 cubic inches. It increases or diminishes 8 cubic inches for every inch in stature above or below that height. We Don't Get Oxygen Enough .-One-ninth of the lung capacity is tidal air; and 260 cubic indies capacity repre- sents one pint of tidal air. Therefore, the ordinary estimate DIET. 109 for males and females both, of one pint of air at each respira- tion, requires 260 cubic inches lung capacity. Yet 230 inches is laid down in the books as the normal average for a person 5 feet 7 inches in height. Now 260 inches being the average for both sexes, it is too high for females alone, and too low for males, the difference being about 25 per cent. That would raise the average for men to 292 inches, and reduce the average for women to 227 inches. But the figures for the 1,500 Welles- ley students show an average of only 150 inches, which is 77 inches short of the normal oxygen demand. May not this account for a large part of the ill health, sleeplessness and nervousness named in Miss Wood's statistics? Bad as this showing is, it is still far short of the truth; for these 260 inches yield but 560 grams of oxygen, or 1,037 pints, while our average (from Porter and Atwater) demands 802 grams, or 1,485 pints, which would require an average lung capacity of 372 inches, or for men 418 inches, and for women 326 inches. But such average capacity is simply impossible. There- fore, the results of chemical analyses are entirely misleading as to the amount of oxygen needed in the process of digestion; or, the system has methods of securing it otherwise than by respiration; or, a much greater quantity is inspired than the ordinary estimates allow. The latter seems the more probable supposition, especially in view of our own experiments made with the spirometer with both sexes and of different ages, which, while not numer- ous enough to prove a general average, did suggest one-seventh as the normal proportion of tidal air, instead of one-ninth. Accepting, for the moment, this ratio, it would make com- plete oxygenation of food easily possible upon the basis of an average lung capacity of 260 cubic inches, or 227 inches for females. In either case, it but emphasizes all the more the necessity for free ventilation, so strongly insisted upon in this work. The Oxygen Supply Reduced.-Inactivity and seden- tary habits reduce the oxygen supply in three ways: 110 THE SECRET OF HEALTH. 1. The lack of molecular activity in the muscles gives a feeble call for oxygen to effect molecular metamorphosis; that is, the atomic changes which accompany all generation and expenditure of force. 2. The blood, taking up all the oxygen that the tissues call for, absorbs but little to meet the feeble call. 3. The under-absorption fails to give proper stimulus to the lungs; hence under-breathing is the necessary physiological result. To this may be added the danger of over-feeding, from the habitual effort of cooks to coax the appetite by savory dishes, and the common custom of loading the table with a variety of viands thus temptingly prepared. In the case of the Wellesley students, we should add the alarming fact that of the graduating class of 104 persons, 17 had a marked hered- itary tendency to consumption and scrofula, and seven to heart dis- ease, making nearly one in four. Surely the future of that class of refined and cultured girls is sadly shadowed! Nor is there reason to believe that their experience is exceptional. Twenty-five per cent, of invalidism is therefore the seeming out- look for America's most gifted daughters. Nor is this relieved by the possibility of individual escape from the active results of hereditary entailment, for the class illnesses already cited show that its average health was far below normal, notwithstanding the excellent results from the physical training received. Three Reforms Are Imperative.-1. To recognize the relation between lung capacity and perfect digestion. Almost every other point in physical culture has been elabo- rated ; but, as admitted in personal correspondence with us by some of the leading physical educators of the country, this is new to them. Yet, in reality, it lies at the very foundation of a true, scientific development of perfect manhood. 2. To secure as much breathing capacity as possible, and habitual use of that which is secured. 3. To dress so as to make full breathing possible. A slen- der waist, out of proportion with hips and shoulders, ought to be deemed as unfortunate a possession for a girl, as a callow skin, flabby muscles and dark-circled eyes are for a man. But fettering skirts and constricting stays are more than fashionable, they stand for a sentiment. Nor is that sentiment modesty. It is absurd for the social etiquette that not only tol- erates, but demands an almost naked bust amid the exposures DIET. 111 and in the embraces of the dance, to claim that long skirts are the safeguard of modesty. The sentiment is gentility, as indi- cated by a life of ease; hence, fetter the girl so that she cannot romp, and lace her until her breathing capacity is so reduced that the disposition to romp is eradicated; then-what next? Wifehood protesting against the crucifixion of motherhood; motherhood laying its deforming hand upon its weak-chested progeny, and thus the damning sin writing itself in the very wasp-waisted forms (and not unlikely wasp-disposition) of the progeny, until the time has come when woman's beauty is her deformity, and one of her chiefest charms is her helplessness. Oxygen the Source of Vital Heat.-Here let us recall the statement that the chemical affinity which oxygen has for the elements of food, and the wastes of tissue, is the only source of vital heat, which, transformed into energy, is vital force. Hence, the possible vital force of any animal is measured by its normal heat production; which, in turn, is dependent upon its oxygen consumption; which, in its turn, is largely governed by its muscular activity. Therefore, to be muscularly inactive is to be under-oxygenated, physically weak, chemically poisoned, and more or less fatally diseased. The alternative is simple, but its horns are inexorable as fate-exercise, breathe, LIVE ! or drone, half breathe, DIE ! But with this alternative before us we must not lose sight of The Triple Counterpoise of Health.-Every adult in health has an average of 22.4 ounces of digesto- assimilative power, and 33.6 ounces of excrementitious power, or 56 together. For their normal exercise, these require more than four cubic inches of respiratory power to each ounce. Hence, if the respiratory power falls below that number, these func- tions can be employed only to a corresponding degree. For example, if the respiratory power be only 180 instead of 230 cubic inches, then tlie digestive and excretory functions can be safely burdened with only 45 instead of 56 ounces of food in 24 hours. And in order to perpetuate the health, the activities of life must be reduced in a corresponding ratio, or about one-fifth. Or, as in the case of the Wellesley students, if the respiratory power be only 150 cubic inches, then 37 instead of 56 ounces is ail the 112 THE SECRET OF HEALTH. food that can be safely taken, yielding about 2,600 calorics instead of the average 4,000 normally required. The effect that this must have upon their prospects in life, either in business in competition with men of full oxygenating capacity, or to endure the strain of wifehood and motherhood, can be easily estimated. Hankins attributes the germicidal quality of the healthy blood to a " defensive proteid " in the serum, belonging to the globulines. This can only be organized by oxygen. Doubtless it was by this that the two eminent scientists, Dr. Pettenkofer and Dri. Emmerich of Munich, were enabled, without harm, to eat the cholera bacilli, in order to test its effect upon their system. "So important is oxygen in the blood, that more than five per cent, is always found, even in venous blood, except in cases of asphyxia. And a body weighing 154 pounds consists of 97 pounds of oxygen." (N. Strogano.) Subsidiary, or Incidental Foods, are those which are neither sources of energy, nor possessed of reparative power, such as condiments and stimulants. They are declared by Bunge to be "As necessary to us as food itself is," because they so act upon the organs of sense as to produce agreeable sensations and augment the secretion of saliva, and probably also upon "all processes and movements involved in digestion and absorption." Tea.-The tea consumed annually in the world is estimated at 1,354,500,000 pounds. In 1890, 83,494,956 pounds, 1.33 pounds per capita were consumed in the United States. This enormous consumption entitles tea to a careful examination of its merits as a food accessory. Roberts declares that the ordinary view which ascribes its deleterious qualities to its contained tannin, is erroneous, and that ten grains of bicar- bonate of soda to each ounce of dry leaves completely removes its real damage, namely as a deterrant of starch digestion. Effect of These Foods on Digestion.-For the sake of condensation, we here group together the results upon di- gestion, of Roberts' experiments with various incidental foods. Upon Salivary or Starch Digestion.-The medium strength of tea, as ordinarily used upon the table, is 4 to 5 per cent.; that is, 4 to 5 parts by weight of the dry leaf to 100 parts of DIET. 113 boiling water. Coffee ranges from 7 to 15 per cent; cocoa about 2 per cent. With 1 per cent, of tea there is perceptible retarding of digestion. With 3 per cent, it is delayed more than 12 times its normal period; with 5 per cent., to 45 times its normal period ; and a 10 per cent, decoction totally prevents starch digestion. Coffee of 40 per cent, delays 2| times, and at 60 per cent, it delays 5 times the normal period. Cocoa has practically no effect. Effervescent waters, 50 per cent., wholly arrest salivary digestion. Table vinegar, one-tenth of one per cent., retards it about 8 times the normal, and two-tenths of one per cent, entirely prevents starch digestion. Sherry, one-half of one per cent., retards about 8 times the normal period, and one per cent, inhibits. A like amount of Hock retards 20 times the normal, and one per cent, totally prevents; brandy, 20 per cent, prevents; whisky, 40 per cent, prevents digestion of starchy foods. Effect on Stomach Digestion.-Prof. Roberts is also author- ity for the following exhibits : Tea fluid containing only 5 per cent, of tea leaves, and therefore having a strength of only 5 per cent., does not materially retard the digestive action of the stomach, or stomach digestion. Food. Strength. Effect on Stomach. Tea, 10 per cent., retards 5 minutes. Tea, 20 <« " 40 Tea, 40 H " 80 " Tea, CO U embarrassed. Coffee, 5 « retards 5 minutes. Coffee, 20 << *• 40 Coffee, 40 ll " 80 " Beef tea, 10 n " 5 " Beef tea, 20 n " 40 " Beef tea, 40 ll embarrassed. Alcohol, 10 ll retards 15 minutes. Alcohol, 20 ll " 35 Alcohol, Alcohol, 40 ll " 100 50 ll almost no digestion. Sherry, 5 ll retards 5 minutes. Sherry, 15 ll " 100 Sherry, 20 ll " 200 Sherry, 30 ll almost no digestion. Port wine, 10 ll retards 15 minutes. Port wine, 20 ll " 80 " Port wine, Lager beer, 40 ll embarrassed. 20 ll retards 15 minutes. Lager beer, 60 H " 80 " 114 THE SECRET OF HEALTH. The Food Value of Alcohol deserves more extended examination. The following table from Bunge furnishes a basis : Calories Kc/rms or metric muscular heat units. work. One thousand grins, of grape sugar, on complete com- bustion to CO2 and H2O yield, 3,939 = 1,674,000 One thousand grms. of grape sugar, when split up into alcohol and C02 yield, 372 = 158,100 One thousand grms. of grape sugar when split up Into butyric acid, CO2 and H 414 = 176,000 The amount of work done by Wislicenus in ascending the Faulhorn in 6 hours, amounted to, . 148,656 The amount of work done by heart and respiration during same ascent amounted to, . 30.000 Bunge says that " even if we grant that alcohol is turned to account in the body as a source of energy, yet this store of energy is far smaller than that contained in the carbohydrate from which the alcohol was pre- pared. In the fermentation of a kilogram of sugar, as the table shows, an amount of energy is wasted which would serve to carry a heavy man to the top of the Faulkhorn. We must remember, too, that certain cells of our body can probably avail themselves of the energy set free in the breaking down of food-stuffs, since no free oxygen ever reaches them. We thus see how foolish it is for men to give the nourishing carbohydrates of the grape juice and grain to be devoured by the yeast fungus, while they themselves feast on the excreta of the fungus. Fruit, berries and milk, too, are deprived of all their value in this way. No carbohydrate is safe from the insatiable spirit-monger, careless whether he murders thousands, so long as he only fills his pockets. And nothing is too foolish to find support in the authority of physicians." A. J. Mott estimates the average consumption of alcohol among civilized nations as between four and five gallons of proof spirits per head per annum. (Nat. Rev., May, 1884.) And Rohe says: " Neither in hot nor cold climates is alcohol neces- sary for the preservation of health. The pre-disposition to many dis- eases is greatly increased by its use, and investigation shows that the average expectation of life is shortened by its use, as this table shows: Age. Abstainers. Alcohol Users. At 25 32.08 years 26.23 years. At 35 25.92 " 20.01 " At 45 19.92 " 15.19 " At 55 14.45 " 11.16 " At 65 9.62 " 8.04 " DIET. 115 General male population. Per cent. Alcohol venders. Per cent. Brain disease, 11.77 14.43 Tuberculosis, 30.36 36.57 Pneumonia, 9.63 11.44 Heart disease, 1.46 3.29 Kidney disease, 1.40 2.11 Suicide, 2.99 4.02 Cancer, 2.49 3.70 Old age, 22.49 7.05 Dr. J. H. Carver states the case in this way : " Grant that alcohol can be oxidized as a food, even then one ounce of it, or two ounces of whisky, in twenty-four hours, is a/Z that a healthy man can oxidize, and this must be evenly distributed over the period (say one and one-half teaspoonfuls every two hours). Even if taken in quantities too small to be injurious, it cannot be classed as a food for the healthy. The CHO (fat and force elements) are more readily oxidized than the CHNOS (i. e., the liber elements). The alcohol attacks the CHO, and leaves the proteids to generate poisonous leucomaines. This disturbs the process of oxidation. Alcohol is a poison, as its indulgence taxes the oxidizing functions of the system beyond their capacity to oxidize both proteids and CHO compounds." Dr. Porter contends that the use of alcohol is justifiable only in cases of sickness, when ordinarily, a skimmed milk diet is used and the patient is comparatively quiet, so that there is not much loss of heat and energy. Then, should there "be a sudden demand for more heat and energy, they can be secured by judicious use of alcoholic stimulants;" e. g., if faintness or extreme depression results from the diet. Then small and frequent doses can be quickly oxidized, and thus stimulate the system without the consumption of digestive energy. " But," he says, " when the system has full digestive power, and therefore produces the requisite amount of heat and energy, the alcohol becomes an element of danger to the animal creation." The bearing of these facts upon its use in disease will be considered in the treatment of diseases. It has been demonstrated, again and again, that men can endure the extremes of temperature, exertion and hardship better without, than with the use of alcohol. Roberts has given some reasons for supposing that retard- ing digestion by those races that carry the preparation of their food to a high degree of digestibility, is really a natural in- stinct, and goes far to account for the almost universal use of such retarding agents. There may be some force in his rea- sons, from the standpoint of existing dietaries, but whether there would be, were the diets right, seems an open question. 116 THE SECRET OF HEALTH. Prof. Forster says that these food accessories do not aid digestion in health, but are useful for the sick, probably chiefly as appetizers. Dr. Porter says that the best fluid to be taken after a meal is coffee, not strong, and taken without milk or sugar. Roberts holds that tea, coffee, alcohol and tobacco benefit the community in the long run, simply because they are so generally used. If custom makes utility, then the well ascer- tained laws of physiology must be deemed of no account. For instance, the examination by the college physician of Yale university as to the effects of tobacco on the physical development of college students, made on the class which grad- uated in 1891, showed that during the course the nqn-users of tobacco increased 10.4 per cent, in weight, 24 per cent, in hight, 26.7 per cent, in chest girth, and in lung capacity 77.5 per cent, more than those who used the weed regularly. This is but one of many demonstrations of a like character, all proving the utter absurdity of the above claim. The proofs concerning the effects of alcohol are even more conclusive. When he says, "We have in our generalized food habits and customs a natural dietetic standard or model, as truly natural as the food habits of the squirrel, the blackbird or the trout," he overlooks the fundamental fact of man's moral depravity, and its influ- ence upon physical habits and customs. When he can prove that man's nature is as unperverted as that of the animals', then his argument may be accepted. Mastication and Salivary Digestion.-Prof. John Goodfellow ascertained, as the result of experiments made for Dr. E. Densmore, that about 10 per cent, of "the gelatinized and broken-down starch of dry bread" undergoes salivary digestion during thorough mastication, while ordinarily not over 2 per cent, is thus changed; and of cereals and vegetables masticated raw, not 1 per cent, of the starch was digested by the saliva. This would seem to indicate that salivary digestion is of comparatively little importance. In reality, the thorough DIET. 117 breaking up of the food by perfect mastication, which Mr. Gladstone considers is accomplished by 25 bites on every mor- sel of meat, and its insalivation rendering it more readily solu- ble, are probably of equal or greater importance. This is best done, contrary to the dictum of social etiquette, by filling the mouth with a large supply, as the instinct of children and animals teaches them to do, and then using teeth and tongue vigorously in the work of pulpation. Extractive Foods.-Prof. Atwater remarks : "Another class of food ingredients which contain nitrogen are called extractives. They make up the active principles of beef tea and meat extracts. They appear at times to aid in digestion, and have some effect on the nervous system. They were for- merly supposed to furnish actual nutriment, but while they neither form tissue nor yield energy, they give strength by helping the body to get and to use strength from other materi- als which it has." Yet Roberts has shown that beef tea equals 5 per cent, of table tea in its retarding power upon stomach digestion, and whey equals hock. The Amount of Food Needed.-This has been ascer- tained by many and varied experiments. But this knowledge alone is of little practical utility, for the food elements are so unequally distributed in different food materials, that though one knows he needs, at very hard work, 72 ounces of food a day, at hard work 50 ounces, and at leisure 25 ounces, yet he may take an excess of one element and fall fatally short in others. Thus, if a working man is restricted to a single food material, as beef or potato, a pound and thirteen ounces of roasted beef would furnish the required fiber foods and some fats, but it has no force food; three pounds of cornmeal would yield the fiber foods, and with it a large excess of force foods; one and three-fourths pounds of codfish would supply some fiber foods, but it would have very little fats and no force foods; one and one-half pounds of fat pork would give him about one- eighth the requisite of fiber foods, more than four times the needed amount of fats, and no force foods. 118 THE SECRET OF HEALTH. Because of this unequal distribution of the food elements, and the ignorance of the people concerning their proper ad- justment, various dietaries have been constructed. Here is one formed by Prof. A. W. Church: DAILY RATION FOR A MAN AT LIGHT WORK. 1. Bread 18 ounces @ 2J cents per pound, 2.8 2. Butter 1 " @32 " " " 2.0 3. Milk 4 " @ 8 " " quart, 1.0 4. Bacon 2 " @12 " " pound, 1.5 5. Potatoes 8 " @ 2J " " " 1.2 6. Cabbage 6 " @ 2J " " " .9 7. Cheese 3J " @16 " " " 3.5 8. Sugar 1 " @ 6 " " " .3 9. Salt | " @ say " " " .0 Total solid food 2 pounds 10J ounces at a daily cost of about 13.5 cts. 10. Water alone, or tea, coffee or beer, 66J ounces. Different Circumstances Require Different Diets.-Prof. W. O. Atwater estimates the correct amount of food for a properly balanced ration to be about one pound, including waste, to every 35 pounds of body weight, divided as follows: Fiber and fat foods, of each 150 grams or 4| ounces, and of force foods 450 grams or 11.2 ounces, without waste. Our food, Mr. Atwater says, is about 50 per cent, water and waste, and yields 1,200 calories to the pound, and therefore 3| or 3| pounds of properly balanced food is the nor- mal ration. Dalton estimates that 242 parts of fiber foods to 169 parts each of fat and force foods are required by a man at hard labor. Parry gives for a man at full work an average of 70 ounces of liquid food and 47 ounces of solid food, the solid food containing an average of 21.2 ounces of water, fiber foods 4.5, fat 1.9, force foods 18.2 and mineral matter 1.2 ounces. But the amount of food required varies according to circum- stances, as clearly appears from the following table compiled from Ranke, Voit, Wolff, Playfair, Bunge, Vaughan and Atwater: DIET. 119 AVERAGE AMOUNT OF FOOD ELEMENTS REQUIRED FOR AN ADULT IN DIFFERENT CIRCUMSTANCES. [Without Water or Waste, Stated in Grams.] - 'C Xi 5 Grins ? Fat g foods. Co £ ® o§ Grins Calories. Bare Subsistence requires from 50 to 70 grams oi fiber foods, and file figures show the amount of tins and of each of the other food elements actually consumed by the average London sewing girl; Leipsic factory girl; English weaver in hard times; cloister monk and Playfair's bare subsistence, as averaged from the authorities quoted 58 27 1992 Very Light Work requires from 70 to 90 grams, which figures embrace the average ration of Lombardy laborers; Munich lawyers; Leipsic cabinet makers and painters; and women with light exercise 74 2430 Light Work Requires from 90 to 110 grams of fiber foods, which figures embrace the aver- age ration of Japanese students; German pro- lessors; French Canadians working in Can- ada; aged men and those with light exercise. 100 94 345 2701 Moderate Work from 110 to 130 grams, which figures embrace German soldiers; Canadians working in Massachusetts ; Massachusetts me- chanics ; dressmakers; clerks ; men at moder- ate work; college students; U. S. army ra- tions; Playfair's standard for adults; well-to- do Connecticut family 119 145 486 3836 Hard Work (1), from 130 to 150 grains, which figures embrace German miners; carpenters; physicians; English tailors; men at hard work; German soldiers, war-footing; college students in Northern and Eastern U. S 134 105 516 3731 Hard Work (2), from 150 to 170 grams, which embrace German mechanics; English hard- worked weavers; German soldiers, extra rations 154 147 522 4142 Quite Hard Work requires from 170 to 190 grams, which embrace brickmakers in Massa- chusetts, and machinists; U. S. navy rations; college football team; and Italian brick- makers 182 214 713 5664 Very Hard Work requires from 210 to 250 grams, which embrace Munich brewery laborers; Connecticut brickmakers; Massachusetts teamsters; and marble workers 233 246 831 6653 THE FOLLOWING SIMILAR TABLE Is compiled from Ranke, Volt, Bunge and Atwater (also stated in grams). Protein. Fats. CHO. Total. Calories. Very hard work,.... 192 205 639 1,036 5,310 Hard work 187 168 631 986 4 916 Light work 121 72 480 67.3 3 136 No work 100 100 240 440 2,324 120 THE SECRET OF HEALTH. Conclusions Drawn From the Table.-The amount for bare subsistence must be increased 10 per cent, for support without exercise, 20 per cent, for light work, 175 per cent, for average heavy work, 290 per cent, for very heavy work. The amount of well-balanced foods, without waste, needed per day is, for a man, light work, 495 grams or 17 ounces; at hard work, 895 grams or 30 ounces, and at very hard labor, 1,310 grams or 45 ounces. A young man 15 to 20 years old needs three-fourths as much as a man at full work; and a female at the same age, one-half as much. An old man from 50 to 70 years needs two-thirds as much as a man at full work, and a woman of the same age about four-ninths as much as a man at full work. The man over 70 years needs only one-half as much food as when in his prime, at hard labor, and a woman at that age needs one-third as much. On the average, three-fifths of the allowance of food for a man at full work is the amount required for the entire popu- lation. Women need one-fourth less than men in the same condition. Children require liberal feeding during the growing stage. A child of one and one-half years needs a third as much food as a woman at light exercise. From two to six years, the child requires half as much as a man with light exercise; boys from six to fifteen years, need half as much as a man at hard work, and girls a third as much. At the same ratio, a child one to three months old needs five grams or 1.4 drachms of food; three to seven months, 12 grams or 3.3 drachms; seven to twelve months, 30 grams or 1.3 ounces; and from twelve to eighteen months, needs 75 grams or 2.7 ounces of properly balanced food daily. The author of "Cheap Dinners for School Children" says that a child under one year needs a quarter as much as a man at hard work, and from one to five years needs one-third as much ; but this is certainly an overestimate. We Eat Too Much.-Americans consume more than Europeans in similar circumstances, and unquestionably use DIET. 121 more than is needful, to the serious detriment of their health. This over-consumption is demonstrated by the fact that every 100 pints of oxygen required for the reduction of the food calls for 17£ cubic inches of lung capacity. Hence, bare subsistence calls for 145 inches, light work 167 inches, hard work 255 inches, and very hard work 424 inches, at the ordinary tidal ratio of one-ninth. (See Page 104.) But that ratio is greatly modified by the deeper breathing caused by hard work, to the extent of possibly one-half, as shown by the excretion of car- bonic acid, which may increase nearly or quite one-half. Even this estimate calls for 212 cubic inches of lung capacity for very hard work. Now add 80 per cent., or 170 cubic inches, and the American needs a lung capacity of 382 cubic inches. While he possesses only from 200 to 280 cubic inches, such diet is simply preposterous. A Very Important Error in most dietaries consists in unduly increasing the amount of fiber foods for hard work, on the ground urged by Liebeg, that much work causes increased loss of the nitrogenous constituents of muscle. But Voit, O. Kellner, and Pettenkoffer have shown that work does not materially increase the excretion of nitrogen ; while Lavoisier, Vierordt, Scharling, E. Smith, Speck, Ludwig, Screlkow, Max von Frey, and others, have shown that the absorption of oxy- gen and the excretion of carbonic acid are largely augmented ; and Bernard, Kulz, and others, have proved that this carbonic acid is drawn from the glycogen stored up in the tissues and liver, of which there is always 100 grams in each. Bunge holds that the fats also contribute to it, and that the nitrogen of the tissues is not drawn upon until the supply of fats and glycogen is exhausted, when the nitrogen may be transformed into glycogen, and serve as a source of muscular vigor. Hence, the proportion of fiber foods requires to be increased but slightly for greater muscular activity, provided that a sufficient supply of fats and force foods be furnished. American Waste.-Americans waste a large proportion of food by an undue use of fat, starch and sugar. In European 122 THE SECRET OF HEALTH. dietaries, the fats range from one to five ounces a day, and the starches from 9 to 24. In American, the fats comprise from 4 to 16, and the starches from 24 to 60. German pro- fessional men, amply nourished, consume three to four and one-half ounces per day of fats, while American professionals eat from five to seven and one-half ounces. Fats and starches together constitute the fuel ingredients of food. The "nutritive ratio" for a properly balanced food requires to each part of force food from four to six parts of fuel food, embracing both fat and force foods; but Americans use from six to eight parts of these substances to one of force food. Prof. Atwater has also shown that the dietaries of profes- sional men in Germany, Denmark, and Sweden, including students furnish an average of 2,670 calories a day. Those of Northern and Eastern States, America, was 4,140 per day, which is 1,340 calories a day more than German soldiers in time of peace are allowed, and 155 more than the field service finds sufficient in time of war, and is 1,240 calories more than the average of European working men. Nor is this confined to the professions, for the average of twenty dietaries of Connecticut and Massachusetts laborers and mechanics show an average of 5,275 calories, being 2,365 above the European average. The Necessity for Dietaries.-Who has not heard the mother's sigh, as she uttered from the depths of her heart, as well as brain, the perplexing question, "What can I get for my child to eat ? " Knowing that he must be sustained through the exhausting sickness, or built up through the wreary and perilous convalescence? Her solicitude may well be shared, in view of the foregoing dietary factors, by every one who proposes to provide the nutritive supplies of the human being. How to Make Dietaries.-In all dietary efforts these things are of especial importance: (1) The nutritive demands of the case, as affected by different periods of life, different degrees of muscular exercise and exposure, and particular hab- DIET. 123 its and occupations. (2) The chemical constituents of the food. (3) The relative proportions of the different kinds of food. (4) Their digestibility. (5) The number of grams of oxygen required for their reduction. (6) The excrementitious prod- ucts-neither excessive nor deficient. (7) Personal idiosyncra- sies. (8) Cost. (9) All these as related to conditions of dis- ease, if such be present. Rules to Work By.-1. The fiber foods must range from two and three-fourths to eight ounces (very rarely as much as this) per day, according to the systemic and mechanical work accomplished. From many experiments by Bunge and others reported by Mr. Atkinson, it is evident that an average of about 20 per cent, of fibfer foods taken into the stomach passes out of the system unappropriated. Hence, while Bunge places the amount of fiber foods absolutely neces- sary to preserve the system from wasting, at 3.22 ounces, Vaughan, Atwater, and Porter claim 4.19 ounces as requisite. Yet these elements must not be taken in such excess as to unduly load the excretory organs with nitrogenous waste. Hence, the respiratory oxygenating capacity is a most impor- tant factor, and, if the choice must be made between deficiency of fiber foods, for a time, and sub-oxidation of those foods, by all means should the first be chosen. 2. The Fats may range from two and one-half to eight and one-half ounces per day, according to the temperature and exposure of the person, and the scarcity or abundance of the force foods, since they are, to a certain extent, i n terchangeable. 3. The force foods may range from 12 to 29 ounces per day, according to the heat and force required. Rohe says that men at work excrete one-half of one per cent, more carbon dioxide, therefore, need more force foods. The greater activity of the young cells, in young persons, consume these foods faster rel- atively, than later in life; therefore, more are required for youths, in the same circumstances, than for adults. The fats and force foods being interchangeable, may either of them be reduced to a minimum, provided the other be 124 THE SECRET OF HEALTH. increased to such an extent as to furnish the lacking supply of calories of heat. But in no case may the fat and force foods together exceed the oxidizing capacity of the system, i. e., the lung capacity and respiratory habits of the individual. 4. Idiosyncrasies.-Foods that have proved, in ordinary experience, unsuited to an individual, should not be forced upon his system because they may be good for others. There are some unknown reasons why his laboratory cannot work up materials that others can. It is a personal idiosyncrasy, for which there is no accounting, and against which he cannot successfully fight. 5. The fixed foods, water and the mineral salts, may ordi- narily be left to the supply which nature furnishes in the solid foods, and the calls of thirst. For the larger consumption of water, see Special Treatments. 6. The accessory foods should not be depended upon in health, and in sickness should be employed with the same care and judgment that other remedial means are. 7. The tendencies of financial condition should be guarded against. The food of the poor is apt to contain too little fiber element, while that of the rich has too much. It is a species of rebellion against Providence when the poor, whom God has said "shall always be in the land," ape the manners of the rich in style of living. A true appreciation of resources, and an acquiescent adaptation to them, is the basis of contentment, without which a "stalled ox" is no better than a "dinner of herbs." Within the limits of health, he who has large supply is justified in a variety according to his taste. But he who must deny himself of fiber foods because they are not in his stock, must look well to it that the nearest possible approximation be made, and should pray "that the time of this evil be shortened." Two Meals Contrasted.-A poor dinner: Four ounces fat pork, twelve ounces potatoes, six ounces bread, and sixteen ounces clear coffee. It contains of fiber foods 23 grams, fats 89, and force foods 167, equal to 1,630 calories. This poor DIET. 125 dinner, besides being somewhat deficient in calories of energy, is so defective in fiber foods that his necessary toil will draw from his tissues to supply the wastes; while the man of luxury has abundant supply of calories for his easy life, and such an excess of fiber foods as to endanger their sub-oxidation and resulting disease, as seen in the following: A rich dinner: Eight ounces soup, four potatoes, three turnips, two fish, four poultry, two asparagus, two stuffing, three cranberries, two bread, three arrowroot pudding, three pie, two fruit, one nuts, two coffee, one butter, and one ounce of sugar. This ration would furnish of fiber food 53 grams, fats 73 grams, force foods 159, equal to calories 1,550. The Cost of Food.-More than half of the income of the average family is expended for food. The Massachusetts Labor Bureau reports that the families of workingmen, who earn $350 to $400 a year, spend 64 per cent, of it for food, the proportion decreasing to 51 percent, when the income is $1,200 a year, and average 57 per cent. About the same proportion holds true in England and Europe. Fifty-seven per cent, of earnings spent for food invests the question of cost in diet with great significance. Nutrition not governed by cost. There is little difference between the nutritive value of a quart of oysters and a quart of milk, but the oysters, at twenty cents per pound, cost nearly seven times as much as the milk, at three and one-half cents. A pound of rice and three and one-half pounds of potatoes are about alike in nutritive value, but the rice costs about eight cents per pound and the potatoes about one cent. Salmon and tenderloin of beef, at 75 cents per pound, are no more nutritious than halibut or shoulder steak, at 10 or 15 cents per pound. A pound of lean beef and a quart of milk both contain about the same quantity of actual nutritious materials, but the beef costs from two to four times as much. " When the poor man buys his pound loaf of bread for eight cents, he gets no more nutritive material than the well-to-do man obtains for three cents, in the flour which he has baked at 126 THE SECRET OF HEALTH. I. THE COMPARATIVE EXPENSIVENESS OF FOODS. Cost* Of * Pound of Protein end Amount* of Potential Energy Obtained for Twenty-ffve Cent! tn Different Food-Materials at Current Market Prices. Attunted fficc* of Food-ma- terialt ftr found in The estimated cost* (in cents) of one pound of protein in each Food-material, when the latter is bought at the market prices as- sumed, is expressed by the lengths of the light parallel lines, thus: -•- The estimated number of calories of potential energy in the nutrients (actually nutritive ingredients) contained in the quantity of each Food-material which 33 cents would pay for if the ma- terial were bought at the market prices assumed, is expressed by . dark lines, thus: ■shmmbh Kindt Ftod'Mattrtolf. Beef, sirloin., Beef, sirloin, at lower price. * Beef, round. „»- Beef, neck Matton, leg.. Smoked Ham«w«... Salt Pork, very fat Salmon, early in season Salmon, at lower price ... Mackerel Codfish.„ Salt mackerel Salt codfish Oysters, at 40 cents per quart Hens' eggs, at jo cents per dozen.. Milk, at 7 cents per quart Cheese, whole milk.. Cheese, skimmed milk Batter1 Oleomargarine Sugar Wheat flour*... Wheat bread•••••? Corn (maize) meal Oatmeal Rice Beans Potatoes, at 75 cents per bushel.,. .so .16 .08 •a* •3® .08 .07 03K .08 ■3° •«5 .o7| •03 .07* •03 •05 .08 | 106 cents... 185 cents... 1x14 calories J 63 cents... ( T145 calories 33 cents... 1 >793 calorics I 1076 calorics {40 cents... juto calorics 6825 calorics {S»i cents... 158 calories I s5J cents... I $19 calories {79 cents... 929 calories { calories 15® cents... 1807 calories !43 cents... 1103 calories 368 cents... 336 calories | 768 calories { 3403 calories {18 cents .. 3643 calories {no protein. 3083 calories ino protein. 6164 calorics { 6292Pcalones {1378s calories ( 35 cents... 1 4®55 calories ( 13 cents... 113488 calories J t$ cents... I 9189 calories t 34 cents .. I 5068 calories j 14 cents... I 7630 calories {>3 cents... 7689 calories W. 0. Atwatbu, Ctnittry Makati no. Reprinted by consent. DIET. 127 II. THE COMPARATIVE EXPENSIVENESS OF FOODS. Amounts-of Actual Nutrients (Nutritive Ingredients) Obtained for Twenty-five Cents In Different 'Food-Materials at Ordinary Prices, with Amounts Appropriate tor a Day's Ration. A uufned yricel /erinound I Food- I I Matertali. Nutrients in the Food-Materials. Quantities in poundsand hundredths of a pound indicated by shaded bands. Quantities obtained for 25 cents. FROTB1N. " Lean" of meat, gluten of wheat, etc. FATS. Fatty and oily zubztancez. CASBOkVoRATES. Sugar, starch, tic. Beef, sirloifl Beef, sirloin, at lower price Beef, round. Beef, neck Mutton, leg....»••.•••/ Smoked Hama Salt Pork, very fat Salmon, early in season Salmon, at lower price Mackerel Codfish Salt Mackerel Salt Codfish...... Oysters, at 4a cents per quart Hens' cfgs,lT3p centsg>er dozen Milk, at 7 cents per quart .» Cheese, whole milk. Cheese,skimmed milki. Butter* Oleomargarine Sugar Wheat flour... Wheat bread.. Corn (maize) meal Oatmeal «••••••• »•»•«•**< Rice..,. Beans,...,. Potatoes, at 75 cents per bushel, Cts. •'5 .;6 ,08 .30 .08 .07 .09M .08 .15 .07I .03 .03 .05 .08 .95 -oiM Lbs. '•*5 t.56 r.79 a.08 •83 ••So 3'3 3S7 r.6y .83 1.67 3.50 8.33 3-33 8-33 5.00 5.00 50 lib 150 21bs 2 30 3 lbs 3 50 4R». Standards for daily diet for I laboring manat moderate < work| I Voit's, German .... [ Writer's, American 0. Atwatss. Cfntury Magazine. Reprinted by conseoU 128 THE SECRET OF HEALTH. home. In wheat flour the fiber element costs 11 cents, while in potatoes, at 50 cents per bushel, it costs 15 cents. This point is clearly illustrated in the following table from Mr. Atkinson's book, "The Science of Nutrition Showing the cost of 3,000 calories obtained from different Food Materials. TABLE OF COST OF DIFFERENT FOODS. Food Materials. Cost in cents. Suet at 6 cents a pound . $ 4.40 Potatoes at 30 cents a bushel, one-half cent a pound ,5.00 Cornmeal at 3 cents a pound 5.43 Flour at 4 cents a pound, or $7.50 a barrel 7.26 Flour at 5 cents a pound, or $1.50 a bag 9.09 Potatoes at 50 cents a bushel, or one-half cent a pound 10.00 Sugar at 6 cents a pound 10.41 Beef from skin and flank, 4 cents a pound 12.00 Sausage, bacon and ham, at 12 or 12| cents a pound .. 12.78 Beans and peas at 8 to 10 cents a quart 13.86 Sugar at 8 cents a pound 13.92 Rice at 8 cents a pound : 15.69 Skimmed milk at 2 cents a quart 17.31 Parts of beef, mutton or pork, pretty fat, 8 to 10 cents a pound. 20.00 Potatoes at $1.25 a bushel 20.GO Skimmed milk at 3 cents a quart 25.62 Apples at 45 cents a peck 27.30 Butter at 35 cents a pound 30.74 Milk at 7 cents a quart 34.74 Cheese at 14 cents a pound 36.33 Green vegetables at 5 cents a pound 61.50 Beef, medium fat, with 15 % bone, at 15} cents a pound . 100.00 Eggs at 18 cents a dozen 106.50 8. The circumstances which cause the demand must be con- sidered in providing the dietary supply. The healthy country school boy, who wades through snow a mile, to school, and frolics all the way, and whose school recesses are far too short for him to expend his pent-up energies in, will suffer the pangs of semi-starvation on the supply of food that would surfeit the city miss of his own age, who rises just in time for breakfast, minces and prims around until she takes the cars for school, and is too much of a lady to romp anywhere. And the physi- ological doll will be in her grave, from consumption, or a puny invalid for life, before the boy reaches the maturity that will sweep him on into the seventies. Diet. 129 It is as absurd to feed a whole family of aged, adults, and children, some sick and some well, some warmly housed and some exposed to storm and low temperature, upon the same fare, as it would be to expect them all to wear the same clothes. "Milk for babes," at both extremes of life, and " strong meat for men," was the apostle's view, which science has amply confirmed. 9. The responsibility of right provision should be consid- ered. Hints have been given elsewhere of how profoundly the whole mental, physical, and spiritual nature of man is affected by his food. Hence, the responsibility of a right provision of daily aliment can only be measured by the immense interests at stake. What is health worth? What figures shall represent the value of sound mentality ? And, so far as character affects spiritual life, who can adequately express the worth of organic helps to the noblest Christian attainments? The cloister was, undoubtedly, an extreme reaction from the pampered luxury of Roman life, but it was, nevertheless, an instinctive recogni- tion of the fact that habitual customs do affect the inner being. The training of the schools is good, but if a child can have but one of the two, either a correct dietary or schooling, infinitely better is it for him to have the first than, having the second, to make it valueless by a wrecked physical organism. Wrong Feeding and Disease.- The diseases of the enlightened world are nature's protest against, and penalty for, wrong feeding. The responsibility for it begins in the home. There is very little doubt that consumption, with its appal- ling array of horrors, has its seed germ in the over-carbona- ceous feeding of infants and youths. Says Dr. Porter: " The overtaxing of the digestive and oxygenating capacity of the system is the true foundation of nine-tenths of all the diseased processes to which human flesh is liable." (Merck's Bulletin, December, 1893, Page 73.) Says Dr. James Wood (Merck's Bul- letin, February, 1892): "This functional perversion is largely due to the habit of feeding the growing child on a diet com- posed mainly of the starches and sugars." 130 THE SECRET OF HEALTH. Rev. Dr. R. N. Young says of the Sanitary Congress in England : "It was affirmed by a distinguished member of the Congress that, in England alone, there are a quarter of a mil- lion preventable deaths every year, and upward of seven millions of needless illnesses, which even an elementary knowl- edge of hygienic laws might have averted. It is time that lessons on the simple principles of sanitation should be given in primary schools." Two hundred and fifty thousand preventable deaths! Stop a moment! That means 2,000,000 more mourning parents and children every year in that little kingdom, than need be. With our greater food supply and population, at the same ratio, it means, in the United States, 4,000,000 draped in woe every year, chiefly because of wrong dietary habits, and 14,000,000 needless illnesses! How much loss of productive labor; how much useless expense, and how much suffering these entail! Verily, it is time to sound the tocsin of alarm. The necessity for carefully-prepared dietaries rests upon the fact that the food elements are so unequally distributed in food materials. The following table compiled from several from Bunge and Wood shows the amount in grams of several kinds of food that it would be necessary to eat daily in order to give the repair materials requisite, also the amounts of fat and force foods that would be taken at the same time. Foods. Natural State. Dried. With the 100 grams proteids taken up. (453 grams perpound) Carbo- hydrates. Fats. Apples 25,000 4,200 3,300 0 Carrots 0,000 1,000 820 20 Potatoes 5,000 b250 1,090 8 Rice 1,250 1,100 990 11 Cabbage 3,000 440 220 21 Cow's milk 3,000 370 140 107 Maize 1,000 900 740 46 Wheat 800 700 580 14 Fat fish 750 330 0 220 Fat pork 650 360 o 250 Fat l)eef 600 250 o 150 Lean fish 550 110 o 3 Lean beef 480 112 o 7 Peas 430 370 230 7 Peans 435 245 8 Oatmeal 710 461 42 Bread 1,250 687 25 Fjfjjs 900 36 90 Oysters 1,606 830 277 DIET 131 Table ofDefective Diets.-From the calculations of Porter and others, we have constructed the following table to show the defects of various diets, adding estimates not before made. Diet. Moleschott's mixed. Fiber-foods Fat Force " 4.19oz.These require normal amount of 2.89 10.61 " oxygen, but are 16% deficient in Unfit for severe exertion long continued. " energy. All bean. 32 oz. Fiber-foods 8.38 Reouires nearlv i excess of oxveen Calls for more oxySen than the system can " but is about short in supply and doubles nitrogenous excretions out is aoout »/0 snort in energy. overworking kidneys and induclngdisea.se Creen vegetables. Hi lbs. Fiber-foods Fat " Force " 4.19 3.11 6.05 " Over deficient in ox vwn but 61% Deficient in fiber-foods from 20 to 30% be- " °«hnw7n °Xyge' bllt 61% cause of incomplete absorption. Unfit for snort in energy. hard work. Rice. 3 lbs. 10 oz. Fiber-foods Fat " Force " 4.19 .47 47.73 :: Ashort i'nEnergy.' °Xygen aRd 15% Unfit for energetic work, long continued. Oatmeal. 34J oz. Fiber-foods Fat " Force " 4.19 2.25 22.78 " Deficient over 1 to in oxvizen ■ about20cannot be absorbed, therefore, 50 oz. a " short in da* are needed. Overtaxed digestion, " 10% short in energy. bowel ln.ltatlon and sub.oxidation Porter's animal. Fiber-foods Fat " 4.19 4.19 " Slight excess of oxygen; about 9% Deficient in force for hard work or cold " short in energy. weather. Oows' milk. 115 1-5 oz. Fiber-foods Fat " Force " 4.19 5.17 5.67 " Reouires about 4 excess of oxveen Two to 6% nndi®ested- Requires more oxy- :: Ge""'KS **'' .Skimmilk. 105 oz. Fiber-foods Fat " Force " 4.19 1.98 5.29 " *" <"tyge" ""1 OV" SS 6k/0 in energy. inactive. Cream. 155 oz. Fiber-foods Fat " Force " 4.19 41.36 4.39 " Nearlv six times excess in oxvcen Energy beyond management. 37.19 oz. of a" d b, e.tSgy >g 'p" v"SlSuo.C"' W° P' Salisbury diet. ■8 oz.steak per meal Fiber-foods Fat " Force " 3.6 3.3 " 'SSS'uHSilS .»rffin,,V«y deficientin energy. .Mrs.E.H. Richards' diet. Fiber-foods Fat " .40 .40 " This gives the proportions only. Deficient in energy. Force " 1.00 132 THE SECRET OF HEALTH. From the foregoing table it will be seen how easily a chosen diet may prove either excessive or defective in import- ant elements. If this be of consequence in health, how pre- eminently important when the vital powers are struggling with disease ! The most skillful physician, with his best reme- dies may fail solely because the food of the patient reinforces the disease instead of the vitality. Prof. Vaughan proposes a daily ration consisting of bread, codfish, lard, potatoes, bacon, beans, milk, sugar and tea in such proportions as to furnish 123 grams proteids, 70 grams fats, and 550 grams carbohydrates. The total cqst or money value of this ration at present prices is about thirteen cents. In actual food value it is not inferior to the daily fare of the habitue of Delmonico's. The Basis for Dietaries.-To furnish the basis for the construction of home dietaries, as well as to test those already before the public, we have prepared the following working table, giving the chemical constituents of food, and their special excreta, so that a glance will indicate with sufficient precision the particular diet required. Unquestionably, with such tables in common use, multitudes of lives would be saved, as well as the whole practice of medicine be rendered tenfold more efficient than it now is; besides, the necessity for calling medical aid would be much less frequent, because so many diseases would be prevented. The object in giving the col- umns of excreta is to enable the physician, by frequent examination of the urine in critical or obstinate cases, and by consulting the table, to outline a diet that shall meet the con- ditions of the case in a physiological and scientific manner and thus increase the probabilities of recovery. This we deem of special importance in fevers, consumption, rheumatism, malaria, etc, DIET. 133 WORKING TABLE. (Compiled from Bunge, Atwater, Vaughan, Konig, Halliburton, with many original estimates.) Showing the food elements exe?etorv substances, oxygen requisites, and force evolved from 100 grams of one hundred and fifty-six kinds of perfectlydigested and assimilated food. Also the percentages of digestible protein, fats and carbohydrates, based upo compilations of Atwater, Konig, Munk and Uffelniann, and Von Rechenberg. FOOD. Water and Refuse Pro- tein Fats Carbo- hy- drates Min- eral Salts Calor- ies per pound Pints ox.req. for 100 gr.food Price per pound in cts. Urea Wa- ter Car- bonic Acid Per cent, digested of Pro- tein Fats Carbo- hyd's Alcohol, not car.-hy.P. Almonds k. 0.75 11.95 24.18 53.68 99.2 7.23 6.8 12.9 11.04 2.96 .4 .31 .82 3480 2848 228 247 214 255 248 28 18 15 $0.40 .20 .25 .02 .08 8.1 2.01 .13 .16 116.4 73.26 9.92 189.7 203.02 25.33 19.58 17.02 100 100 Ale A. 88.1 .60 5.1 100 87 Apples Apricots Arrowroot Barley Beef, side K. 85.56 .39 6.82 100 87 86.49 18. 18.58 .49 95 82. 65.51 1525 1523 108 .50 49.2 120.21 P. K. 11.62 2.12 2.63 116 94 68 .02 .10 3.89 4.62 46.4 29.5 121.98 84.71 80 55 95 99 A. 13.8 21.7 .8 1.2 1170 95 725 .16 6.93 17.48 49.53 97 Beef, round A. 70. 20.7 8.1 60.79 17.51 .8 2583 218 80 79 3.20 .05 .18 66.7 104.55 95 Beef, extract K. 21.70 5.15 5.02 22.06 21.89 66.77 65.98 97 95 95 Beef, neck A. 68.15 15.4 14.3 97 Beef, sirloin A. 70. 15. 14.3 2.6 1460 128 .05 4.15 37.18 103.38 97 95 55.8 12.4 29.2 Beef, Hank A. | .6 2430 210 .05 3.55 62.46 166.87 95 35.9 10.6 52.9 95 10.5 1155 106 .25 9.04 28.16 89.99 Beef, smoked 47. 15.5 $.8 1- , .7 210 20 .10 3.28 10.10 18.54 97 95 Bluefish Butter 88.9 10. .6 85. 96 100 87 .5 6.20 6.4 57.4 6.6 9. 3.5 .48 .8 3.6 .64 1. 3615 124 224 1585 222 185 307 9 18 127 18 14 '10 .03 .05 .05 .02 .33 .17 1.37 P56 .33 97.04 3.93 6.3 56.32 6.21 5.81 241.3 9.96 18.3 129.9 18.5 14.9 94 100 Blackberries Buttermilk Beans Beans, snap Beets p. Av. K. K. 91.62 88. 13.7 89.87 89. .51 4.1 23.2 4.67 i .7 2.1 .3 94 83 83 61 96 36 36 94 100 96 96 82 1.9 8.4 8.9 .4 .5 l/J 2. 1.37 23.3 59.7 55.5 5.8 38.34 1.1 1.4 1. .2 1.72 .8 495 1285 1280 199 872 315 36 96 97 15 66 31 .03 .06 .06 2.81 2.98 13 15.21 39.83 39.06 5.84 26.77 7.18 38.8 103.3 102. 14.8 69 4 100 68-78 78 87 Bananas A Bread, rye Bread, wheat Ed. A. 73.1 30. 32.7 51 55 100 89 99 100 Beer, lager A. 90.3 .06 .20 1.83 4.7 Chestnuts K. 53.09 5.48 97 95 Chicken, lean A. 83.8 14.2 1.2 205 21 .10 3.5 4.59 97 95 Codfish, dressed A. 87.14 10.6 .2 .8 134 THE SECRET OF HEALTH. Food. Water and Refuse Pro- tein Fats Carbo- hy- drates Min- eral Salts Calor- ies per pound Pints ox.req. for 100 gr.food Price per pound in cts. Urea Wa- ter Car- I bonic Acid Per cent, digested of Pro- tein Fats Carbo- liyd's Cheese, skimmed Ed. " whole milk Ed. 41.3 31.2 66. 14.5 88.85 38.4 27.1 2 7 6.8 35.5 26 7 8.9 2.3 2.8 4.5 3.9 1.8 1165 2045 1228 108 181 106 $0.08 .14 .20 12.8 9.07 9.04 28.66 51.51 32.11 98.2 149.7 83.7 89-99 89-99 89-99 95-97 95-97 95-97 100 100 100 Cornmeal A. Carrots Ed. Av. 9.1 1.04 3.8 .21 71. 9.08 2.33 4.77 11.41 10.9 70.5 1.6 .71 1.09 1.56 .73 .2 1.8 1.2 1650 196 595 192 223 350 1900 315 124 15 57 16 16 18 146 32 .03 .05 .20 .03 .07 .08 .06 .10 3.04 .34 7.58 1.35 .20 .13 3.45 5.36 50.53 6.1 14.16 5.28 130.4 15.6 50.1 15.88 17.7 19.1 147.4 28.64 85 61 97 83 94 95 97 82 Duck, wild Cabbage K. Av. 70.82 85.84 22.65 4.04 .62 .4 10.3 3.11 .69 .8 82 100 94 85 87 Cherries K. 86.33 7.69 56.87 7.04 100 87 Cranberries Crackers, soda ■Codfish, salt Cucumbers Crackers, Boston A. 87.6 8. .9 9.4 78 97 95 95 99 A. K. A. 42.1 96.22 8.3 16. 1.02 10.7 .4 .09 9.9 2.38 68.7 .39 2.4 .6 67 1895 1045 5 146 92 .04 .07 .15 .34 3.58 2.88 1.94 56.5 26.6 5.49 146.9 73.8 82 78 97 94 95 95 85 99 Eel, fat A. 69.8 8.6 16.24 21. 31.75 .13 1.09 .8 .59 .5 1627 655 236 110 145 64 25 11 5.44 3.95 4.24 1.74 41.6 16.13 5.5 2.47 117.3 49.5 22.49 9.78 Eggs, yolks K. 50.82 .25 97 95 Eggs, hens A. 76.8 11.8 12.67 10.2 .25 .4 Eggs, albumen Flounder, whole K. 85.75 .03 97 95 A. 93.1 5.2 21.71 11.1 .3 2.55 1.1 .46 75.6 45.28 71.8 78.7 77.6 16.24 1.01 .6 2.96 1.8 .7 519 1660 978 1625 1620 1620 355 51 125 69 123 141 119 23 7.27 3.71 1.69 3.91 2.24 2.17 12.04 51.15 29.25 49.77 57.34 50.67 10.98 45.18 97 95 Flesh, horse Flour, wheat A. 74.2 < 11.6 .04 .20 .04 .04 .04 .07 133. 75.08 130.15 137.7 128.5 24.82 79 100 55 99 87 Figs, dried Flour, graham Flour, rye K. A. 32.31 13. 13.1 5.06 11.7 6.7 1.7 6.7 1.3 70 75 49 55 93 98 Flour, buckwheat Crapes ■Goose, fat Game, dressed A. 13.5 6.5 100 87 81.77 .59 46.5 1. .5 2258 197 .14 5.36 57.9 158.1 97 K. K. 38. 16. 22.5 21.51 1. 460 46 .25 7.53 10.39 41.5 97 95 .78 718 672 67 63 .05 .05 7.2 6.03 17.18 16.21 58.2 53.4 97 97 95 Heart, ox K. 70.08 7.47 .16 95 K. 73. 18. 8. 1.13 1. 1.18 .6 1.83 .9 97 95 Heart 485 160 3262 465 48 16 280 44 .15 .08 .15 .15 7.81 2.74 5.23 5.08 10.99 3.60 84.85 11.06 43.59 14.66 226.8 38.3 Hare K. 74.16 Z3.34 .19 97 95 Haddock A. 91. 8.2 .2 66.47 "" 9.03 Hazelnuts Halibut, dressed K. 7.05 15.62 97 95 A. 78.16 69.11 15.1 4.4 8.8 .9 .9 745 1715 70 150 .18 18. 59.4 97 83 Herring, smoked Ham, smoked A. .18 4.89 43.5 1 121.2 97 83 A. 50.3 14.6 34.2 DIET. 135 Water and Refuse Pro- Carbo- Min- Calor- Pints Price Wa- Car- Per cent, digested of Food. Fats ies per pound for 100 gr.food pound in cts. Urea bonic Acid tein hy- drates eral Salts ter Pro- tein Fats Carbo- li yd's - - - ■ -- - ---- ----- - - ■ ■ - - - ■ ■■■ Kidneys K. 76.7 18.5 4. 1. 512 49 $0.05 6.19 12.03 43.06 97 95 100 Kumyss K. 87.88 2.83 .94 7.08 1.07 224 18 .25 .94 6.44 17.88 89-99 96 Liver K. 74.5 20. 4. 1.5 540 52 .08 6.7 12.6 45.64 97 95 Lentils K. 16.1 24.81 1.85 54.78 2.47 1558 126 .15 8.3 45.1 128.17 82 94 85 Lard A. 1. 99. 4180 355 .10 108.7 278.1 82 95 Leek K. 89.21 2.83 .29 6.53 1.24 178 15 .06 .94 5.4 15.25 94 85 Lobsters A. 93.1 5.5 .7 .1 .6 135 13 .18 1.84 3.09 21.1 97 95 100 Maeker'l, fat,whole A. 75.12 12.1 10.7 1. 675 61 .18 4. 16.74 50.8 97 95 Maeker'l, lean " 86.8 11.2 1.4 .6 265 26 .15 3.75 6.16 23.1 97 95 Maeker'l, ave.wh'le A. 84.1 10. 4.3 365 34 .16 3.35 8.85 29.2 97 95 ■Mackerel, salt A . 68.5 14.7 15.1 1.7 910 82 .18 4.92 22.6 67.7 97 95 Mackerel, Spanish A. 68.1 26. 9.8 1.5 790 74 .20 6.9 19.26 62.9 97 95 .Milk, human 88.3 3.4 3.5 4.6 .2 296 25 1.13 8. 22.4 89-99 95-97 100 Milk, cows J LV. 87.57 3.7 3.4 4.9 .6 310 26 .06 1.23 8.2 23.1 89-99 95-97 100 Milk, " skimmed Av. 88. 4. 1.8 5.4 .8 175 21 .02 1.34 6.86 19.85 89-99 95-97 100 .Milk, " condensed with sugar P. 30.34 16.07 12.1 38.88 2.61 1532 125 .18 5.38 43.24 118.6 89-99 95-97 100 Milk, cond., no sug. K 53.7 14.6 14. 15.4 2.4 1148 98 .18 4.89 30.64 87.02 89-99 95-97 100 Melons, water K. 91.9 .9 .7 6.2 .3 160 12 .01 .3 4.85 12.6 100 87 Macaroni K . 13.91 9.02 .28 76.79 .84 1607 119 .16 3.02 46.4 128.87 83 94 99 Muskmelon A. 1.04 .2 20.5 1.05 415 30 .03 .34 12.94 32.4 100 87 Mutton, side, fat Mutton, leg, fat A. 62.9 13.2 23.2 1225 108 .12 4.42 30.92 87.8 97 95 A. 68.8 15. 15.5 .7 935 84 .14 5.02 23.2 69.3 97 95 M ut ton,shoul<l'r,fat A. 64.15 15. 18.7 .8 1070 95 .18 5.02 26.7 78.3 97 95 Mutton chops, fat A. 57.6 12.5 29.3 .6 1470 128J .20 4.18 37.3 103.8 97 95 100 Molasses A. 24.6 73.1 2.3 1360 96J .06 43.8 107.1 Ovsters, in shell A. 97.7 1.1 .2 .6 .4 40 3i .16 3.68 1.03 3.33 97 95 100 Oleomargarine A.Ed. 10. .6 84.5 .4 4.5 3585 305 .22 .20 93.2 239. 97 95 100 Peanuts, fresh K. 6.5 28.2 46.4 15.7 3.2 2773 240 .06 9.44 72.01 201.9 Oysters Ave. K . 87.1 6. 1.2 3.07 2. 230 19J .18 2.01 5.63 18.19 97 95 100 Pieeon K . 75.1 22.14 1. .76 1. 468 46 .36 7.4 10.69 42. 97 95 Oatmeal Av. 10.67 14.31 6.44 65.67 2.05 1749 137 .05 4.79 52.38 138.98 Prunes, dried 31.26 2.55 .53 61.5 1.39 1213 88 .12 .85 38.5 96.03 100 87 Onions K. 70.99 2.68 .10 25.69 .54 531 39 .03 .89 16.2 41.5 82 94 85 Fork,lean K. 72.0 20. 7.0 1. 667 62J .16 6.7 85.1 54.07 97 95 - 136 Water and Refuse Carbo- Min- Calor- Pints Price Wa- Car- Per cent, digested of Food. Fats eral Salts les per pound for 100 gr.food per pound in cts. Urea bonie Acid tein hy- drates ter Pro- tei n Fats Carbo- hyd's - - - - - - - Fork,fat K. 19.9 2.8 76.5 .8 3280 280 $0.12 .93 15.9 219.78 97 95 Potatoes a. A v 78.9 2.1 .1 17.9 1. 375 28 .01 .70 11.7 30.13 68 96 92 Plums K. 89.2 .4 8.24 .66 160 Hi .10 .13 5.1 12.76 100 87 Potatoes, sweet A. Av. 71.1 1.5 .4 26. 1. 530 38£ .04 .5 13.7 41.82 Peaches K. 86.09 .65 ...... 12.65 .69 247 18 .08 .21 7.85 19.66 100 87 Pears K. 87.33 .36 11.80 .31 225 16 .06 .12 7.22 17.9 100 87 Pike K. 77.45 20.11 .69 .92 .83 420 41i .10 6.73 9.61 37.8 97 95 Peas Av. 17.3 22.8 1.8 55.6 2.5 1533 122i .04 7.63 44.75 125.7 83 36 96 Feas, green 78.1 4.4 .6 16. .9 405 31| .05 1.47 12.07 32.7 83 36 96 Raspberries K. 92.11 .53 alco'l 5.1 5.49 .49 111 8 .08 .17 3.51 8.95 100 87 Porter A. 88.1 .6 6.8 4. 293 28 .20 .20 9.92 25.33 100 100 Pumpkin Rice A. K. 91.37 .71 .05 7.23 .64 149 11 .03 .23 4.68 11.9 Ed. 12.4 7.4 .4 79.4 .4 1630 120 .08 2.47 51.13 130. 80 93 99 Roach 75.49 22.23 .47 1.71 433 43J .14 7.44 9.69 39j 97 95 Shad, whole A. 85.3 9.2 4.8 .7 375 341 .15 3.08 9.07 29.3 97 95 Raisins, dried K . 33.74 2.42 .59 62.04 1.21 1223 88| .15 .81 38.7 95.7 100 87 Salmon, whole A. 75.9 14.3 8.8 1. 635 58J .22 4.79 24.7 49. 97 95 Salmon, canned A. 63.12 19.3 15.3 1.2 1005 91, .20 6.46 15.5 76. 97 95 Sardines A- 58.6 24. 12.1 5.3 955 884 .20 8.04 23.1 75. 97 95 Strawberries !\ • 90. 1.07 .45 6.76 .81 164 12J .08 .35 4.99 13. 100 87 Sausage K ■ 24.5 28.5 40. .7 2217 197 .12 9.54 11.77 161i 97 95 Starch, Sago, etc. K« 14.84 1.46 83.31 .39 1576 113 .05 .48 94.5 124| 95 Sugar A. 2.2 .3 96.7 .8 1800 128 .06 .10 58.1 142. 100 Turkey Tongue A. 77.12 15.4 5.6 .08 525 49 .16 5.15 12.5 42. 97 95 K • 67.5 14.5 17. 1. 986 88 .22 4.85 24.6 97 95 Tongue, smoked 35.5 24.5 31.5 8.5 1784 159 .25 8.2 44.7 130.65 97 95 - Tomaloes K. 93.67 1.25 .33 4.08 .63 131 9 .02 .41 3.32 9.05 Tallow |< • 1.3 .5 98.2 415 353J .08 .16 108.03 276.8 97 95 Trout, whole A- 88.5 9.8 1.1 .06 230 22 .50 3.28 5.25 19.94 97 95 Turbot, whole A • 84.1 6.8 7.5 7 445 39J .10 2.27 11.04 32.7 97 95 Turnips Venison K • 92.15 .96 .16 5.98 .75 135 10 .02 .32 4.16 10.86 61 94 82 K • 75.76 19.77 1.92 1.42 1.13 475 46 .25 6.62 11.12 41.48 97 95 Veal, fat K • 72.5 19. 7.5 .1 669 621 .16 6.36 16.08 53.75 97 95 Veal, lean K- 78. 20. 1. .1 414 41 .14 6.7 9.35 37.2 97 95 THE SECRET OF HEALTH. DIET. 137 Food. Water and Refuse Pro- tein Fats Carbo- hy- drates Min- eral Salts Calor- ies per pound Pints ox.req. for 100 gr.food Price per pound in cts. Urea Wa- ter Car- bonic Acid Per cent, digested of Pro- tein Fats Carlx> hyd's Vegetables, green P. 88. 2.5 1.7 3.2 4.5 177 15 $0.05 .83 4.81 13.76 80 80 95 Whitefish, whole . 85.1 10.3 3. 318 30 .12 3.45 7.54 26.14 97 95 Wine, Rhine 86.6 8.7 2.6 .25 415 34J .75 11.1 28.2 100 V ine, sherry 79.5 17. 3.2 .3 776 65 .50 20.5 52.4 100 Wine, French claret 88.3 8. 2.3 .2 380 31J .40 10.1 25.8 100 Whey 93.31 .82 .24 4.98 .65 118 9 .08 .27 3.59 9.38 94 96 100 Whortleberries 90.65 .78 5.89 1.02 124 9 .08 .26 3.85 9.97 100 87 XV al nuts 10.83 16.37 62.86 7.89 2.03 3103 2661 .15 5.48 80.5 216.3 Alewife A. 37.5 9.7 2.5 .8 285 27 .10 3.24 6.75 23.7 97 95 Bass, Sea Cauliflower A. 79.3 18.8 .5 1.4 370 37 .12 6.29 8.31 33.7 97 95 A. 90.8 1.6 1.8 5. .8 155 16 .07 .53 1.83 15.14 82 94 85 Cake A. 8.3 10.8 57.6 2140 130 .20 2.78 49.8 129.06 78 95 99 ■Chocolate A. 6.2 21. 69. 602 178 .40 2.07 67.01 170.8 42 95 100 < lams from shell, long A. 85.8 8.6 1. 2. 2.6 240 22 .17 2.88 4.64 20.5 97 95 100 Drop cakes A. 7.7 14.7 60.3 1884 147 .15 2.57 55.5 142.9 78 95 99 1 ioininv A. 13.5 8.3 .4 77.4 .4 1620 119 .05 2.78 50.3 11.34 85 83 97 Lobster, from shell Mincemeat A. 81.08 14.6 1.9 1.7 350 34 .15 4.89 8.11 30.45 97 95 100 A. 4. 2.2 67.4 1420 104 .10 1.34 44.5 111.8 97 Perch A. 75.6 17.6 2.5 1.1 485 42 .15 5.89 10.01 37.29 97 95 Pineapple A. 89.3 .4 .3 9.7 .3 200 14J .05 .13 6.31 15.75 100 87 Porgy A. 75.0 18.5 5.1 1.4 560 53 .15 6.19 13.23 46.1 97 95 Rhubarb, stewed A. 92.7 .8 1.2 4.4 .9 145 ni 02 .26 4.28 11.19 Spare ri b A. 17. 30.4 1598 141 .12 5.69 40.4 114.6 97 95 Tomatoes, canned A. 94.7 1. .2 3.7 .4 95 7i .06 .33 2.85 The capital letter after the name of the food signifies the authority thus: P.-Porter. Ave - our average of different estimates. .Ed.-signifies that tlie edible portion only was examined. The energy is calculated on the basis of 4.1 calories per gram for protein and carbohydrates, and 9.3 for fats; and the oxygen requisites and excretory products on the basis of protein C72 HU2 N18 S O22, fats CM HI0S O0, and carbohydrates C6 H12 Oa. Approved by Howard B. Gibson, Ph. D. 138 THE SECRET OF HEALTH. Its Availability Illustrated.-In order to show the availability of this information, let us suppose a few cases from real life. Mrs. Blank keeps a boarding-house. At one hour she feeds four hard-working men, each five feet ten or over, and none less than 180 pounds in weight. At another hour she feeds two milliners and two female clerks of small stores, with not much business, all under five feet five in height, and less than 110 pounds in weight. What should be the fare for each table per day ? For the men, five pounds, or 6,000 calories each, which might be as follows, giving a generous measure: 4 Pounds Beef Side Va Pound Skim-Cheese 3 " Sausages 2 " Codfish 5 " Potatoes 2 " Bread Va " Butter a/l " Coffee % " Onions 1 " Milk 1 " Sugar % " Corn Meal For the females she provides 2| pounds of food for each, giving 2,400 calories: Beef, 1 Pound Fish, fresh, IV2 Pounds Bread, 1 Pound Butter, i/2 " 1'otatoes, 1 " Fruit, Prunes, 1 " Sugar, 14 " Peas % " Milk iy2 " Oat Meal V2 " Tea. The Young1 Couple.-A young husband enters home disheartened. ' ' What's the matter, George ? " says the anxious wife. " Matter enough, Mary. The shop is shut down, and I am out of a job, and no telling when I can get another." "Well, that is bad, but cheer up, George; the rent is paid a month in advance, there are two tons of coal in the cellar, a barrel of flour in the pantry, and no one to provide for but yourself and me, and the baby (glancing, with half-tearful eye, at the crib, where little 10-months Jacob sleeps, as if it were Eden everywhere), and, besides, 1 have twenty dollars saved up that we can use. You will get some odd jobs, and I will see what I can do towards economy in living, after the plan that I was reading about the other day." So she searches Vaughan's tables, and, with a little ingenious adaptation, finds that she can provide, at a very small cost, both a varied and healthful supply. DIET. 139 Vaughan's diet tables, Prepared by order of the Michigan Board of Health, by Victor C. Vaughan, Ph. D., M. D. The lard in these tables is for cooking. P., signifies protein; F., fats ; C-h, carbohydrates, such as sugar, starch, and fiber. Class I, No. 1. Total cost, 13cents; Protein, 4ounces; Fats, 2.88ounces; C-h.,24Ya ounces. Breakfast. Cts. Dinner. Cts. Supper. Cts. 2 oz. oatmeal, .5 24 oz. potatoes, 1.5 4 oz. beans, 1.0 1 pt. milk, 3.0 1 oz. lard, 5/8 1 oz.lard, % 10 oz. bread, 1.9 10 oz. bread, 1.9 6 oz. bread. 1.3 i/2 oz. sugar, ¥4 5 oz. tea, .3 ¥2 oz. sugar, ¥4 Total cost,14.Lets; Protein, 4.10 ounces; Fats, 2.39 ounces; C-h, 21.29 ounces. 2 oz. cheese 4 oz. beans, 1.0 4 oz. rice, 2.0 (toasted) 1.5 1 oz. lard, 5/8 1 pt. milk, 3.0 10 oz. bread, 1.9 10 oz. bread, 1.9 1 oz. sugar, 6 oz. bread, ¥s 8 oz. coffee, 2/s 1.1 Class I, No. 2. Total cost, 15.4 cents; P. 4.25 ounces; F., 2.91; C-h., 23.06 ounces. Class I, No. 3. 4 oz. graham flour, %|1 oz. macaroni, % 4 oz. fat cheese. 16 oz. bread, 3 1 oz. lard, 3 16 oz. potatoes, 1 1 oz. sugar (or syrup), Va 10 oz. bread, 1.9 1 pt. milk, 3. 8 oz. coffee, Class I, No. 4. 2 oz. oatmeal, y2 4 oz. baked heart 2.5 2 oz. rice, 1. % pt. milk, 1.5 8 oz. potatoes, ¥2 i ¥2 oz. sugar, ¥2 ¥2 oz. sugar, ¥2 10 oz. bread, 1.8 I ¥2 pt. milk, '6 oz. bread, 1.5 1 oz. codfish, 5/8 1.1 1 oz. lard, 5/8 6 oz. bread, 1.1 Total cost, 13.8 cents; P., 4.51 ounces; F., 2.13 ounces; C-h., 18.32 ounces. Class I, No. 5. 8 oz. buckwheat 4 oz. beans, 1. 16 oz. bread, 3. Hour (as cakes), 1.5 i/2 oz. lard, y3 1 oz. butter, 1.5 1 oz. sugar, V2 Vz oz. lard, Vs 16 oz. bread, 3. V2 pt. milk, 1.5 8 oz. coffee, 2/3 Total cost, 13.3 cents; P., 4.19 ounces, F., 2.49 ounces; C-h., 26.92 ounces. Total cost, 16.3 cents; P., 4.90 ounces; F., 2.54 ounces; C-h., 31.18 ounces. Class 1, No. 6. 8 oz. cornmeal 1C oz. potatoes, 1. 16 oz. bread, 3. (as mush), 1. 4 oz. graham flour ¥2 pt. milk, 1.5 1 pt. milk, 3. (as pudding), ¥2 ¥2 pt. milk, 1.5 ¥2 oz. sugar, ¥4 16 oz. bread, 3 1 oz. butter, 1.5 Class I, No. 7. Total cost, 13.3 cents, P., 4.20 ounces; F., 2.49 ounces, C h., 19.96 ounces. 2 oz. rice (as cake), 1. 4 oz. beans, 1. 2 oz. fat cheese, 1.5 1 eKg, 1-3 ¥2 oz. lard, Vs 6 oz. bread, 1.1 1 pt. milk, ,3. ¥2 oz. lard, 6 oz. bread, Vs 1.1 16 oz. bread, 3. 140 THE SECRET OF HEALTH. Total cost, 12; P., 4.28 ounces; F., 2.69 ounces; C-li., 19.36 ounces Class II, No. 1. 2 oz. codfish, 1.3 16 oz. potatoes, 1. 10 oz. bread, 1.9 1 oz. lard, 1.6 1 oz. lard, 5/8 1/2 pt. milk, 1.5 6 oz. bread, 1.1 10 oz. bread, 1.9 ¥2 oz. sugar, ¥4 ¥2 pt. milk, 1.5 2 cups tea,5 oz.each,% 1 cup tea, 5 oz., ¥3 ¥2 oz. sugar, ¥i Class II, No. 2. Total cost, 14.4 cents; P., 4.07 ounces; F., 2.10 ounces; C-h., 18.23 ounces. 2 oz. fat cheese, 1.5 4 oz. beans, 1 10 oz. bread, 1.9 6 oz. bread, 1.1 2 oz. bacon, 10 oz. bread, 1.5 Va oz. sugar, Mt 1 cup coffee (8 oz), a/s 1.9 i/2 pt. milk, 1.5 V2 pt. milk. 1.5 2 cups coffee (8 oz. Ya oz. sugar, 1/4 each), 1.3 Total cost, 22.5 cents; P., 4.97 ounces; F., 3.35 ounces; C-h., 20.19 ounces. Class II, No. 3. 2 eggs. 2.5 2 oz. bacon, 1.5 8 oz. mutton (mod- 8 oz. bread, 1.5 8 oz. turnips, Va erately fat), 8. 1 pt. milk, 3. 8 oz. cornmeal (as 16 oz. bread, 3. 1 oz. butter, 1.5 bread), 1. Class II, No. 4. Total cost, 21.75 cents; P., 5.19 ounces; F., 2.43 ounces; C-h., 21 ounces- 4 oz. fresh fruit, 1. 1 14 oz. garden beans, 1. 8 oz. cornmeal, (as 8 oz. bread, 1.5 8 oz. beef (moder- mush), 1. i/2 oz. sugar, W ately fat), 8. V2 pt. milk, 1.5 1 pt milk, 3 16 oz. bread, 3. 1 oz. butter, 1.5 Class II, No. 5. Total cost, 14.75 cents; P.,4.28 ounces; F., 2.89 ounces; C-h., 19.48 ounces. 2 oz. oatmeal, i/2 4 oz. beans, 1. 11 oz. bread, 2. i/2 oz. sugar, Vi 1 oz. bacon, % 1 oz. butter, 1.5 i/2 pt. milk, 1.5 8 oz. bread, 1.5 i/2 pt. milk, 1.5 2 oz. sausage (best i/2 oz. sugar, V< quality), 1.5 2 cups tea (5 oz. 1 cup tea, 5 oz., y3 each), % 8 oz. bread, 1.5 Total cost, 12.25 cents; P., 4.61 ounces; F., 2.96 ounces; C-h., 20.20 ounces Class II, No. 6. 2 eggs, 2.5 16 oz. potatoes, 1. 8 oz. cornmeal (as 2 oz. codfish, 1.3 1 oz. lard, 0/8 mush), 1. 10 oz. bread, 1.9 10 oz. bread, 1.9 V2 pt. milk, 1.5 1 oz. lard, 6/8 Class II, No. 7. Total cost, 12.6 cents: P. 2 oz. fat cheese, 10 oz. bread, 1.5 1.9 2 oz. bacon, 4 oz. beans, 1.5 1. 10 oz. bread, Vi pt. milk, 1.9 1.5 1/2 pt. milk, 1.5 8 oz. cornmeal (as Vi oz. sugar, V4 bread), 1. 1 cup coffee (8 oz.), % .,4.33 ounces; F., 2.43 ounces nces; C-h., 19.92 ounces Total cost, 18.25 cents; P., 4.38 ounces; F., 2.13 ounces; C-h., 18.06 ounces Class III, No. 1. 4 oz. beef, (very 4 oz. beef (moder- 2 oz. oatmeal, ¥a fat), 4. ately fat), 4. ¥2 pt. milk, 1.5 16 oz. potatoes, 1. 16 oz. potatoes, 1. ¥2 oz. sugar, ¥4 1 pt. milk, 3. 8 oz. bread, 1.5 8 oz. bread, 1.5 DIET. 141 Total cost, 20.4 cents; P., 5.27 ounces; F., 2.74 ounces; C-h., 18.33 ounces. Class in, No. 2. 1 oz. codfish, % 8 oz. beef (moder- 1 pt. milk, 3. 16 oz. potatoes, 1. ately fat), 8. ¥2 oz. sugar, ¥1 1 oz. lard, ■% 8 oz. bread, 1.5 ¥2 pt. milk, 1.5 ¥2 oz. sugar, ¥l 1 cup coffee, (8 oz.), 2/3 8 oz. cornmeal (as bread), 1. 4 oz. rice, 2. Class ill, No. 3. Total cost, 19.9 cents; P., 4.46 ounces; F., 2.15 ounces; C-h., 18.31 ounces. 2 oz. mackerel, 1.5 4 oz. boiled mutton, 3. 4 oz. cold mutton, 3. 8 oz. bread (as pan- 4 oz. boiled rk ;, 2. 11 oz. bread, 2. cakes), 1.5 8 oz. mashed potato, % Ya pt. milk, 1.5 8 oz. boiled turnips, % 1 cup coffee (8 oz.) 2/3 t/2 pt. milk, Ya 1 oz. butter, 1.5 4 oz. bread, % Class ill, No. 4. 4 oz, fried liver, 2.5 2 oz. bacon, 1.5 116 oz. bread, 3. 1 oz. lard, 5/8 8 oz. cabbage, ¥2 11 pt. milk, 3. 10 oz. bread, l.% 8 oz. cornmeal (as |2 oz. dried fruit (as bread), 1. | sauce), 1. Total cost, 15 cents; P., 4.52 ounces; F., 2.96 ounces; C-h., 22.32 ounces. Total cost, 17.9 cents; P., 4.11 ounces; F., 2.38 ounces; C-h., 22.94 ounces. Class III, No. 5. 4 oz. fresh fruit 2 oz. bacon, 1.5 16 oz. bread, 3. (berries), 2. 4 oz. string beans, 2. 1 pt. milk, 3. 10 oz. bread, 1.9 8 oz. cornmeal (as 1 pt. milk, 3. bread), 1. 1 oz. sugar, ¥2 Total cost 19.7 cents; P., 4.23 ounces; F., 2.39 ounces; C-h., 19.30 ounces. Class III, No. 6. 4 oz. beef, 4. 4 oz. lean mutton, 3. 8 oz. bread, 1.5 4 oz. bread, % 8 oz. bread, 1.5 1 oz. butter, 1.5 4 oz. buck wheat, 16 oz. potatoes, 1. 1 pt. milk, 3. (as cakes), % 1 oz.sugar(as syrup and l or coffee), Vi Vi pt. milk, 1.5 1 cup coffee (8 oz.), 2/3 Total cost, 18.9 cents; P., 5.29 ounces; F., 2.66 ounces; C-h., 20.04 ounces Class III, No. 7. 2 oz. codfish, 1.3 14 oz. fresh fish, 3. 16 oz. bread, 3. 1 oz. lard, 5/s |4 oz. cornmeal, y2 V2 oz. butter, % 16 oz. potatoes, 1- 1 egg, 1.3 1 pt. milk, 3. 8 oz. bread, 1.5 | Total cost, 35 cents; P., 4.97 ounces; F., 3.18 ounces; C-h., 19.61 ounces. Class IV, No. 1. 2 eggs, 4. 1oz. bacon, % 1 oz. dried fruit, 1.3 8 oz. bread, 3. 1 oz. string beans, 1. 1 oz. sugar, ¥2 1 oz. butter, 1.5 8 oz. mutton, 8. 1 pt. milk, 4. 1 pt. milk, 4. 16 oz. potatoes, 1. 8 oz. bread, 3. 8 oz. bread, 3. 142 THE SECRET OF HEALTH. Total cost, 27.9 cents; P., 4.90 ounces; F., 2.98 ounces; C-h., 19.11 ounces. Class IV, No. 2. 4 oz. berries, 2. 4 oz. beef, 3.5 8 oz. bread, 1.5 V2 oz. sugar, ¥4 2 oz. rice (as cro- Ya pt. milk, 2. 1 pt. milk, 4. quettes), 1. 4 bz. chicken 1 egg, »/2 oz lard, 1.5 (broiled), 3.2 ft 1 oz. butter, 1.5 2 oz. macaroni, 2.5 8 oz. bread, 1 cup coffee (8 oz.) 1.5 1 oz. fat cheese, % % 16 oz. potatoes, 1. 4 oz. bread, % Total cost, 24.8 cents; P., 4.15 ounces; F., 2.76 ounces; C-h., 18.78 ounces. Class IV, No. 3. 4 oz. beef, 4. 2 oz. pork, 1.5 4 oz. lean mutton, 4. 1 oz. butter, 1.5 2 oz. beans, ¥2 8 oz. bread, 1.5 4 oz. bread, % 8 oz. potatoes, ¥2 ¥2 pt- milk, 1.5 ¥2 oz. sugar, ¥i 2 oz. starch, 2. 2 cups coffee, (8 oz. 1 cup coffee (8 oz.), 2/3 lx/2 oz. sugar, % each), 1.3 2 oz. dried fruit, 2.5 8 oz. bread, 1.5 Class IV, No. 4. Total cost, 20.25 cents; P., 4.35 ounces; F., 2.48 ounces; C-h., 19.82 ounces. 2 oz. oatmeal, 1 oz. sugar, ¥2 '4 oz. chicken, 4. 1. 1 pt. milk, 8 oz. bread, 3. 1.5 ¥2 16 oz. potatoes, 1 pt. milk, 3. 8 oz. bread, 1.5 8 oz. fruit (as 1 oz. butter, 1.5 sauce), 1. 2 oz. mackerel, 1.5 1 oz. sugar, ¥2 4 oz. bread, % Total cost, 23.75 cents; P., 4.39 ounces; F., 2.85 ounces; C-h., 19.25 ounces. Class IV, No. 5. 2 oz. sausages, 2. 4 oz. lean beef, 4. 1 pt. milk, 3. 1 oz. butter, 1.5 16 oz. potatoes, 1. 1 oz. sugar, Va 1 oz. sugar, Vz 2 oz. macaroni, 2.5 8 oz. bread, 1.5 1 pt. milk, 3. 4 oz. bread, % 8 oz. bread, 1.5 1 cup coffee (8 oz). 2/3 2 cups coffee (8 oz. each), 1.3 Class IV, No. 6. Total cost, 18.5 cents; P., 4.20 ounces; F., 2.37 ounces; C-h., 22.46 ounces. 4 oz. pork (lean), 3. 2 oz. fat cheese, 1.5 10 oz. bread, 2. 8 oz. bread, 1.5 16 oz. potatoes, 1. 16 oz. potatoes, 1. V2 pt. milk, 1.5 8 oz. bread, 1.5 I/2 pt. milk, 1.5 i/2 oz. sugar. Vi 1/2 oz. sugar, 14 1 cup coffee (8 oz.), % 2 cups coffee (8 oz. each), 1.3 1 oz. butter, 1.5 Total cost, 23.25 cents; P., 4.92 ounces; F., 2.26 ounces ; C-h., 19.60 ounces. 4 oz. cracked wheat, % 4 oz. roast beef, 4. 8 corn meal (as Va pt. milk, 1.5 4 oz. wheat flour (as mush), 1. 4 oz. cold beef, 4. Yorkshire pud- 1 pt. milk, 3. 1 egg, 2. 8 oz. potatoes, 1/z ding), % 1 egg, Vz pt. milk, 16 oz. potatoes, 2. 1 cup coffee (8 oz.), 2/s 1.5 4 oz. bread, % 1. Class IV, No. 7. The Minister's Widow.-The funeral of the good min- ister is over, and the heart-broken widow and her two daugh- ters sit down to confront the cheerless future. Salary stopped; little provision in store; removal necessitated ; daughters must DIET. 143 earn a subsistence as they can, one by music, the other by fancy work and painting. The Century magazine is remem- bered, and Addie searches up the back numbers to re-read Prof. Atwater's articles upon diet, and now she is ready to cipher. She finds that by reducing his monthly diet No. 6 to a weekly ration, she can bring the table expenses within their resources, thus: Five and one-half pounds flour, If pounds oatmeal, | pound corn meal, If pound hominy, f pound butter, f pound suet, 2f pounds potatoes, f pound cabbage, f pound carrots, | pound onions, f pound sugar, f pound beef shin, f pound round beef, i beef tripe, f calves' hearts, f pound pigs' feet, f pound eggs, f pound cheese, 3J pounds skimmed milk, f pound beans, f pound peas, 1 pound fresh fish, f pound salt cod, f pound bacon, | pound macaroni, | pound rice. This gives 26 pounds per week to each person, and costs only $1.28 per week. The Young Student.-A young man, at home on his first vacation from boarding school, knowing the sacrifices made for the education of the children, proposes to save on home living by a scientific dietary, and selects Prof. Atwater's monthly diet, No. 9, which he reduces for a week's experi- ment, as follows: Five and one-half pounds flour, f pound oatmeal, f pound corn meal, If pound hominy, J pound butter, | pound suet, pounds potatoes, J pound cabbage, f pound carrots, | pound onions, If pounds sugar, f pound beef, If pounds beef rump, If pounds mutton leg and chops, f pound fowl, | bacon, | salt pork, | pound eggs, 3J pounds whole milk, | pound macaroni, i pound cheese, | pound tomatoes, f turnips-28 pounds. Cost $1.63 per week for each person. Dr. J. L. Nichols lived in London on two meals a day, at a cost for food, of 60 to 80 cents a week, during arduous liter- ary work. Dr. C. C. Page lived several months, in splendid physical condition, on one meal a day, at a cost of less than 10 cents a day. His diet was unleavened graham gemsand fruits. We have personally known several students who lived at theo- logical schools and colleges on less than one dollar a week, 144 THE SECRET OF HEALTH. National Examples of Diet.-National examples of the effect of diet may be found in the character and history of the Chinese, as compared with the Anglo-Saxon race. The Chinese have existed for many generations upon rice almost exclusively, while the Anglo-Saxons have fed bountifully upon a mixed diet. The diets may be thus contrasted-by parts in one hundred. Fiber. Fat. Force. Salts. Saxon, Mixed, 9.91 16.57 20.93 2.11 Chinese, Kice, 7.47 0.80 75.69 0.90 Attention is particularly called to the immense excess of starch and sugar (heat-producing compounds) of the Chinese diets, which corresponds with their similar excess of animal passions. Then, they are largely deficient in fiber foods with a cor- responding deficiency as a race, in muscular strength. Finally, the fats and salts which furnish brain and nerve constituents, only amount together to 1.70 in the rice diet, while in the mixed they are 18.68. With such a showing, well may the Anglo-Saxon claim to be the superior race. Taking the average supply of these constituents found in the blood of the Western nations as an indication of the physi- ological need, viz., 13.55 ounces, the Chinaman's diet is defi- cient 11.85, while the Saxon has an excess of 5.13 ounces, which explains at least in part why the discoveries and inventions of the age are so largely confined to these mixed- diet races. Lest any zealous advocate of Christianity should affirm that these are the products of the higher civilization which is itself the effect of Christian influence, we will have no dispute, but simply remind him that only the race-strength has made such triumphs of Christian culture possible, and that strength is in " blood and brawn " drawn from the food consumed. Other national examples in confirmation of this might be adduced, but this is sufficient to show the influence of diet upon national character, and goes far toward justifying Lud- DIET. 145 wig Feuerbach's saying " Der Mensch ist was er isst," Man is what he eats. " The Ideal Diet," says Dr. Schuster, "is that combi- nation of foods which, while imposing the least burden upon the body, supplies it with exactly sufficient material to meet its wants," which may be amplified thus: The ideal diet is that which furnishes all the materials for constructive supply, or repair; to maintain normal heat; to supply normal force ; to keep up the mechanical elements, together with an oxygen demand little if any above the average of 802 grams in twenty- four hours, and at the lowest possible cost. Tested by this standard, far from an ideal diet is the United States army ration, designed for service of the most exhausting nature. It consists of 1} pounds fresh beef or J pound salt pork and 18 ounces of bread for each 24 hours, to which is added 1-10 pounds of coffee, 2 4-10 ounces sugar and 19 1-5 grains of salt. This gives of fiber foods 4.74 ounces, fat foods 13.23 ounces, and salts 0.90. The amount of fiber foods is but 1.28 ounces in excess of what is necessary for light work- and falls 3.32 short of the amount requisite for forced work. On the other hand the fat foods and sugars exceed the nor- mal demand by 9.98 for light work and 4.72 ounces for forced work. The British soldiers' daily ration is 20 ounces bread, 12 of meat and 16 of vegetables daily, furnishing 3.848 calories. Another Diet, Not Ideal, is that of a professional gentleman of our acquaintance, who works his brain exces- sively, but takes very little bodily exercise, and is as follows : Meat 5 ounces, sugar lj, oranges 7, bananas 5, figs 1, dates 2, cheese i, butter 1, bread 3, and milk 1 pint; total, 41f ounces ; consisting of fiber foods 1.83 ounces, fats 2.27, force foods 7.40. It requires 660 grams of oxygen to assimilate it and evolves 1,807 calories, being deficient in oxygen 142 grams, and in calories 2,029. Looking more closely, he has but 53 grams of fiber food, while moderate work requires 119. He has but 65 grams of fats, while he should have 145. He has but 213 grams of force foods while he should have 486 to correspond 146 THE SECRET OF HEALTH. with moderate manual work. But his expenditure of nprve and brain substance requires a larger relative proportion of fiber and fat foods. Suppose then, that 10 ounces of meat and 2 pints of milk be consumed, with the other articles as named, he will then have 87.22 grams of fiber foods, 98.63 of fats, 264.74 force foods, and 2,392 calories. Condensed Rules for the Preparation of Home Dietaries by the Use of the Working Table. 1. By reference to pp. 197-199, determine the whole amount of food requisite for 24 hours according to the age, sex, work and exposure of the consumers, ranging for adults from 14 ounces to 45 ounces each. 2. By reference to pp. 139-144, fix upon the relative amounts of fiber, fat and force foods demanded by the circum- stances, ranging from 1.6 to 5 ounces of fiber foods, 1.56 to 5.44 ounces of fats, and 5.7 to 18.4 ounces of force foods. 3. By reference to pp. 197, 198, estimate the number of calories needed for 24 hours by each consumer. 4. Select the kinds of foods deemed desirable because of personal preference, convenience and cost, and add together their fiber-elements as given in the Working Table on Pages 133-137 until they shall equal and not materially exceed the amount of fiber-foods determined upon in Rule 2. 5. Do the same with the fat and force elements. 6. Add together all the calories (noting that they are given per pound) of all the foods selected, and if the sum is about that fixed upon under Rule 3, the diet is right, provided good judgment has been used in Rules 1, 2 and 3. 7. If the calories are much below, or greatly in excess of the number determined in Rule 3, then from the Working Table select some food or foods that will not change the fiber elements materially, but will increase or decrease the calories as required. General Principles of Correct Diet.-1. The first is that the food must contain all the constituents needed for the building of every fluid and tissue of the body. This must be DIET. 147 so evident to all who have reached this page that it needs no amplification. 2. The food should contain nothing positvely obstructive or perverting to the functions of life. Certainly that which is designed to aid those functions, cannot, at the same time obstruct or pervert them and still retain its character as a helper. If it is a friend it cannot in the same act be a foe. Of the twelve elements that make up the body, there may be three or four in a particular tissue. A perfect food for that tissue only would have just those elements and none others. But that tissue is only one individual in a vast community, and is so related to the whole that what is not appropriated by it can be used by some other part without disturbing the har- mony of the adjustments of all the parts. Just as beefsteak cannot be used by the infant but is relished by and sustaining to the man, without at all interfering with the milk-food of the babe. Nature's balance is such that when all the tissues find their appropriate supply, each is so adjusted to all the others that none are injured. Such a supply is true food. Hence, the inference is clearly warranted that if any substance actually does obstruct or pervert any function of life, that is not true food. 3. Food must be varied to meet the demands of tissue- waste. At one time thought, anxiety and care eat up the phosphorized tissues with amazing rapidity. At another, mus- cular exertion drains off the nitrogen as if by an open sluice- way. At another, perspiration steams away the water from the blood like a boiler in full heat. At another, malarial microbes exhaust the sodium chloride from the blood and it thickens into fever. Hence, wherever the strain of loss falls, just there must the stream of supply flow. Food is most effective when taken with pleasant accessories. As already stated, care, anxiety, and we might add grief, exhaust the phosphorus of the brain very rapidly. On the other hand, joy, good cheer, and satisfaction exhilarate. 148 THE SECRET OF HEALTH. Therefore, a meal eaten with pleasant social converse, mirth- ful sallies and abounding cheerfulness finds the stomach pre- pared by the general buoyancy of the nervons system to enter at once with corresponding spirit upon the work of digestion. Meantime the same kindly spirit has infused itself through the blood and gone rebounding to the remotest capil- laries there imparting to the most minute absorbents the thrill of a quickened, exuberant life. On the other hand, a meal partaken in gloom or discord, often "sets like lead" in the stomach, soddens the nerves, depraves the blood, and spreads a pall of half-paralysis over the little builders that would repair the wastes of the system. The proof that this is a true statement is found in the fact that even dyspeptics who can eat but little, and with the greatest circumspection at their own uncongenial tables, can sit for an hour unharmed at a feast of luxury where host and guests are alike agreeable, and the ripple of laughter chimes in with the clatter of knives and forks, and the clink, clink of spoons beats time with the joyfulness of the occasion. A picnic dinner of anything reasonable rarely disagrees with even confirmed dyspeptics ; and a supper- from the camp- fire, eaten with cracking jokes and side-splitting narrations, goes quietly on its nourishing way, while that same meal amid the asperities, or even sobrieties of home, would entail a night of distress. Facts of Importance to Aid Kight Eating.-The fiber-elements of animal structures are superior as nutrients to those of vegetable origin. Eggs, meat and fish are almost perfect food; add a little bread and butter or sweet fruits and they become perfect. Skimmed Milk has lost 22 pounds of butter to every 100 pounds thus treated. Fish need more oil or grease in cooking than meats because where meats have fat they have water. Milk and other cold or solid substances taken into the stomach excite the flow of hydrochloric acid and decreases the milk curdling ferment; the reverse occurs when taken warm, DIET. 149 Milk after a hearty meal meets a large supply of hydro- chloric acid and is therefore curdled in indigestible lumps. Therefore it should be taken hot and alone. Lime water favors its feathery curdling. Food, if very compact when it enters the stomach, pre- vents the gastric fluid from working upon the interior of ttye mass. Therefore, a cup of warm drink after such a meal is beneficial. The Stomach has the most vigor in the morning after the night's repose ; therefore, breakfast should be the main meal. A Great Variety of food at one meal requires a greater com- plexity of chemical processes ; therefore, not more than three jr at most four kinds of food should be taken at one meal. If variety be desirable, let it be found in the different meals. It is Possible to underfeed the strength while at the same time overfeeding the respiratory power; that is, dying by repletion of carbon, and starvation of the tissues. The Stomach lacks digestive power when very weary, much troubled, or the previous meal remains partly undi- gested ; therefore, a hearty meal should not be taken under such circumstances. Food can only digest at about the temperature of 98° F. It can ferment at any temperature of the body. Therefore, to drink a glass of water at 60° during a meal, is to reduce the temperature below the digesting to the fermenting degree. Desserts, if digestible and nutritious, should be taken as some of the allowed kinds of food at that meal, and if particu- larly palatable, should be eaten first. Instinct teaches the horse to take his oats before the hay, and the child to wish for what tastes best first. • Pastry is unfit for weak stomachs. Starchy Foods should become a soft pulp in the mouth before being swallowed. Disagreeing Things should never be taken. Mere gusta- tory pleasure can never change the settled chemical affinities of a man's digestive juices. 150 THE SECRET OF HEALTH. Sweets, if made such by the grape sugar that they contain, like figs, dates, etc., are healthy, while if sweet from the cane- sugar that they have, like candies, require an extra process of digestion, and are less desirable. Luncheons are physiological abominations, except in cases of insufficient meals. Going Hungry to Bed, is to invite sleeplessness; better a lunch than that. Frying is not a desirable way to cook food. Shriveled Stomachs should be enlarged by eating a piece of dry bread after they feel full. Digestion requires an ample supply of blood ; therefore, do not exercise violently, yield to very painful emotions, nor think profoundly after a hearty meal. Pork is not a healthful food. A Frame of Mind characterized by a purpose to take things by the bright handle and trust in God when that cannot be grasped, is a dyspepsia-slayer, and worth a mint of gold. The shock of a great disappointment often proves fatal, proba- bly because of the formation of virulent poisons in the retro- gade process of excretion because of the depletion of nervous energy. Napoleon the Great died in his prime, while his less ambitious brothers attained a hale old age. Napoleon the Third survived his defeat only a year and a half; Horace Greeley, only a few months. Named in the order of their importance, the factors of longevity could be classed as fol- lows : Peace, frugality, temperance, country air, physical exercise. No Food should have any chemical, mechanical or vital effect deleterious to the functions of life. Hunger and Thirst when not abused tell when food and fluids are needed. Unvitiated Appetite tells what food is needed. Wild ani- mals make no mistake. Domesticated animals, in consequence of artificial feeding may. Man does habitually; not because his physical instincts are valueless, but because they have been DIET. 151 perverted until there is little of nature left. But that little should be cultivated until it becomes a sure guide as to kind and quantity of food, and the time when it should be taken. Reason Guided by Experience must, until that time, con- trol the appetite. Hence, the practice of fixing in the mind, or placing upon the plate, upon first taking a seat at the table, the quantity of food proper for that meal is highly com- mended. If, at the next meal-time there is no real hunger the quantity should be diminished until the appetite is pro- nounced. Meantime, if faintness has intervened, the line of proper restriction has been passed and a little more should be added next time. A few experiments will fix the amount necessary for the average demands of the system. The Expense of a Meal is no criterion of its nutritive value. In Berlin in 1890, 1,750,243 noon meals were served in the People's Kitchens (Volkeskneche) at a cost of 6| cents each, yet Mrs. E. H. Richards declares that each " contained the proper nutrition in the right proportions," as it contained 6| ounces of meat or fish and 1| pints of soup. Changes of Diet, if radical, should be made by degrees unless the person is in robust health, or under the advice of a skillful phsician. But modifications of diet are often benefi- cial for a time, and when the benefit ceases others can be tried with renewed advantage. Cooking the Food is not merely for the sake of pleasing the palate, as it produces certain chemical changes in most foods which render them far more susceptible to the action of the digestive fluids than they are when uncooked. Oysters are Excepted, because its fawn-colored mass is its liver which is little else than glycogen and during life is sepa- rated from its own hepatic diastase, but crushed between the teeth the glycogen is at once digested by its own ferment. All Foods Without Much Waste Material, such as eggs, dried meats and fish, should be eaten w'ith fruit, vegetables, or semi-liquid foods. 152 THE SECRET OF HEALTH. Starchy Foods, says Dr. N. Butiagin, when eaten by per- sons in ill-health, must be cooked from two to three times longer than for the well. Prof. Sticker has shown by experiment that saliva in the stomach promotes the secretion of the gastric fluid, which is what ought to be expected from the " mouth watering" upon sight or smell of appetizing viands. Nature certainly would not pour an obstructor upon a process which she purposely quickened for the occasion. Most Articles of food are both digestible and indigestible- that is digestible by some persons and in certain conditions of the stomach ; indigestible by other persons or in other condi- tions of the stomach. Experience and Observation should make every intelligent person a law unto himself as to what he shall eat. No social custom should be so imperative as to require the sacrifice of individual judgment in respect to personal diet. If one were obliged to confine himself to any one food-material exclusively, oatmeal would be the preferable article. Time of Digestion. (Dr. Baumont.) Hrs. Min. Mutton (fresh), broiled . 3 Mutton (fresh), boiled . . 3 Veal (fresh) broiled ... 4 Veal (fresh) fried .... 4 40 Fowls (domestic), boiled . 4 Fowls (domstic), roasted . 4 Ducks (domestic), roasted 4 Ducks (wild), roasted . . 4 30 Suet (beef, fresh,) boiled 5 30 Suet (mutton), boiled . . 4 30 Butter, melted 3 30 Cheese (old, strong), raw 3 30 Soup (beef, vegetables and bread) boiled .... 4 Soup'marrow bones),boiled 4 15 Soup (bean), boiled ... 3 Soup (barley) 1 30 Soup (mutton), boiled . . 3 30 Green corn & beans, boiled 3 45 Chicken soup, boiled . . 3 Oyster soup, boiled ... 3 30 Hash meat and vegeta- bles), warmed ... 2 30 Hrs. Min. Sausage (fresh), broiled . 3 20 Heart (animal), fried . . 4 Tendon, boiled .... 5 30 Cartilage, boiled .... 4 15 Beans (pod), boiled ... 2 30 Bread(wheat, fresh),baked 3 30 Bread (corn) baked ... 3 15 Cake (corn), baked ... 3 Cake (sponge), baked . . 2 30 Dumpling (apple), boiled 3 Apples (sour, hard), raw 2 50 Apples (sour, mellow), raw 2 Apples (sweet), raw . . 1 30 Parsnips, boiled .... 2 30 Carrots, boiled 3 15 Beets, boiled ..... 3 45 Turnips (flat), boiled . . 3 30 Potatoes (Irish), boiled . 3 30 Potatoes (Irish), roasted . 2 30 Potatoes(Irish),baked . . 2 30 Cabbage (head), raw . . 2 30 Cabbage, with vinegar,raw 2 Cabbage, boiled .... 4 30 Foods, And Their Preparation. 1st. Foods in Common Use-Their Nature and Classification -When Appropriate and When Not Appropriate-Their Adulterations-Economical Substitutes For. 2d. Partic- ular Foods For Particular Needs-Fluids-Mushes, Puddings, Bread, Biscuit-Meats, Fruits and Jellies-How to Prepare These Foods. 3d. Infant Foods : Their Prep- aration and Use. 4th. The Manufactured or Prepared Foods-Tabulated for Dietary Use-Their Nutritive Value Shown, This Being a Practical Key to Their Use in Vari- ous Circumstances. As foods should be selected with careful reference to sea- son, climate, clothing, labor, mental states and constitutional peculiarities, a general knowledge of their individual qualities is of importance. But before attempting that, some general facts merit consideration. 1. Hot Semi-Liquid Foods.-Whatever food be taken, hot semi-liquid foods, such as stews, broths and soups, should constitute a part of the diet of working people, because, within three or four minutes after they are taken, a portion will have reached the blood and begun to relieve the sensation of hunger, which, otherwise, might lead to eating more than the tired organism can care for. 2. Soups Without Flesh.-It is not necessary that flesh should enter largely, or even at all, into the composition of such foods. Mr. Hills gives a recipe for soup. To make one gallon, take one-half pound whole wheat meal and one 153 154 THE SECRET OF HEALTH. pound of lentils and boil for two hours, then add one pound of potatoes (mashed) and one pound of mixed vegetables (turnips, carrots, parsnips, etc). Both potatoes and vegetables should be chopped or grated as fine as possible, and to make the best soup should be boiled separately from the grains. Add the vegetables to the grains, and boil furiously for another hour and stir well. Flavor to taste with butter, sweet herbs and spices. The soup can be varied from day to day by the intro- duction of other grains, i. e., oats, barley, rice, peas, beans and maize; and where economy is the first consideration, the butter can be substituted by the best cotton-seed oil, or be omit- ted altogether. When properly made, this soup cannot be dis- tinguished from ordinary stock soup, i. e., such as is used in the best hotels, and contains a far higher value of nutritious food. 3. The Use of Meat.-Experience has shown that the use of meat as a staple article of diet is not required, either by the drain upon the vital forces of the hardest labor, or the most extreme exposure. The notions of Americans concern- ing the necessities of the table are so erroneous, that the sub- joined statements of the diet of the common people of the old world may be useful as a corrective. Norwegians.-Black rye bread and milk, and cheese; on high days and holidays a little meat or fish. Swedes and Danes.-Black bread, eggs, cheese, vegetables; as a lux- ury only, fish. Russians.-Black rye bread and milk, pickled cucumbers, cabbage and mushrooms. Including the upper classes, the meat eaten by the whole empire averages one ounce a day per head. German States.-Meat on feast days only. French and Belgians.-Brown bread, potatoes, eggs, milk, cheese and garden prodr ce. Italians, Spaniards and Greeks.-Porridge, bread, macaroni, vegeta- bles and fruits. Scots.-Porridge, peas, barley meal, milk and kail broth. Irish.-Potatoes and buttermilk, meat at rare intervals. Snz/ZisJi.-Including the upper classes, they average four ounces of meat per day per head. FOODS, AND THEIR PREPARATION. 155 Buenos Ayres Negroes, at the shipping ports, carry sacks of coffee weighing 200 pounds or more, all day long, yet never touch meat as a food. After all that has been said about the necessity of fat meat and tallow in low latitudes, Sir John Richardson, M. D., one of the Arctic voyagers, says: "The servants of the Hudson's Bay Company are now finding out by experience, that although wheaten bread does not give them adequate support, bread composed of maize Hour (which contains 10 per cent, of oily matter) answers every purpose, two and one-half pounds being fully equal in sustaining the capacity, both for muscular exertion and for bearing cold, to the eight pounds of fat meat of the ordinary ration." Prof. Owen says: "The apes and monkeys, which man nearly re- sembles in his dentition, derive their staple food from fruits, grain the kernels of nuts, and other forms in which the most sapid and nutri' tious tissues of the vegetable kingdom are elaborated; and the close resemblance between the quadrumanous and human dentition shows that man was, from the beginning, adapted to eat the fruit of the trees of the garden. Sir Henry Thompson, Dr. Carpenter, Dr. Richardson, Dr. Lee and others, leaders in their profession, freely admit that meat is not a necessary food. 4. The Relative Cost of a vegetable and a meat diet should exclude the latter almost entirely, except as a flavoring ingredient, from the dietaries of the necessarily economical in all classes of society. A given acreage of wheat will feed ten times as many as the same acreage used in growing mutton. The lentil contains about 29 per cent, of flesh-forming food; lean beef but 19 per cent. Seventy-two per cent, (nearly three-fourths) of steak and chops are water; 12 to 15 per cent, of grains and pulse are water; therefore they are much the cheaper. As to nutrition, Dr. Frankland showed that one pound of oatmeal will generate force enough to raise 2.439 tons one foof. high. One pound of lean beef can raise but 885 tons. Boiled ham, lean, can raise 1.041 tons. Wheat flour can raise 2.383 tons. Lean veal can raise 726 tons. Pea meal can raise 2.341 tons. Beef fat can raise 5.649 tons. But olive, nut, hemp and cotton-seed oil fully equal it, and but little of that is ordinarily eatep. 156 THE SECRET OF HEALTH. The Nutritive Value of the Cereals and pulses is as three to one when compared with meat, and their economy is as eighteen to one. This is illustrated by the following table from Edenic Diet, and is worthy of study, as showing pounds of water and nutriment in the two classes of foods. FROM THE ANIMAL KINGDOM. Articles. Nutriment. Water. Articles. Nutriment. Water. Milk 14 86 Poultry 26 74 Fish 23 77 Beef (lean) 28 72 Articles. Nutriment. Water. Articles. Nutriment. Water. Peach 3 85 Potato 25 75 Plum 4 81 Banana 27 73 Cabbage 5 91 Sweet Potato 32 68 Blackberry 6 86 Lentil 77 14 Turnip 9 91 Barley 83 14 Currant 9 85 Bean 85 14 Strawberry 9 87 Corn 85 10 Pear 12 85 Oats 85 15 Cherry 13 80 Peas 85 14 Apple 15 82 Rye 85 13 Carrot 17 83 Wheat 85 14 Grape 17 79 Rice 87 9 Parsnip 18 82 Sugar 95 5 FROM THE VEGETABLE KINGDOM. The celebrated Count Rumford fed the Bavarian soldiers on four cents a day. His soups as used at two dinners in Munich, cost for each guest 1| cents, and were made by these recipes: RUMFORD SOUP, NO. 1. 141.2 lbs. pearl barley. 131.4 " peas. 69.10 " wheat bread.- 19.13 " salt. 1 gallon vinegar. RUMFORD SOUP, NO. 2. 70.9 lbs. pearl barley. 65.10 " peas. 230.4 " potatoes. 69.10 " bread. 19.13 " salt. 1 gallon vinegar. This was carrying cheapness to the extreme of the impoverishment of the force-power of the system as seen in the fact that his No. 1 soup gave to each person but 458 calories of energy, ami No. 2 but 348, FOODS, AND THEIR PREPARATION. 157 In England and Sweden many experiments have been made upon a wiser basis, in the two-cent dinners for school children. The best scientific authority of the kingdom outlines the dietary for these cheap food enterprises. Five generous dishes to one person are not uncommon, and if one child fails to empty his plate a neighbor is sure to beg it. In Sweden, the social reformer called the Brandy King, gives to workingmen three meals a day-"the very best food that can be bought" for sixteen cents a day, and makes a profit of five cents a day on each customer at that. Care is taken to have the correct propor- tion of food constituents, and meals are sent to factories in specially- constructed vessels so that they will keep warm for hours. He has as many as sixty menus from which patrons can choose in the course of the year, and offers to provide any family of man, wife and two chil- dren, with dinner all the year for the price of their fuel and the rent of their kitchen. In this is not only practical cooperation, but a grand philanthropic and humanitarian agency. In Birmingham, England, at a cost of one cent each, they gave din- ners to the poor school children consisting of J pint of soup, J lentils and peas, and the other half Indian meal; a round of bread, 1-10 of a pound, and J of an ounce of breadland jam. This is thoroughly satis- fying and is preferred by the children to bread and milk. Sir Henry Peek, M. P., provided 179,183 dinners during ten years at Rousdon, Devonshire, in which the following materials were employed: Apples, bread, currants, cabbage, carrots and parsnips, dates, flour, figs, gooseberries, honey, jam, lard and dripping, marmalade, meat, milk, onions, potatoes, peas, beans, lentils, pearl barley, pepper, salt, prunes, rice, rhubarb, raisins, suet, sugar, sage, spice, treacle, turnips. Certainly a gratifying variety; yet the cost was but 1.6 cents per dinner, per capita. Cheap Soups.-In order to encourage the people to check needless habits of table expenditure we have reduced several such diets prepared for hundreds, to a scale for family use. SOUP FOR THREE CENTS PER GALLON. Lentil soup, 1,780 calories per pint. Lentils 1 pound Indian meal 9 3-5 ounces Scot ch barley 9 3-5 " Carrots and onions 9 3-5 " Salt 3 1-5 <• Pepper 3-4 drachm Mint to taste. Water...., 2 gallons Pea soup, 541 calories per pint. Split peas 1 3-5 pounds Indian meal 9 3-5 ounces Dripping 1 1-5 pounds Carrots andonions ... .6 2-5 ounces Salt 3 1-5 " Pepper 3-4 drachm Sugar 3 1-5 " Mint Water 2 gallons 158 THE SECRET OF HEALTH. Manchester, at a cost of three cents each for materials. FRED. HARRISON'S DINNER FOR 140 PERSONS. Soup-315 calories for each person Lentils 10 lbs Rice flour 2 " Rice 1 " Bread 18J " Pudding-230 calories. Flour 14 lbs. Sugar 1 " Butter 2 " Baking powder Flavoring Jam Potato Pie-444 calories. Flour ...10 lbs. Tapioca 1 " Onions 8 " Turnips 5 " Carrots 7 " Peas 2J " Potatoes 80 " Total, 989 calories for each person. CHILDREN'S DINNERS FOR THREE CENTS EACH. Liverpool, 120 children. 14 lbs., peas. 40 " potatoes. 10 " onions. 4 " carrots. 4 " turnips. 1 " olive oil. No. 1 Soup, 156 calories for each of 80 children. 5 lbs. peas. 3 " barley. 2 " bones. J " beef dripping. | " onions. No. 1, /fash, 439 calories. 70 lbs. potatoes. 1£ " onions. 3 " meat. Total, 595 calories for each child. Monkwearinouth, 380 children, 428 calories each. 21 lbs. hominy. 14 " barley. 21 " raisins. 6 " condensed milk. 21 " sugar. No. 2 Hash, 298 calories for each of 80 children. 49 lbs. potatoes. 1| " meat. 1 " onions. No. 2 Pudding, 488 calories. 21 lbs. flour. 1 lb. lard. 2 " baking powder. 4 " molasses. Total, 789 calories per capita. The average calories needed by boys and girls from 6 to 15 years old being 1,666 and as they are supposed to have three meals a day, each meal would equal 555 calories. The Rumford soup dinners, therefore, fall short, No. 2, 207 and No. 1, 97 calories; the Monkwearmouth dinner is deficient 127 calories; but the Preston Patrick No. 1, is in excess 40 calories, and No. 2, 231 calories, while the Manchester ration is 434 calories in excess, or nearly double the need. The average of the whole gives 80 calories in excess of nor- mal need, and at an average cost of less than 2\ cents per head. Cheap Living.-Of course such food made in small quantities for family use would cost somewhat more, but these illustrations perfectly demonstrate the fact that it is possible to be well nourished on appetizing food at a cost not exceeding three to four cents per meal for each member of the family. FOODS, AND THEIR PREPARATION. 159 Dr. Densmore recommends a diet of three-fourths fruits and the other fourth nuts, or eggs, milk, cheese, and cottage cheese, but these last should have butter or vegetable oils added. His dietary for an average adult in good health and average work when flesh is used, is from 12 to 20 ounces of beef, mutton, poultry, or fish (these foods are about J water), divided into two of three meals per day, and enough fruits to satisfy the appe- tite. He prefers a diet of one pint of milk, four ounces of whole meal bread and sweet fruits for each meal. But the bread and meal give only 630 calories, therefore, it would be necessary, in order to get the 1,330 that are requisite, to consume nearly three-fourths of a pound of figs, or over two pounds of apples at each meal. Rather a serious undertaking for most people ! His meal of one-half pint of milk and one-half pound of dates which he declares makes an ample and satisfying meal for a person engaged in sedentary labor," yields but 644 calories, being 1,022 short of the requirement of boys and girls. 5. The Frequent Adulteration of many articles in common use as foods requires careful scrutiny, and suggests the propriety of dealing only with men of known probity, who will not only refuse to be principals in such, iniquity, but who will also as far as practicable shield their customers from those who would use them as dispensing agents in the nefarious business. We are indebted to the reports of the United States Department of Agriculture concerning food adulterations for much of the information of the following pages. OUR COMMON FOODS. THEIR USES, PROPORTION AND ADULTERATIONS. Arrowroot is the purest form of force-food, and is a variety of starch. Is apt to be musty, and when so should be rejected. Is adulterated with potato-starch. Its demulcent properties peculiarly fit it for use in intestinal and urinary dis- eases. Is much used as a substitute for milk for infants after weaning. Asparagus is a wholesome vegetable. It transmits its odorous principles through the kidneys into the urine. 160 THE SECRET OF HEALTH. Acids, in our food, are the following : Acetic acid in vinegar. Pectic acid in apples, pears, quinces, cherries, blackberries, raspberries, strawberries, oranges, tomatoes, carrots, beets, and turnips. Citric acid in lemons, limes, oranges and unripe grapes. Tartaric and Racemic acids in ripe grapes. Malic acid in apples, pears and quinces. Lactic acid in sour milk and buttermilk. Bacon.-See Pork. Baking- Powders.-The idea in all baking powders is to introduce a carbonate into the dough or flour, together with an acid to decompose it and liberate carbonic acid gas, which " raises" the dough. The notion generally prevails that noth- ing is left in the food, but this is a mistake, as the chemical salt resulting from the combination of the acid with the alka- line base, is still there, and may be more or less harmful. Bicarbonate of soda, and less frequently, bicarbonate of ammo- nia are the alkalies chosen, but the acids vary greatly. Not less than 75,000,000 pounds baking powders are used annually in the United States. The analyses and testimonials of chem- ists, when published as trade advertisements cannot be accepted. There are three kinds of powders, Tartrate, Phos- phate and Alum. Tartrate Powders.-The residual salt from the tartrate powders is Rochelle salt,-one of the elements of seidlitz powders. If two tea- spoonfuls of this baking powder be used, that gives 165 grains of Rochelle salt in the loaf of bread or cake, or 45 grains more than is con- tained in a seidlitz powder, which is a mild purgative. The Phosphate Powders have for their acid, the acid phosphate of lime, (the superphosphate of fertilizers). Two teaspoonfuls of this leaves as a residue in the food 136 grains of phosphate of lime, and 358 grains of phosphate of soda. This also is a mild purgative. The Alum Powders are ammonia alum, according to Prof. Cornwall, used in the form of "burnt alum." 119 grains of burnt alum with 126 grains of bicarbonate, will leave a residue of 106 grains of sulphate of soda, 33 grains of sulphate of ammonia and 39 of hydrate of aluminum, a total, as it would crystalize in the food of 313 grains of chemical salts, the ammonia of which is especially irritative. The use of alum in bread-making is prohibited by law in England and France. Dr. Danglish says " Its effect on the system is that of a FOODS, AND THEIR PREPARATION. 161 topical astringent on the surface of the alimentary canal producing con- stipation and deranging the process of absorption. But its action in neutralizing the efficacy of the digestive solvents is by far the most important and unquestionable." Mixed Powders are alum with either tartaric acid or bitartrate, or both, and phosphate acid. Concerning these Prof. Cornwall says " The presence of either tartaric acid or tartrates in alum powders is very objectionable." The Phosphate and Alum powders are perhaps an improvement, as the residue is phosphate of aluminum instead of the hydrate, and the sulphate of lime takes the place of one molecule of sulphate of soda: The tartrate powders generate 16% of gas and leave 104% residue. The phosphate " " 22" " " " 123" " The alum " " 27" " " " 128" " The alum and phosphate " 17" " " " 111" " Carbonate of Ammonia is sometimes used in baking powders. This is sal-volatile or " smelling salts," and is mostly driven off by the heat in baking, but not entirely as is evident by the soapy alkaline taste that some baker's articles have. Five grains are a medical dose, and in larger doses it is a corrosive poison. Its use in cooking should be utterly abandoned. The cream of tartar and phosphate powders are decidedly prefera- ble, both on the ground of efficiency and health. A Good Home Powder.-Dr. H. W. Wiley gives the following as formulas of a domestic baking powder, better than the average pow- ders on the market, that is made by simply mixing the ingredients. Any one can make it. No. 1. No. 2. Cream of tartar, 8 ounces. 6 ounces. Baking soda, 4 " 3 " Corn starch, 4 " 1 " Available carbonic acid, 10.91. 13.70. Dr. Wiley says No. 2 is better than the best on the market, but the materials must be thoroughly dried before mixing, and it will not keep long without deterioration. The Strength of Various Brands.-As the percent- age of available carbonic acid is the chief thing sought in the use of a baking powder, we have appended it in each case to the name of the powder, as far as ascertained by the analyses of the United States chemist. In other cases we give the esti- mates of Profs. H. A. Weber of Ohio, and H. B. Connell of New Jersey, designating them in their order by 1 for U. S. C., 2 for Prof. W. and 3 for Prof. C. The difference in the same pow- 162 THE SECRET OE HEALTH der, in different packages, is in many instances over 20 per cent, and in one 62 per cent.,and arises probably from the fact that most, if not all, baking powders deteriorate by age, and suggests the need of a law compelling the manufacturers to put the date of manufacture upon every package sold. Cream of Tartar Powders.-Royal 12.74*, Dr. Price's 11.13', Pearson's 11.602, Cleveland's 12.58*, Snow Drift, 10.602, Upper Ten 11.302, DeLand's 10.2, Sterling 9.53*, Sea Foam 8.031, Health 6.96*, None Such 12.64s, Heck- er's 9.29*, Graves's Imperial 7.28', Our Best 4.941, The Best 11.60*, Thur- ber's Best 10.261. Phosphatic Powders.-Horsford's Bread Preparation 13.561, Hors- ford's Phosphatic 14.95s, Wheat 3.791, Rumford's Yeast Powders 12.861. Alum Powders.-Empire 5.802, Gold 6.702, Veteran 6.902, Cook's Favor- ite 5.802, Sunflower 6.302, Jersey 10.402, Buckeye 6.902, Peerless 7.002 Crown 8.402, Crown Special 8.602, One Spoon 5.752, Wheeler's No. 15, 11.35* Carlton 6.602, Gem 8.452, Scioto 8.802, Zipp's Grape Crystal 10.902, Forest City 7.802, Miles's Prize 9.63s, Four Ace 10.31s, Feather Weight 9.63s, Vienna 6.41', Metropolitan 8.101, Cottage 6.62*. Alum and Phosphatic Powders.-Washington 8.81s, Patapsco in glass 7.58', Tin 6.80*, Davis O. K. 8.10*, McDowell's G. and J. 9.70s, Lincoln 9.73s, Purity 7.13*, Kenton 6.20*, State 6.70s and 8.42s, On Top 9.17s, Perfec- tion 5.09s, Our Own 10.47s, Silver Star 7.61', Somerville 8.39s, White Star 10.09s, Grape 10.02s, Sovereign 8.96s, Atlantic and Pacific, A. & P. 7.91s Higgins 6.63s to 11.30s, Silver King 4.99*, Windsor 9.36*, Eureka 7.62' Brooks & Me George 10.16s, Henkel's 7.74*, Mason's Yeast Powders 9.96*, Brunswick Yeast 9.811, Silver Spoon 7.33*, Dixon's Yeast Powders 10.37*. Unclassed Powders.-Silver Prize 8.14s, Orange 8.00s, Our Best 4.98* Dooley's 9621, Miles's Premium 3.56.1 Beans.-Contain a large excess of nitrogenous food, hence require to be mixed with fat or force-foods. The New England baked pork and beans is an expression of a physiol- ogical need. Taken in solid form, beans are unfit for the dyspeptic and sedentary. Beef.-The chief danger from beef is in its diseased condition. Poisonous Beef.-Gartuer examined the meat from a cow that had been sick with diarrhoea for two days before she was killed. Many were made sick and one died from eating the meat. He found the bacillus entiritidis, with which he inoculated good beef, and some hours later gave to rabbits, guinea-pigs and mice, and they were killed FOODS, AND THEIR PREPARATION. 163 by it. (V. and F., p. 50). The same authorities report many other cases embracing about 1,000 victims. The consumption may be given by eat- ing tuberculous milk or meat. Middle-aged meat is most digestible, nutritive and best- flavored. Meat of pale pink color is probably diseased. Meat of deep purple indicates fever, or death without being slaugh- tered. Good meat looks marbled, has little or no odor, is firm and elastic, will scarcely moisten the fingers, will remain dry on the surface after standing a day or two, and will not shrink much in cooking. The more beef is cooked the more indigesti- ble it is. Smoking makes it more indigestible than any other mode. Beef Tea.-Experiments have proved that this is gener- ally disappointing as a nutriment, sometimes beneficial and sometimes detrimental. [In the Practitioner for Nov., 1880, p. 324, Dr. Lauder Brunton observes:-" We And only too frequently that both doctors and patients think that the strength is sure to be kept up if a sufficient quantity of beef tea can only be got down ! But this observation raises the ques- tion whether the beef tea may not very frequently be actually injuri- ous, and, whether the products of muscular waste which consitute the chief portion of beef tea, or beef-essence [not nutritive at all], may not under certain circumstances, be actually poisonous. In many eases of nervous depression we find a feeling of weakness and prostration coming on during digestion, and becoming so very marked at the time when absorption is going on, that we can hardly do otherwise than ascribe it to actual poisoning by digestive products absorbed into the circulation. From a number of cases I came to the conclusion that the languor and faintness which occurred about eleven and four o'clock, was due to poisoning by the products of digestion of breakfast and lunch. I have seen the conclusions to which I had arrived by clinical observations confirmed by experiments made in the labora' tory. Such experiments have been made by Prof. Alberton! of Genoa' and by Dr. Schmidt-Millheim, in Prof. Ludwig's laboratory at Leipsic.] Beef Tea and meat decoctions, Roberts declares, are simply stimulants and restoratives, not nutrients, so of Lie- big's extract of meat, Brand's essence of beef, and Valentine's meat juice (p. 185). This is doubtless true of many on the market as well as of much that is made in the home. The constituents of beef tea, says the London Lancet (a 164 THE SECRET OF HEALTH. high medical authority,) " are mainly urea, creatin, creatin- ine, isoline and decomposed hsematine,-exactly the animal constituents of the urine, except that there is but a trace of urea." But made after the formulae of Dr. Porter, analysis has shown a different result: Best quality bottom-round beef 5 pounds 7J ounces. Cut into | inch cubes, and cover in cold water two to three hours. Gradually warm to boiling and boil until the cubes are hard ; remove and press the cones and add the juice to the other liquid; cool; skim. Prof. E. J. Wright found in every 100 parts of this beef tea, 95.79 parts of water, 3.28 of fiber food, and 0.67 of mineral salts. This contains nearly as much fiber matter as is found in most sam- ples of milk. If the quantity had been condensed, then the fiber food would have been higher; 128 ounces of this tea, besides securing the necessary quantity of fiber material, would yield 2,003,031 foot-pounds of heat. Yet, it should not be forgotten that d efective digestion might render even this tea deleterious. Beer is made properly of barley and hops. Porter is beer with a high percentage of alcohol. Ale is also strong in alco- hol and is made of pale malt, with more hops than porter. Stout has less alcohol, more extract, and less hops than porter. Export beer, is specially prepared for long-keeping. German beers, Erlanger, Miinchener, etc., are names of places. The general average of alcohol in beers is 4.25 per cent, of maltose 1.88, and of dextrine 2.46, a larger proportion of dextrine to maltose gives fullness of taste and body. Deficient carboniza- tion makes beer "flat." Adulterations consist in using other grains than barley, rarely other bitters than hops, and often salicylic acid as a preservative. Bisulphite of lime and boracic acid are also extensively employed for the same purpose. In acute rheumatism, 3.9 grams of salicylic acid are sometimes used in twenty-four hours. In 1881 Girard found in beer 1.25 grams to the litre (2.113 pints), and Dr. Cyrus Edison reported in 1886 that " many, if not all, manufacturers of preserved foods are adding small amounts of this substance to their goods to prevent loss by FOODS, AND THEIR PREPARATION. 165 decomposition." Dr. Bartley says that it requires from eight to ten grains of free salicylic acid to each gallon of beer in order to prevent the growth of ferments, and quotes with approval from the reports in 1881 and 1883 of the Central Committee of Hygiene to the French Acad- emy of Medicine, declaring that beer contains 12 to 15 grains per gal. ion, and that its effect is to " delay digestion and aggravate digestive and kidney troubles." Bicarbonate of Soda. Dr. Otto Grothe, in 1885, reported to the American Society of Public Analysts that at 100 glasses to the keg of eight gallons, beer drinkers get about 12 grains of bicarbonate of soda in each glass. Yeast Cloud is incomplete fermentation, leaving yeast cells, and sometimes the bacteria of other fermentations. Dr. Simonowsky found that its effect is " to produce obstinate catarrh of the stomach." Minerals, lead, copper and zinc are often contained in beers, but chiefly in the first glass drawn in the morning, from the contact of the liquid witli metal faucets. Berries are cooling to the blood, and Dr. Schlickeysen affirms that the most severe cases of chronic disease may often be cured by a fruit and berry diet, and cites as authority the fact that the ancients " banished lepers to the forests where they were obliged to remain until by a continuous diet of ber- ries the blood was purified and the disease removed." Blackberries, when fully ripe, are not only palatable but very wholesome. Where there is tendency to looseness of the bowels they should be chosen in preference to other berries. Cranberries, on account of their acid should be cooked only in por- celain, granite, or stone ware, and should not be sweetened until they have cracked open, unless they are to be preserved whole. CMrrarrfs are too acid to be eaten uncooked until thoroughly ripe. The foreign dried currant, Zante, used in cooking is inferior in flavor to our native varieties, but needs but little sugar, and if properly cleansed is wholesome. Unbroken, they pass through the bowels undigested. Gooseberries, unripe, make excellent tarts and pies, and ripe, make good jams and preserves. Huckleberries, whortleberries and blueberries, contain but little acid, hence need but little sugar. One of their chief merits is the ease with which they can be preserved for winter use. Ordinary glass bottles filled and set uncorked into a covered boiler with about four inches of water and cooked for twenty or thirty minutes, then corked and sealed, will retain all their flavor until wanted. If much juice is 166 THE SECRET OF HEALTH. desired the bottles can be filled just before corking with boiling water. Tlius preserved they make splendid sauce, pies, and shortcake. Raspberries are much like huckleberries in chemical constituents and food-value. Strawberries are the perfection of all berries. Mrs. Poole says " A generous plateful heaped high and standing by it a tiny sugar-bowl and cream-jug, is a fitting concomitant of June roses, sunshine and greenery; " and she quotes Sydney Smith. " Doubtless God could have made a better berry than the strawberry, but He never did." There is doubtless a reason beyond the mere gustatory pleasure in the popular association of strawberries and cream, and it is probably in the fact that they are so largely composed of force elements and entirely desti- tute of fats; but it is a mistake to eat them with ice cream, as the intense cold operates as an anesthetic upon the nerves of taste anil robs the eater of a large amount of pleasure, besides chilling the stom- ach below the immediately digesting point. Beets.-When young are easily digested and from the abundance of sugar furnish about the same supply of force as beer. Bread, unleavened, is flour or meal moistened with water, salted, kneaded, rolled into sheets and baked before the fire, or on a griddle over the fire. Such are the oatcakes and barley meal, and pease-meal " bannocks" of Scotland, the flour " scones" of the East Indies, the "dampers" of Australia, the "corn-bread" of America and the " passover cakes" of Israel. Unleavened bread with fruit constitutes the most nutritious and healthful of foods. Dr. Schlickeysen declares that light- ness of spirit, gentleness of disposition and an impulse to labor are the result of its use. Bread, leavened, requires the flour, salt, water and yeast, to start the process of fermentation, which generates the car- bonic gas, which, in trying to escape, becomes entangled amid the sticky gluten particles and thus forms multitudes of tiny air-sacks which swell (and raise) the dough. Then made into loaves they are subjected to a heat of from 320 F. to 572 F., which dissipates about 55 per cent, of the water, distends the air-cells still more, partially boils (steams) both the gluten and starch, arrests fermentation and changes the starch in the crust into dextrine, FOODS, AND THEIR PREPARATION. 167 In raising 90° must not be exceeded else the acetic fermen- tation will sour the dough. Baking should begin at about 400, may gradually decrease to 250. When cream of tartar and soda are used to raise bread, they should be exactly in proportion of 21 soda to 47 of cream of tartar. If more soda is used, some will be left in the bread. Kneading bread breaks up the large gas bubbles and distributes the gas through the loaf. It should be done so gently as not to work the gas out of the loaf. Good bread contains not over 33 per cent, of water. About one-seventh of the flour is consumed in the ferment- ive process. Bread being poor in fats and salts, needs the addition of salted butter or other fat to make it an adequate food. Bread should be neither heavy, sour, bitter, moldy, nor too salt. Hot fresh bread is less digestible than stale because of its more adhesive or pasty quality. Bread is imperfectly made if it cannot be crumbled by the fingers into a coarse powder, if the fragments will not diffuse readily after soaking a few minutes in water, if the natural sweetness of the flour has been lost in the fermentation, or the slightest taste or odor of sourness can be detected in it. Other kinds of grain have less tenacious gluten than wheat, therefore, their dough is more granular and the bread necessarily less light because of the easy escape of the carbonic acid gas. GraAcwn Bread.-Drs. N. A. Randolph and A. E. Rousel of Philadel- phia. conclude as follows: The force elements of bran are digested by man to but a slight degree. Nutritive salts of the grain exist chiefly in the bran, therefore, when bread alone is eaten it should contain the bran but when these salts are found in other foods consumed, as is usually the case, white bread is better. The larger portion of the glu- ten of wheat exists in the central 4-5 of the grain, exclusive of the bran layer, called gluten cells. The retention of bran causes the waste of other foods by hastening the action of the bowels. Prof. Goodfellow has shown that when an individual lives on milk alone for a considerable period, the waste varies from five to nine per cent., according to his digestive power. In a subject experimented on by him the waste was eight per cent., when fed on milk alone, but 168 THE SECRET OF HEALTH. when graham bread was given with the milk the waste rose to nearly eleven per cent. Bread Adulterants are mashed potatoes, alum, " hards " and " stuff " which are mixtures of alum and salt used to whiten bread. Water Gems are raised by the expansion of the water to 1,700 times its volume of steam. Cakes made of eggs are raised by the expansion of the air to twice its volume, the air being caught by the albumen of the egg. Blitter.-Milk yields 3 to 6 per cent, of butter. A clean knife passed over it quickly looking streaky suggests adulteration. Pure butter melted on the tongue leaves the tongue perfectly smooth ; adulterated, gives a sense of rough- ness. Butter should not be used in acute fevers but is of great value in wasting diseases. Its chief adulterations are by the admixture of oleomargarine, lard oil and cotton-seed oil. Cabbage contain too much water, over 90 per cent., to be an economical food, yet as a vegetable it has value. Eaten raw it digests in 2j hours ; raw with vinegar in 2 hours, but boiled it requires 4| hours. Sauer Kraut is a form in which immense quantities of cabbage are used in Germany. The firm white hearts are sliced into thin shreds and laid in layers in a cask each layer being sprinkled with salt and sometimes juniper berries, cumin seed, caraway seeds, etc., then a heavy weight is placed on top and it is allowed to ferment slightly when it is removed to a cool place for use. Canned Goods should always be regarded with sus- picion unless preserved in glass, when, if properly prepared with not too much sugar or other preservative, they add greatly to the variety on the family table and contribute very materially to the success of military and naval operations, exploring and hunting expeditions, and the requisites of hos- pitals. In the use of tin can goods, the following precautions should be observed. Pour the contents as soon as opened into glass or earthen vessels. If the inside of the can-lid seems corroded, reject the contents. If there are more than one solder holes on top, the contents have fer- mented, been re-heated and re-soldered; not good. If the end bulges out, fermentation has begun; unsafe. Poisoning by Preserves in Tin Cans.-Nuger, Bodlander, Sache, Menthe, Sohner, Sedgwick, Beckurts, Nehring, Blarer, Winckel, Bet- FOODS, AND THEIR PREPARATION. 169 tink, Kayser, and Von Hamel Roos., (the names are given to show that it is no idle scare) have found dangerous quantities of tin in asparagus, pears, lettuce, meat, soups, eels, apples, apricots, purslane, sauerkraut, carrots, liquids, fruits and food materials, and very many instances are on record of poisoning by the use of articles thus preserved. The German Congress of Physicians in Heidleberg in 1889, declared that the use of such articles should be prohibited. In the case of fruits and vegetables the malic acid dissolves the tin, and in the case of meats the albuminous matter forms sulphide of tin. In Holland, C. Verwer has prepared a varnish which protects the can from the action of its contents. Carrots are easy of digestion, gently laxative, but with a volatile oil that gives a peculiar flavor, very disagreeable to many dyspeptics. Cut into small pieces and roasted they are used in Germany as a substitute for coffee. Boiled they are used sometimes as a vermifuge, and are of well-known excel- lence as a poultice. In the reign of Charles I. ladies wore the leaves as ornaments instead of feathers. Cereals are grasses cultivated for their seeds as food. Barley is deficient in gluten, hence cannot be baked into fermented bread, but it is rich in phosphatic salts, and on it the Greeks trained their athletes. It is the chief cereal of the most northern countries of Europe and their main dependence for vegetable food. Buckwheat.-Though not botanically a cereal, is classed with them because so regarded. In France it is called Saracen wheat, in Germany, beechwheat. It is very nutritious, but when used as the staple grain for bread, it is thought to have an injurious effect upon the brain, but as a supplementary % food it is highly esteemed, but is better adapted to cold than warm weather. Corn (maize,) Indian corn is a principal part of the food of many countries of Asia and Africa; is the most productive cereal, and exceeds all others in fatty matter, but as it is defi- cient in gluten it cannot be made into raised bread. Mixed with rye meal it forms the brown bread of New England. Coarsely ground and boiled it is the hominy of the Southern states. Made into a thick porridge it is the mush of the North- 170 THE SECRET OF HEALTH. ern states. The entire grains are known as hulled corn or samp. Prepared with a weak solution of caustic soda it is corn flour, Oswego flour and maizene, which are less nutri- tious than the corn meal, and not fit for an invalid. The Oswego flour is used as a substitute for arrowroot. Oats contain almost 20 per cent, of nitrogenous substance. The best are raised in Scotland and oatmeal cakes and porridge form a great part of the food of the people there. Oatmeal soup mixed with fruits is highly commended by advocates of a fruit and vegetable diet. Oatmeal being almost as hearty as meat requires strong digestion. Says lhe London Lancet: "In the summer of 1872, it became necessary to sldft the rails on upwards of 500 miles of permanent way on the Great Western line, from the broad to the narrow gauge, and there was only a fortnight to do it in. The work to be got through was enor- mous. About 3,000 men were employed,-and they worked double time, sometimes from four in the morning till nine at night. Not a soul was sick, sorry or drunk, and the work was accomplished on time. What was the extraordinary support of this wonderful spurt of mus- cular strength and energy ? Weak Oatmeal Gruel! There was no beer, spirits, or alcoholic drink in any form. The principal part of the ration allowed in the above case was one and a half pounds of oatmeal. Oatmeal adulterants are barley, flour and rubble, i. e., the integu- ments of barley. Groats are oats stripped of their covering, and with milk furnish excellent nourishment. Rye bread is much used in the north of Europe. It is dark, more laxative than wheat bread and less nutritious. Rye when affected with ergot is very dangerous. This is a diseased condition of the germ of the grain. I Wheat, the most valuable and next to corn, the most pro- ductive of the cereals. The red varieties are inferior to the white. It is rich in phosphoric acid, magnesia and potash. Best spring wheat is richer in nutriment than other wheat. The best wheat yields from 76 to 80 per cent, of fine flour, while inferior gives only from 54 to 68 per cent. In general the smoother and thinner the skin of the grain the greater is the product of fine flour, The husk separated from the FOODS, AND THEIR PREPARATION. 171 grain is bran, the finest portions of which are called sharps or pollard. Pure cracked wheat is not only nourishing but elec- trically vitalizing. Even as late as the Roman republic, the cooking of grain was regarded as injurious. Spelt and Lesser Spelt are distinct varieties from common wheat, the former being supposed to be the "Zea" of the Greeks and the "Far" of the Romans, and the latter is the St. Peter's Corn of the center and south of Europe, Cheese is the Caseine of Milk and is rich in fat food, therefore, when digested is heat-producing, but when taken in large quantities is difficult to digest. Chemically, old cheese beginning to decompose, adds a fermentive principle to the meal that sometimes aids digestion, although it tends to pro- duce costiveness. One-half pound of cheese has as much nitrogen as 3| pounds of lean meat. Too rich for most dyspeptics. Cream Cheese is fresh curd moderately pressed. More digestible than ordinary cheese, and is good to vary the diet of the invalid when suited to his condition. As an albuminous food cheese should not be eaten with eggs and meats, but with fruits and grains. Adulterants.-There are some factories where lard cheese is made, containing about fourteen per cent, of lard, and the imitation cannot be discriminated, even by experts, from full-cream cheese. Filled cheese is made by removing all the cream and charging the lard with deodorized lard, cotton-seed oil, or other fat. Prof. Weber gave the following results of analyses of cheese. Genuine. Per cent. Artificial. Per cent. Water, 35.42 52.73 Asli, 2.47 2.69 Fat, 34.66 2.63 Caseine, sugar, etc., 30.45 41.95 103. 100. Chicken may be classed with venison and mutton as a fiber-food. Young and carefully broiled it is a favorite dish of epicures, and is valuable as a children's food and as nutriment in sickness, when the nitrogenous element is required. Care should be exercised to select those that are healthy and in good condition, and they should not be kept until the slightest change occurs in the perfect freshness of the tissue. For inva- lids and quite young children the fat should be discarded. 172 THE SECRET OF HEALTH Clams are much like oysters in nutritious elements but tougher and more indigestible. The soup, however, can be borne by most stomachs, and the broth put up in glass jars and kept on sale by some grocers is a most palatable and desir- able addition to the menu of either sick or well. A cupful taken warm as a restorative is infinitely superior to any of the wines, punches and sherbets which too often save from a tem- porary disease only to blast with the sirocco of an enkindled and then enthralling appetite which at last " stingeth as an adder." Cloves are the flower-buds of the clove-tree, dried by exposure to wood fires and afterward to the rays of the sun, or to the latter alone. They contain an essential oil forming about 1-5 of their weight. This oil is what gives value to the clove. Out of twenty-two samples ten were adulterated with clove- stems, and roasted and ground cocoanut shells. Cocoa, the bean or seed of the cocoa, or cacao tree (Theo- broma cacao) is much richer in food materials than tea and coffee, but Weigmann found only 42 per cent, digestible, hence its nutritious value is largely overestimated. Cocoa decoc- tions, about 2 per cent, contain 12 to 20 per cent, albuminous, and 50 per cent, fatty matters. Unsuited to the bilious and dyspeptic. The actual nutrition in a cup of cocoa (2.5 grams of cocoa) is about l-244th part of a daily ration of fiber-food, l-150th of fat and l-790th of force-foods. This is without the addition of milk and sugar. Chocolate is the husked seeds of the cocoa, with 50 per cent., or more, of sugar and spices, ground to a paste at a high temperature and pressed into cakes. When not excessively sweet and spicy, is nutritious and wholesome. Hagenbuch found the amount of fat in several samples of chocolate to vary from 12 to 49 per cent. It is often adulterated by mix- ing rice flour and other farinaceous substances with butter or lard. Cocoanuts.-The Samoan chiefs assert that the cocoanut was sent direct from heaven. About nineteen millions were FOODS, AND THEIR PREPARATION. 173 imported into New York in 1889. They are the fruit of a spe- cies of palm which grows from 60 to 100 feet high. They constitute a large part of the food of many tropical peoples. The kernels contain over 70 per cent, of a fixed oil called cocoa butter, which is liquid in countries with temperature above 74° F., and a white solid elsewhere. Coffee.-Medium strength=7 per cent. Very strong=12 to 15 per cent. Contains the same principle as tea. Is more stimulating, relieves hunger and fatigue, is laxative to some and constipating to others. The least quantity to use is 1| ounces to the pint of boiling soft water ; steep without boiling a few minutes then add £ as much boiling milk, and if desira- ble to be very rich, some sweet cream. Should be ground soon after it is roasted and made soon after it is ground. If kept after grinding it should be in a closely-stoppered glass bottle. For those not accustomed to its use it is an excellent nervous stimulant after exposure, to prevent contracting a cold. Cof- fee, as discovered by Prof. Carl Luderitz, and confirmed by Profs. Wees, Oppier, Rabatean and others, is a valuable anti- septic or preservative against epidemics of typhoid fever, chol- era, scarlet fever, and the various malarial fevers. It has also been proven to aid digestion and enables the blood to take up more nourishment than it otherwise would. It also quickens respiration and the circulation, and causes a rise in the body- temperature. In 1890, 490,181,755 pounds, 7.8 pound per capita, were consumed in the United Slates. Unroasted cof- fees contain from one to two per cent, of caffeine. The vola- tile oil, which is developed by roasting, has a laxative effect upon the bowels. Coffee grounds are nutritious because of the legumen they contain. Some Eastern nations use the grounds as well as the infusion. To increase its nutritive properties the French method of adding an equal quantity of boiling milk is to be commended. Adulterants.-Facing of inferior berries to sell for Java is common. Chicory is the common adulterant, although canna seed, sawdust, oak bark and baked liver are sometimes used, according to Hassall. Cocoa husks, the seeds of the Cassia occidentals (Mogdad coffee) and of the Gaertnera vaginata (Massaenda coffee) are also used. 174 THE SECRET OF HEALTH. Acorns, figs, the coffees just mentioned, leguminous seeds and cereals are employed as substitutes for coffee. Imitation coffees made of wheat flour, coffee, bran, molasses, chic- ory, rye, peas, barley, oats, buckwheat, sawdust, corn, are extensively manufactured and sold to dealers at from 5 to 11 cents per pound to be mixed with genuine in the proportion of 15 to 33 per cent, to increase their profits. Ground Coffees are very generally adulterated. Of 30 samples examined, 90 per cent, were impure, and while the average price was 25 cents per pound, the average proportion of coffee was only 45 per cent., showing how unwise it is to buy coffee in that form. One sample of " Rio," had no coffee at all. Even green coffee is imitated. Cotton-Seed Oil is a fixed, bland, neutral oil expressed from cotton seed. More than four hundred thousand tons of seeds are used annually for this purpose in this country. The purified oil, called winter bleached, is much used as a substitute for almond and olive. Unpleasant and indigestible ; used raw in sardines and salads, but as a constituent of other foods it is extensively used and has no deleterious effect except upon the morals of the fraudulent dealers who dispose of it at enormous profit as an adulterant of various articles of prime necessity. The percentage of the oil varies from 10 to 30 in the seed. More than one hundred and twenty million pounds are used annually in adulterating lard. Cream.-Dr. Page insists that as cows are bred and fed their milk is abnormally loaded with fat, and that the excess of cream is of an excretory nature, therefore, not desirable as food. Undoubtedly, it should not be used in acute fevers but is of great value in wasting diseases and might be substituted with advantage in most cases for the digestion-destroying cod-liver oil. Cream has more volatile oils than butter and is better for the sick and those of feeble digestion, but the same care should be used to preserve it from contamination that is necessary in the use of milk. Custard and Egg Powder is a combination of various substances designed to use in the place of eggs. Adulterants are wheat, potato and rice flours, colored with chrome yellow, or chromate of lead, or turmeric. FOODS, AND THEIR PREPARATION. 175 Duck, Wild.-The flesh of the duck classes with game. The domestic duck is the wild or mallard. Its food is chiefly animal. The Japanese and the black dusky duck of North America are nearly allied to the common duck ; as arc also the summer or black duck of North America, and the mandarin or Chinese duck. Eels are serpent-shaped fish much used as food, having a soft, thick, slimy skin with scales so minute as to be almost invisible, or entirely absent. Poisonous eels made many per- sons sick near Orleans, in France, after eating them. They were from a stagnant cattle ditch. Those from slimy bottoms should be avoided, as it is with them as with fish, the purer the water the better the fish. They are too hearty for weak digestive organs. Eggs.-The white of eggs is albumen. At 160 it coagu- lates into a soft, tender jelly-like pulp. At 200 it becomes close-grained and tough. At 212, the boiling point of water, it is firm and solid. At 350, it becomes so tenacious that it becomes a valuable cement for marble, which shows the importance of cooking eggs at below the boiling point of water. The best way to boil eggs, is to pour on them boiling water and stand on back of stove eight to ten minutes. The yolk is more digestible than the white. The yolk of egg is the only food having the same amount of lime as milk, and should therefore be given to children when milk is not procurable or cannot be digested (Bunge, p. 111). To test the freshness of an egg, set it in a mixture of one ounce of salt to nine of water. A fresh egg will just sink in it; a stale one will float. Artificial eggs are made in New Jersey having chemically the same properties, but of course lacking in the important element of vitality. Fish is valuable food when properly proportioned with other food substances. When unsalted it should be used only when freshly caught. It should be taken either from the sea or from deep clear water, and is most digestible when smoked. May be used sparingly by the sick. Should be boiled in salted 176 THE SECRET OF HEALTH. water. Fishes absorb the qualities of the element in which they live to such an extent that the trout caught in mountain brooks seem like a different species of fish from those taken in the mud ponds, where they are sometimes reared. Bluefish-A. salt-water flsli sometimes attaining a weight of twenty pounds. An excellent table fish. Cod almost rivals the herring as a food for man. One sometimes weighs a hundred pounds. The roe of the female contains from four to nine millions of eggs. Six thousand European vessels are employed in the cod-fishery. A man lias been known to catch 500 in ten hours. Cod-Liver Oil is obtained from the liver of the cod. There are three kinds. Tlie livers are placed in a tub with a layer of spruce boughs in the bottom and subjected to pressure, when the light-colored oil exudes. This is pale cod-liver oil. Allowed to putrify more oil escapes which is the pale brown oil. The residual livers are then boiled with water and thus the dark brown oil is obtained. The virtues of the pale kind have been vastly overestimated, while the other kinds are unfit for use. Haddock much resembles the cod. Is out of season in March and April, and is finest from October to January. Halibut is one of the largest kind of flat fish. The flesh is firm but dry; has but little flavor and is much inferior to the turbot. Is much used in Greenland and other northern countries, and sometimes weighs nearly 500 pounds. Mackerel is highly esteemed as a table fish, but they change very rapidly, hence care should be used to procure them quite fresh. Salt mackerel are much used but are unfit for weak stomachs. Roach is not considered a superior table-food. Sardines, much like the herring, are preserved in oil. Considered a delicacy, especially for lunch. Salmon- Superior to any other fresh-water fish commercially, and for its fine flavor. Sometimes reaches from fifty to eighty pounds in weight. Feeds on anything that it can capture. The salmon trout has pink flesh, richly flavored and much esteemed, though not equal to that of the salmon. Trout- A beautiful and delicate fish living chiefly on small crusta- ceans and small fish. Also eating readily almost any kind of animal food. Lake trout, inhabiting the deep waters of the Great Lakes, is much like salmon. Turbot.-The most valuable of the flat fishes. Sometimes reaches from seventy to ninety pounds in weight. American or spotted turbot sometimes reaches twenty pounds in weight. Uoth kinds are highly esteemed as a food. FOODS, AND THEIR PREPARATION. 177 Flour.-Should have a slight tinge of yellow, and should not be lumpy or gritty. When compressed in the hand it should hold together and show the prints of the fingers well. When thrown against a wall some of it should stick. Good flour makes an elastic dough that can be drawn out long without breaking. One-seventh of a barrel of flour is consumed by the yeast in raising the bread. There are two kinds of flour, bread and pastry. Bread flour contains more gluten than pastry. " New process" is bread flour. The " St. Louis " is pastry flour. Good flour should make a yellow- white instead of snow-white colored bread, with a nutty, sweet flavor. A barrel should make from sixty-three to seventy- three good four-pound loaves of bread. Flour should never contain less than eight per cent, of gluten, and good flour has fourteen. Graham Flour as ordinarily made is from inferior and often refuse wheat, and its excess of grit so rasps the delicate lining of the diges- tive tract that much nutriment is borne off with the waste. Farina is meal or flour of any kind of grain. Sometimes mixed with potato-flour and tapioca. Fruits encourage the natural processes by which the sev- eral remedial effects are brought about. Under the category of laxatives, oranges, figs, tamarinds, prunes, mulberries, dates, nectarines and plums may be included ; pomegranates, cranberries, blackberries, sumach ber- ries, dewberries, raspberries, barberries, quinces, pears, wild cherries and medlars are astringent; grapes, peaches, straw- berries, whortleberries, prickly pears, black currants and melon seeds are diuretics; gooseberries, red and white cur- rants, pumpkins and melons are refrigerants; and lemons, limes and apples are refrigerants and stomachic sedatives. Taken in the early morning, an orange acts very decidedly as a laxative, sometimes amounting to a purgative, and may generally be relied on. Pomegranates are very astringent, and relieve relaxed throat and uvula. The bark of the root, in the form of a decoction, is a good anthelmintic, especially obnoxious to tape-worm. 178 THE SECRET OF HEALTH. Figs, split open, form excellent poultices for boils and small abscesses. Strawberries and lemons, locally applied, are of some service in the removal of tartar from teeth. * * * A pples are correctives useful in nausea, and even sea-sickness and the vomiting of pregnancy. They immediately relieve the nausea due to smoking. Bitter almonds contain hydrocyanic acid, and are useful in simple cough ; but they frequently pro- duce a sort of urticaria, or nettle-rash. The persimmon, or diospyros, is palatable when ripe ; but the green fruit is highly astringent, containing much tannin, and is used in diarrhoea and incipient dysentery. The oil of the cocoanut has been rec- ommended as a substitute for cod-liver oil, and is much used in Germany for phthisis. Barberries are very agreeable to fever patients in the form of a drink. Dutch medlars are astringent and not very palatable. Grapes and raisins are nutritive and demulcent, and very grateful in the sick chamber. The " grape cure" has been much lauded for the treatment of con- gestions of the liver and stomach, enlarged spleen, scrofula, tuberculosis, etc. Nothing is allowed but water and bread and several pounds of grapes per diem. Quince seeds are demulcent and astringent; boiled in water they make an excel- lent soothing and sedative lotion in inflammatory diseases of the eyes and eyelids. Fruits should be eaten alone, or with stale bread and water, unless they are made to constitute an important part of each meal. Sulphuring or Bleaching of Dried Fruit. Dr. Smith says: While tlie apparent change is only in color, there is a loss of the natural fruit flavor, even by the most careful sulphuring. Unfortunately, some peo- ple do not notice the difference, but careful comparison shows it, as is admitted by the manufacturers of such fruit. Later investigations have proved the presence of sulphate of zinc, " white vitriol," in all samples of fruit where zinc-surfaced trays were used while drying. Interested parties have charged the German prohibition of American evaporated apples to rival trade opposition, but there is no German fruit to compete with them. The real cause was the finding of zinc poison in considerable quantity. FOODS, AND THEIR PREPARATION. 179 Apples all sprung from the wild crab-apple propagated by the Romans, and are the most valuable of all our native fruits; richest in sugar and albumen. The juiciest are the most digestible, but the mealiest are the more nutritious. Contain about 15 per cent, of solids. There are over 1,200 varie- ties and diffused more widely over the earth than any other fruit. The largest on a single tree are the best. Red apples should be very dark, the lighter sort should have a yellow soft tint. Green apples usually have reddish spots when perfectly ripe. Thoroughly masticated, digestion begins immediately, but they should not be eaten as a dessert. The apple contains more phosphorus than any other fruit or vegetable. Is com- pletely digested in 85 minutes. Its juices are converted into alkaline carbonates which neutralize acidity. It is an excel- lent antidote to the drinking habit, also a specially good food for the insane, and children should generally be allowed their fill of them at regular times other than meal-hours. Children who get half their living from apples are usually the healthiest. Apricots.-Resemble the peach and can be substituted for it. Bananas.-Closely resemble the potato in their constitu- ents. In the West Indies they are almost a staple article of food, with a little salt meat or fish. Humbolt says, that a given amount of land will yield eleven times greater weight of potatoes than wheat, and 105 times greater of bananas than wheat. Blackberries.-Are agreeable and wholesome, usually agreeing better with persons afflicted with diarrhoea than any other fruit. Cherries.-Are especially fine for canning and cooking because they do not part with their flavor as readily as other fruit. Dates.-Are the staple article of diet in Persia, Arabia, and a portion of Africa. They contain 58| per cent, of sugar besides gum and other essential elements. Should be pulled apart with the fingers and thoroughly cleansed, and are a good substitute for citron in cooking. Cakes of dates pounded 180 THE SECRET OF HEALTH. together so firmly as to be cut with a hatchet are the food of the African caravans on their journeys through the Sahara. In Northern Africa roasted date-stones are used in the place of coffee. Figs.-The celebrated Bulleyn, botanist and physician, wrote : " Figges be good against melancholy and the falling evil (epilepsy), to be eaten. Figges, nuts and herb grace do make a sufficient medicine against poison, or the pestilence." Figs are nourishing, but the skin is indigestible. Too rich for feeble digestive organs. " Figs are often prepared by pouring boiling water on them (prefer- ably distilled or filtered rain, or other soft, pure water) and allowing them to stand for some 24 hours; or they may be put into cold milk and allowed to remain over the fire until brought to a boil, then set aside, and they will be found fully softened in five or ten minutes. Many people relish cold milk with figs, to whom figs and milk cooked together are distasteful; in such cases it is very desirable that the figs be softened by proper soaking, and then eaten with the milk as preferred."-Dr. Densmore. Gooseberries and Currants (red, black and white) are wholesome, cooling, laxative. Excellent for preserves and jellies, and unripe for tarts. Grapes.-Dr. Schlickeysen calls the grape " the queen of the garden." Those who love wine would do well to take it in the form of these pills. In Germany and Switzerland, and at the "grape cures" patients consume from three to eight pounds a day with the best results;-the cure consisting in living almost exclusively upon ripe grapes plucked fresh from the vines, during the whole season. Grapes are refreshing, wholesome and nutritious. Eaten freely are slightly diuretic. Lemons are too acid to be eaten alone. Good in rheuma- tism, and with tea. Much employed to make cooling drinks in fevers and biliousness, and in warm weather are very beneficial. Limes are a good substitute for the lemon, and by many are considered more agreeable. Nectarines are a substitute for the peach and are more tender. FOODS, AND THEIR PREPARATION. 181 Oranges are grateful and refreshing. Choose those that are heavy, thin-skinned, and with the greenish calyx still attached. The richest are the russet-skinned. Two million dollars' worth are imported into New York every year. One or two oranges before breakfast will do much toward restoring the natural function of the bowels in constipation. Oranges are an excellent cooling food in sickness and should rarely be denied to children or invalids. Peaches are a pleasant and refreshing fruit. Stewed, they are useful in slight cases of constipation. When perfectly ripe and sound they can be used by nearly all invalids, if not too much carbonaceous matter is taken at the same time. Evaporated, they almost equal the flavor of the undried fruit. They constitute a delicious food to mix with the sweet dried fruits and cereals of the fruit and vegetable diet. Pears are more digestible than apples, but more likely to derange the bowels. There are many coarse woody varieties which are usually eaten cooked, but their real value is not increased by cooking. There are over one thousand varieties existing. With peaches, plums and grapes they make a breakfast fit for a king. The Persimmon or Virginia date-plum is not palatable until touched by frost and is then sweet and astringent, and is much enjoyed by those who are accustomed to its flavor. Pineapples, while unfit for invalids, are one of the most delicate and richly flavored of fruits. They vary from 2| to 12 pounds in weight. The best varieties are among the most delicious dessert fruits. Wholesome in moderate quantities but in excess are apt to produce bowel trouble. Plums are much like cherries. Prunes are dried from a certain variety of plums. Prunels are the finest kind of prunes. Plums.-The best varieties are among the most delicious dessert fruits. Wholesome in moderate quantities, but in excess, particularly if not fully ripe, apt to produce serious bowel troubles. 182 THE SECRET OF HEALTH. Raspberries, one of the most valued of the small fruits, nutritious and wholesome. Tamarinds.-The acid and juicy pulp is valuable to make a cooling and laxative drink in sickness, but is too tart to be enjoyed as a table-fruit. Canning Fruit.-Good ripe fruit, glass cans, and glass or porcelain covers. Pack fruit in jars two-thirds full, set open in boiler with false bottom, clean towel folded over tops. Steam until fruit is soft. Then add syrup made according to table below. Have jar tops in pan of hot water; fill up jars from one in the boiler. Run silver spoon in each jar to liberate air bub- bles. Screw tops on tightly. Invert jars on table. When nearly cool twist the tops a littl tighter. Label with black ink on white paper; stick on with paste containing a few drops of glycerine to one-half cupful. Keep in a cool place. Dr. Susanna Dodd gives the following directions for canning fruits. Quanti'y of Fruit qts. Water. Cup-J pint Sugar. Cooking Time. Strawberries 5 5 Clip Red currants 5 3 " 1 " 6-8 " Red raspberries 5 2 " i " 6-8 " Black * " 5 5 pts. 5 " i " 6-8 " Raspberries and currants 5 i " 6-8 " Blackberries 5 3 " J " 6-8 " Gooseberries 6 2 qts. 3 " 2 " 10 " Cherries 5 5 " Sweet currants 1 5 pts. 2 " none Black cherries 5 1 " 5 " Rai si ns 1 5 " none 6-8 " Grapes 6 2 " Cra11 her r i es 2 3 " 1 " 6-8 " . .. 6 1 qt. none 20 Peeled pears 1 7 2 " 1 " 20 1 3 " 6 5 pts. 2 cups 6 3 qts. 1 "* 1 3 *" i " none 1 2 " 1 2 " 1 3 " u Fruit Pastes are made by mashing the fruit, straining, boiling down first rapidly then slowly, in porcelain or granite, and then finished in a stone jar or lightly heated oven. FOODS, AND THEIR PREPARATION. 183 Preserved Fruits are too sweet to be healthful. Less used the better. Candied Fruits, like preserved fruits are not wholesome. Fruit gelatine, though delicious, is not wholesome. Fruit creams, floats, and the like, are very suitable for light repasts in warm weather. Fruit ice creams have the same dietetic value as ice cream with the addition of the fruit flavor. Fruit ices are cooling mixtures flavored with fruit. Desira- ble or otherwise according to circumstances. Fruit tapioca, combines the food elements of both ingredients. Fruit pickles are appreciated as an appetizing relish though not wholesome. Best cider vinegar only should be used- scalded in granite or porcelain and spices added sparingly. Kept in stone or glass jars which have never held fat and kept in a cool, dark cellar. Fruit salads are cool and delicious adjuncts of a summer meal. Fruits in Place of Starches.-Dr. Densmore says: "It will be found that the sweet fruits of the South, preferably the fig, date, banana and raisin, abound in the same carbonaceous or heat-giving elements which predominate in bread. These fruits, however, differ from bread in that the heat-giving element is already glucose or grape sugar, perfectly prepared by nature, and when these fruits reach the stomach a large proportion of their nourishment is at once dissolved and passes directly into the circulation. The most important rule, then, for all is to discontinue starch foods and to substitute therefor such sweet fruits as those named above. If, however, it be found that after a time. these fruits pall on the appetite, stewed raisins (or sul- tanas), prunes, peaches, apricots, or apples may be used with the sweet fruits, or in alternation with them. On such a diet the system will find its needed nitrogen in the animal foods, its heat-giving ele- ments chiefly from the sweet fruits and the necessary phosphates from both." Game consists of wild animals and fowl as distinguished from tame. Flesh has generally more flavor than that of the tame game. Has a peculiar flavor which renders it particu- 184 THE SECRET OF HEALTH, larly appetizing to the convalescent and gratifying to the epicure. The very wealthy have, in all ages, spent fabulous sums in order to procure the choicest and most varied supply. Birds are especially rich in phosphate salts, therefore, peculiarly appropriate to the exhaustion of disease. Those with white flesh should be well cooked, the dark fleshed, rare. The Goose was probably among the first of the domesti- cated birds. Giblets is the name given to the gizzard, legs and heads of geese, sold in sets. Goose-ham is considered a deli- cacy, and the liver has been esteemed a favorite of epicures ever since the time of Rome. When old, the flesh is prover- bially tough, and when young and well cooked it is corres- pondingly toothsome, but is unfit for invalids. Hares are very much like rabbits dietetically, but are considered game, while rabbits are not. Venison.-When kept for a proper length of time is said to be the most easily digested of all meats. But the epicurean time, until the meat becomes tender, is exceedingly objection- able, because the tenderness is really the result of the first stages of decomposition. Ginger is one of the most valuable and most generally used of any of the spices. Its value consists in its volatile oil called oil of ginger. It is a stimulant, carminative and aro- matic. Adulterants are wheat flour and cayenne pepper, rice, potato, mustard hulls, turmeric, exhausted ginger and min- erals are also much used. Of sixty-six samples tested by the United States experts twenty-nine were adulterated. Gums have the same composition as starch, but have no nutritive value. Hanis are the cured thighs of oxen, sheep and hogs. Preserved by wood-smoke which contains pyroligneous acid, they are greatly esteemed as an article of diet by those who do not object to the use of swine. Should always be well cooked in order to obviate the danger of trichinea poison. In June, 1880, over seventy persons were poisoned by eating poisonous ham, of whom four died with symptoms like cholera. FOODS, AND THEIR PREPARATION. 185 H erring- fishing has been carried on in England since the eighth century. It is the most important of all fish as a food product. They are caught all the year round. They have enormous fecundity, more than sixty thousand eggs having been counted in the roe of a single female. They are cured in Scotland, according to the instructions laid down by the fishery board. Honey owes its sweetness to its glucose or grape sugar and requires one less process of digestion than cane sugar, because the cane sugar must be transformed into glucose before the system can appropriate it. Taken in moderate quantity it is nutritive and laxative. Sometimes it is poison- ous ; on account of the bees extracting it from the azalea pon- tica, and H. Bley affirms also from the datura stramonium and gelsemium. Its adulterants consist mainly of artificial glu- cose. Substitutes or factitious honeys are made of cane sugar and peppermint. Even the comb is imitated, filled and capped so adroitly that apparently good comb-honey is often bought, when in reality it is entirely manufactured without the agency of bees. Honey is apt to ferment in warm weather, and Dr. Mullenhoff believes that it is preserved in the sealed cells of the cone by the secretion with it of a little formic acid and has proved that the addition of one part of 25 per cent, formic acid is sufficient to keep permanently 250 parts of honey. Extracted honey is obtained by shaving off the caps of the cone and revolving the cone in a basket so that the honey is thrown out. Strained honey is obtained by mashing up the cones used in the breed- ing partments containing honey, dead bees, bee bread, (mainly the pollen of plants) and catching what passes through the cloth. The strained honey of commerce is glucose with just honey enough to fla- vor it and will not granulate. Granulated or candied honey is pure honey crystallized by light and cold. The granulation is evidence of purity. Consumers may be sure of a good article by buying the granu- lated and liquifying it by placing a few moments in a jar of warm water. Any fruit may be preserved with honey by putting tlie fruit first into the can, then pouring honey over it, and seal air-tight, when the honey is poured from tlie fruit, it will have the flavor and appear- ance of jelly, making a delicious dessert. 186 THE SECRET OF HEALTH. As a food, honey warms the system, arouses nervous energy, and gives vigor to all the vital functions, provided cane sugar is not used at the same time. When Rumelius Pottio, at over 100 years of age, was presented to the Emperor Augustus, on account of his marvelous health and strength, the secret of his spirits and strength was asked by tlie Emperor, his answer was, " Interns inelle; exterus oleo" (inter- nally through honey, externally through oil). Of liquid honey, 108 out of 132 stores sold adulterated articles,- many not containing a particle of honey, but being compounded of glucose and cane sugar, the glucose costing three cents a pound, while the price of the so-called honey was uniformly twenty cents a pound. Horseradish roots are remarkable for their pungency owing to a volatile oil of powerful odor very similar to, if not identical with, oil of mustard. The roots are grated down and mixed with salads, or used as a condiment with roast beef, their stimulating property promoting digestion. They are also anti- scorbutic-that is-prevent and cure scurvy. Ice Cream.-It seems a pity to associate with such a luxury anything having even the shadow of a horror, but in 1886, Vaughan and Novy obtained tyrotoxicon, a deadly germ poison, from an ice cream which had sickened many persons in Lawton, Mich. The cream had stood some hours (before it was frozen) in an old unoccupied building. Schearer found tyrotoxicon in ice cream which made many sick in Nugent, Iowa. Dr. George S. Hull, in a recent number of the Medical News, advances a very plausible suggestion as to the cause of Metallic Poison- ing in some ice creams, when he states that a modern ice-cream freezer with its contents, is in reality a galvanic cell or battery, in which the cream, especially if it is mixed with fruits, becomes the fluid, and the zinc and tin or zinc and copper, of the freezer becomes the positive and negative elements of the battery. Dr. Hull has proved that electrical action does take place in an ice-cream freezer, and, taking place, of course corrodes the metal in which the cream is contained, producing poisonous salts that vary in amount according to the activity of the corrosive action, and the length of time the cream remains in the freezer. Bartley suggests that cream is sometimes poisoned by poor gelatine, and Vaughan and Novy endorse the suggestion. In health ice cream should never be eaten with or soon after any other food. Lard consists of the fat of the hog. More than six hun- dred million pounds are produced annlially in the United FOODS, AND THEIR PREPARATION. 187 States, of which one-half is mixed with stearine and cotton oil. The stearine used in adulterating lard is derived from beef fat and cotton-seed oil. Usually there is enough lard in the adul- terated article to give it the taste and odor of the genuine, so that experts only can detect the difference. Its adulterants are beef suet, "neutral lard," "creamery butter- ine," (that is, 40 parts butter, 15 oleo-fat, 30 neutral lard). Oleo-fat, which is certain parts of the fat of beef (about 40 pounds per fat steer), are all used as adulterants, and there is no way of detecting them except by scientific processes. Prof. Wiley found in Armour & Co.'s mixed lard 24.83 per cent, of adulteration, not counting lard stearine as such, which if added, carries the percentage up to 37.24, and in Fair- banks's samples, 61.40, without including the stearine, and 92.10 with. Leeks are plants allied to the onion but with no proper bulb at the root. Bleached by earthing up or other means; they are much used for culinary purposes, being much milder than the onion. Lobsters are crustaceans much esteemed for the table. The best season is from October to the beginning of May. They frequently change their shells, and their growth takes place with great rapidity when the shell is soft. The Norway lobster is considered by some the most delicate of all crusta- ceans. Lobster salad is much esteemed as a luxury, but rarely agrees with delicate stomachs. Macaroni was, originally, lumps of cheese and paste squeezed into balls, but now a peculiar manufacture of wheat which requires wheat with the largest percentage of gluten. The finest are the whitest in color and do not burst in boiling. Vermicelli and other Italian pastes are really different forms of macaroni. Largely consumed in Italy and exported to all parts of the world. Malt is barley in which by heat a nitrogenous principle called diastase is developed, which changes starch into dextrine and sugar. It is much used in making beer. Malt extracts are infusions of malt, concentrated by evaporation, ata temper- ature below 170 invacuo, to the consistency of a thick syrup. Chemically, besides water, they consist of 70 per cent, maltose, 188 THE SECRET OF HEALTH. 2 per cent, salts, 6 per cent, nitrogenous compound, and a varying quantity of diastase. Hence as food, they are of lit- tle more value than so much syrup. But their digestive value is dependent upon the amount of diastase contained. Malt Infusion.-Three ounces crushed malt, thoroughly mixed in a jug with half pint of cold water, stand over night, decant from the sediment, and strain through three folds of muslin until fairly clear. Must be prepared fresh every day or preserved by adding a few drops of chloroform and keeping in a bottle well corked. One to two dessert spoonfuls should be diluted with milk or water and sipped occasion- ally through the meal. If preserved, and the chloroform is objection- able, stand in an open cup a few minutes and it will evaporate. (Roberts.) Meat.-In broiling in order to retain the juices of the meat the steak should be placed close to the coals long enough for the albumen to harden on the surface, then cook more slowly. So in boiling meat if the whole substance of the meat is desired to be retained in it it should be plunged into boiling water, but if soups or broths are desired, the meat should be put into cold water and cut in small pieces, and cooked gradu- ally. Baked meats retain more of the volatile aroma and unctuous juices than roast meats, and for this reason are less likely to be borne by weak stomachs. Cold Meat Infusions made from minced meat with half its weight of water, and allowed to stand for two hours, and then pressed through cloth, were found, on analysis, to contain over four per cent, of dry albumen. This amount of protein is equivalent to that contained in cow's milk. (Roberts.) Meat powder is made by cutting boiled meat into little pieces and drying thoroughly, then grinding as tine as possible in a coffee mill. The meat should be put into boiling water to boil. This powder equals five times its weight of raw meat, as it contains 13 to 14 per cent, of nitrogen. Salted meats and fish are unsuited to the invalid. Meat powder is of special value to the aged, to children who need this kind of nutriment, and to all who, for any reason, are unable to thoroughly masticate the fiber. May be spread on bread and butter. Melons are rich and refreshing, but often disagree with delicate stomachs. Dr. C. E. Paige states that in 1863 he was FOODS, AXD THEIR PREPARATION. 189 captured by the confederates and taken to Shreveport, almost dying with chronic diarrhoea ; for ten days he filled himself twice a day with watermelons and no other food, and made a perfect recovery. We well remember the surprise and almost horror with which the nation looked upon Dr. Tanner's fool- hardy experiment in 1880 (as it was regarded) of eating a large ripe watermelon for his first morsel of food after his forty days' fast. The fact is, that watermelon is one of the most healthful of foods if properly adjusted to other foods. Milk.- One quart should weigh 2 lbs. 2| oz. Its specific gravity should be at 00° from 1.026 to 1.030. Fifteen grains bicarbonate of soda will prevent it from souring and make it more digestible. Diluted with one-third limewater it will rarely cause biliousness or indigestion. When constipating, add a little salt. (Dr. Buddock.) The free use of milk promotes biliousness in many cases. Skim milk often agrees when whole milk cannot be taken. Hot milk will often be borne by the stomach while cold pro- motes indigestion. The chief reason why milk disagrees with so many is, because they eat so much force-foods at the same time. "Milk should take a subordinate place in the diet of the child when weaned, and in the diet of persons of poor blood." (Bunge P. 112). When milk diet is used some carbonaceous food should be added (bread, rice or sugar) because the non-nitrogenous is deficient in milk. Hot, not boiled milk, slightly salted, is an excellent lunch between meals. Milk drank warm and fresh from the cow agrees some- times when it cannot be taken in any other way. About three and a half quarts a day are necessary in order to get the fiber foods. This requires considerable excess of oxygen and yields a very large excess of energy. Skim Milk contains nearly all of the proteins, sngar and salts of whole milk, be used as an article of food with great advant- age and entire safety before it sours. /tattrrmtffc lias the nitrogenous, sugary and saline constituents of milk, but with less fat. Very nourishing, slightly stimulating to liver and kidneys. 190 THE SECRET OF HEALTH. Sterilized Milk.-Milk is safest when boiled twenty to thirty min- utes. By so doing it destroys almost all of the micro-organisms that may be present. If taken without cooking care should be used as to its cleanliness and that no diseased milk be allowed to enter the sup- ply sold. Sterilizing apparatus is kept by many druggists. Milk for Infant Feeding.-The claim is very generally made that if it be peptonized it becomes a proper infant food. But Prof. J. L. Smith says: "The peptonizing of milk, although it seems so advan- tageous theoretically, meets with a serious drawback especially in the hot months. The disadvantages in the use of milk peptonized in the nursery, relate to the milk supply, and pertain to the common use of milk supplied by the milk manFrom my personal observa- tion much of the milk received in tenement houses during the summer is unsuitable for the nursery, and such milk if peptonized, or in what- ever form treated, remains unsuitable. But milk from healthy cows and obtained under proper conditions and properly treated at the farmhouse, is, nevertheless, likely to undergo chemictl changes, which impair its quality, and render it less suitable for infant feeding by the long time which elapses between the milking and the reception of the milk by customers. The milk distributed in New York in the morning in open vessels or closed bottles is the product of t he milking of the previous morning and evening. Part of it is twelve and part twenty-four hours old, when it reaches the family. We have seen milk apparently good at first, but not cooled immediately after the milking as it should have been by being surrounded with ice or running water, develop in eight hours a poison (tyrotoxicon) through the agency of the animal and atmospheric heat, so that it produced symptoms like those of cholera infantum in those who partook of it at Long Branch. What then must be the quality of much of the carelessly managed milk which reaches the city and is served to families twenty-four hours after the milking, and how many cases of cholera infantum are pro- duced by it, when the cause seemed mysterious and obscure?" Adulterants.-Milk is usually adulterated either by the removal of the cream, or the addition of water. The Massachusetts law requires that milk shall contain not more than 87 per cent, of water and not less than 13 per cent, of milk solids. This would be fat 3.7, sugar 4.9, casein 4.5, salts .7. In 1884, Dr. Harrington examined, 1759 samples from all over the State and found 799 below the legal standard. A mixture of salt, saltpeter, saleratus, a trace of caustic soda, and a large quantity of sugar, is largely used on the Pacific coast as a milk adulterant. Chalk, salt, annotto, gum, dextrine, ultra- marine and cerebral matter are used for the same purpose. Girard found from 0.25 to 1.85 grams of salicylic acid in each liter examined. FOODS, AND THEIR PREPARATION. 191 In 1886, seventy-three persons were poisoned at hotels in Long Branch by the use of milk that had been canned while warm and carted sev- eral miles in the hot sun. Newton and Wallace found tyrotoxicon crystals in it. (V. and N. F. 67.) Mutton ranks as a food with venison. Should be boiled in salted water. The thick, tough membrane just inside of the outer skin should be removed before cooking, else its peculiar, disagreeable, woolly flavor will be imparted to the meat. Mutton broth is particularly beneficial in bowel diseases. Mushrooms are almost as nitrogenous as meat. They are used for ketchup, and dried and powdered and added to sauces and stews. Poisonous mushrooms can be distinguished from the edible by the membranous ring which in the edible is near the top and in the poisonous is near the bottom. Also by the white color of the gills, the warts on the upper surface of the pileus, and the powerful odor of the poisonous. Mustard.-There are two kinds, the black and the white, the black being much the stronger, and contains about 28 per cent, by weight of a bland oil of mustard, obtained by pres- sure, also a volatile oil of mustard of exceeding pungency which gives to ground mustard its rubefacient quality, and which resides chiefly in the husk. For the sake of the color, the husk is removed and only the interior of the seed ground, which so weakens it that capsicum and other pungent materi- als are added. Other things are added to increase its bulk. Out of fifty samples thirty-nine were adulterated with wheat flour, turmeric, corn starch, bean meal (sometimes as high as 60 per cent.) and mustard cake (from which the oil had been expressed). The prepared table mustards are simply con- diments compounded according to the recipe of each manufacturer. Nuts are especially valuable to vegetarians in winter as their oily substance furnishes a large amount of fat food. They contain more elements of nourishment than butter and meat combined, are not uncleanly, and cannot be adulterated. Salt should always be used with them. 192 THE SECRET OF HEALTH, Chestnuts form a principal part of the food of the poor in the South of Europe, used roasted or boiled, or made into flour. They are nutri- tious, but tend to produce flatulence unless the digestive organs are remarkably vigorous. Hickory Nuts are exclusively North American. They are much like walnuts, although belonging to another genus, and include the shell or Shag bark, the Kisky Thomas nut, the Springfield nut, the Pecan, Mocker, the Gloucester nut, and Pig and Bitter nut. Brazil Nuts are the seeds of a tree that grows from 100 to 120 feet high, in the northern parts of Brazil. The seeds grow in a seed-vessel as large as a man's head and so hard that it requires a sledge-hammer to break it. The white kernel of the seed when fresh is very agreeable. They yield a large quantity of oil. Hazelnuts on pressure yield about half their weight of a bland, fixed oil called nut-oil in Briton; but in Germany walnut oil is called nut-oil. Hazelnuts not kiln-dried lose their agreeable flavor unless kept in air-tight vessels. Filberts are a cultivated variety of hazelnuts as are also cof-nuts. Walnuts were cultivated by the Romans in the reign of Tiberius. An excellent pickle and a kind of ketchup are made from the unripe fruit. Ripe, it is one of the best of fruits, wholesome and nutritious. Nut-oil is used as a common article of food in some parts of Europe. Black walnuts are much inferior to the common walnuts. Olives, gathered before quite ripe, steeped in lime water and pick- led, are much enjoyed by those who have learned to relish them both as appetizers and promoters of digestion. But with these, as with many other articles thus designated, their effect depends so largely upon the other things eaten with them, that the assumed effects must not be depended upon in any general way. Dried olives are also used as food in the South of Europe. The Spanish are considered the best. The flowers of the fragrant olive of China and Japan are used by the Chinese for flavoring tea. Olive oil is the most digestible of fats, and should be pale, dem- and free from rancid odor, and without flavor. It is adulterated with cotton-seed oil, poppy oil and the essence of lard. Says Mr. Mason, United States consul at Marseilles: " Very few brands or firm-names are any longer a guaranty of purity." Over 2,000,000 gallons of cotton- seed oil are exported to Marseilles from the United States every year, more than half of which is used to adulterate olive oil and return to the United States under a heavy duty, to be sold as pure olive oil. Onions.-In Spain and Portugal a raw onion is often eaten like an apple, and with a piece of bread forms the dinner of FOODS, AND THEIR PKEPA HATTON. 193 the working man. It contains a large proportion of fiber-food as well as sugar and an acrid, volatile, sulphurous oil which is largely dissipated by boiling. The Bermudas are considered the best. They stimulate digestion under the right conditions, out are not tolerated by some stomachs. They stimulate the secreting organs, hence are very wholesome to those who can use them. Oysters are very nutritious and easily digested when not over-cooked. Should not be cooked until they shrivel. Can sometimes be tolerated (especially raw) when all other solid food is rejected. Poisonous oysters were taken from an artifi- cial bed near the outlet of a drain from a public water closet in Havre, France. (Pasquier.) Peas like beans are very rich in nitrogen; so much so that during the Franco-Prussian war of 1870 the chief food of the German army was erbswurst,-pea meal and bacon fat, pressed into skins and boiled, and enabled them to endure great fatigue. Should not be freely eaten with meats or eggs but as a vegetable substitute for them, and when constituting a considerable portion of the diet, fats should be added. (A kind of pulse food like beans is rich in nitrogen). In Europe they are much used ground into meal, in soup made from split peas and roasted. Stewed while green they form a nutritious vegetable food. Pepper.-White pepper is simply the black divested of its outer coat. It is an irritating stimulant, rarely if ever as use- ful as the red. Prof. S. A. Lattimore's analyses in New York, 1881, of 180 samples, showed 122 adulterated to the extent of 63 per cent. Samples from Baltimore mills had very little of the poorest pepper, being made mostly of cracker dust, yellow corn, cayenne, and charcoal. Ground Pepper, black and white. In Canada of 60 sam- ples 28 were adulterated, most of them from ten to 20 per cent, and some up to 75 per cent, with mustard husk, pepper hulls, clay, sand, and ground cocoanut shells. That a similar condi- tion exists in the United States is evident from the fact that 194 THE SECRET OF HEALTH. in 1882 Dr. E. E. Wood examined 205 samples of spices, etc., and found 135 of them adulterated to an average of over 60 per cent. And in 1885 he examined 446 samples, of which 231 were adulterated to the extent of over 52 per cent. Red Pepper (cayenne) is a pure stimulant and increases the flow of the gastric juice. Should be used in place of the black in all cases of cold stomach, inactive mucus membrane, and deficiency of capillary circulation. Adulterants.-Wheat flour and colored earths. Ten samples out of 24 adulterated. Pickles are made of a variety of green fruits and vegeta- bles, and to a limited extent have a useful place in the dieta- ries generally used, although it is doubtful if they would be allowed in a strictly hygienic diet. Those cured in manufac- tured vinegar should be discarded, and the acetate of copper should be suspected if they have been prepared or kept in copper vessels. Colored pickles should also be rejected. Pork.-The flesh of the hog, deemed by most hygienists as unfit for human food, yet very largely consumed. Bacon.-The chamois hunters of the Alps on their hunting expeditions sometimes go for days together with bacon fat and sugar as their only food. Easy of digestion, and by Boland considered " a valuable food for children four or five years old. Given with bread or potatoes it will often be taken when bread is refused." But it may be seriously questioned whether some vegetable oil would not be better, if any food at all is required in such cases. We deprecate such general statements of the utility of certain things, for, while they may be true in particular conditions the recommendation becomes a license for their use in conditions vastly different. Potatoes are a starchy vegetable greatly overused in this country in connection with the other starches and sweets so generally employed. From September to June they should be steamed. If boiled it should be with the skins on because when peeled the salts waste to the extent of 14 per cent, while unpeeled only 3 per cent, are lost. They are most nutritious FOODS, AND THEIR PREPARATION. 195 roasted, and generally agree better with weak digestions thus. They should be large, firm, not frosted nor growing, and when cooked should be mealy. Pumpkin.-Common gourds are pumpkins. Sometimes reach 70 pounds. In many countries they form the principal part of the food of the poorer classes, and even of the wealthy. The squash is nearly allied to the pumpkin. The pumpkin is apt to disagree with weak digestion. Raisins, the dried fruit of sweet grapes, contain more sugar and less acid than grapes undried. More nutritious, less cooling. Muscatels best, because dried on the vine. Espe- cially valuable in the fruit and nut diet, but not very digesti- ble or desirable in ordinary diets consisting so largely of cane sugar. The skins and seeds should be rejected by those with feeble digestive power. Rice is the starch food of one-third of the human race. Should be thoroughly cooked and eaten with some fat or albu- mens, or both. Easily digested. Especially good in bowel diseases. Rice Jelly, is rice boiled five or six hours, cooled, water strained off, and jelly eaten in warm milk. Sago is a force-food prepared from the pith of the sago- palm. A variety of starch that must be soaked one to two hours before using, and possesses the ordinary qualities of starch-foods. Salt is chloride of sodium, and as it exists in considerable quantity in the blood, it seems to be a physiological demand that it be furnished in the diet. Herbivorous animals take three or four times as much of salts of potassium in their food as the carnivora. Hence, vegetable food is the cause of the need for salt in the herbivora, because common salt is with- drawn from the blood by the union in it of a part of its chlo- rine with the potassium making chloride of potassium instead of chloride of sodium. Besides, the soda disengaged by the union of the chlorine and potassium unites with the acid that was in union with the potassium, and thus a sodium carbonate 196 THE SECRET OF HEALTH is also formed. These are expelled by the kidneys as foreign substances, and instinct immediately calls for a fresh supply of chloride of sodium from without to restore the integrity of the blood-plasma. (Bunge.) A man living on potatoes takes forty grams of potas- sium per day. In France it has been shown by statistics that the country people eat three times as much salt as the city people who live more on meat. Sausage.-Chopped pork and beef salted and peppered, and encased in the entrails of the hog in the form of links. Objectionable upon the ground that pork is used, that they are a mixture of pork and beef, and that frequently refuse portions are incorporated. Only fit for strong men at active labor. Muller reported 124 cases of sausage poisoning, forty- eight of them fatal. Probably from putrefaction resulting from the method of preparation. (V. & F., P. 43.) Von Faber observed sixteen persons made sick by eating fresh sausages from the flesh of a pig that had had an abscess on the neck. Five died. Sea Weeds, richer in nitrogen than oatmeal or maize. Steep in water to remove salts, then, if bitter, add a little car- bonate of soda and stew in water or milk until tender. Flavor with pepper and vinegar. Soups, generally esteemed so healthful at the beginning of a meal, Bunge says, should not be taken then, because they dilute the gastric secretion too much. This is doubtless true if solids immediately follow, but if time be given for the absorp- tion of the fluid, the objection does not hold. In so far, how- ever, as soups partake of the character of beef extracts they are open to the objection thus vigorously stated by an English writer. *One of the greatest blunders of Liebig, as a physiologist, was asso ciated with one of his greatest chemical triumphs; we refer to the sub- stance (obtained from chopped flesh, from the smootli muscles, from the blood, and the urine) called creatine (C8 H9N8O4), and to its alkaloid, creatinine (C8 H7 N3 O2), which is ammonia conjugated with a highly *' Liebig's investigations,'says Lehmann, ' constrain tu to regard creatine as a product of excretion." Phys. Chem. I. F. 139. FOODS, AND THEIR PREPARATION. 197 nitrogenized substance, containing one atom less of hydrogen than caffeine. It is found, like creatine, in the muscles, the blood, and the urine, where the two occur in an inverse ratio (creatine never in putrid urine), facts which clearly indicate that creatinine is the derivative. Yet how confidently was this substance, for a season, bruited as the nutrient essence of beef!-ready-made nourishment-and the solid fiber east to the credulous cats ! Under the guise of beef-tea, or gravy soup, and commended as the at last, discovered Elixir Vitae, gentlemen and ladies drank basins of the Excretive Soup! '1'he poisonous stimulus which it gave to the weakened system, was, tis in the case of strong coffeeor alcohol, mistaken for strength! "This substance" (creatinine) says Moleschott, " may be considered as decidedly an excrementitious body, which has passed into that staye in the tissues themselves. The acid peculiar to the flesh technically called tyrosinic acid, which is to be found in the muscles associated with lactic acid, most probably belongs also to the products of regressive transformation." Tyrosene, says Lehmann, is formed during the putrefaction of albumen, fl.rin and casein: formula C10 H„ NOst. Spices.-The present method is for the retailer to order goods at a certain price ; the miller then sends a mixture con- taining such a percentage of pure materials as the price war- rants, the weight being made up with cheap but harmless diluents ; e. g., one New York firm sold 5,000 pounds of cocoa- nut shells in their " pure," " extra" and " superior" spices. Starch, useful to form fat and force. Should always be cooked, else the envelopes of the granules will prevent diges- tion. Corn starch is too heavy for the invalid. Sugar (cane) very sweet, from the cane and Leet root. Grape sugar (glucose) not so sweet; abounds in grapes, fruits and vegetables,-produces fat and force, and is absorbed with- out digestion. The West Indies' negroes are said to always grow fat about cane-pulling time. Milk sugar (lactose) found in the milk of the mammalia. " Demerara crystals" sugar con- tains chloride of tin as a coloring agent, which passes into the molasses as a poisonous element. Sugar is rarely adulterated at present prices. Of sugar candies twenty-five samples were examined, and not one was pure. Of 250 samples, 218 were colored, and forty-eight different adulterants were found in them. Syrup.-The uncrystallized sugar solution drained from raw and refined sugars, called also treacle and molasses. Golden syrup is syrup drained from refined sugar, reboiled and- filtered through animal charcoal. Laxative if freely used. Girard found from 0.5 to 1.50 grams of salicylic acid to the 198 THE SECRET OF HEALTH. liter of syrup. Of fifty samples of molasses only nineteen were found pure by one analyst. Maple Syrup from the sugar maple. A large part on the market has very little, and much of it no maple whatever in its composition, the maple flavor being given by extract of hick- ory bark. Sometimes called " mapleine." As a rule, the stronger the statement of purity is on the label, the more reason there is to believe it adulterated. Tallow, the fat of beef. Sometimes used as a shortening in place of lard. Furnishes about as much force but is less palatable than lard? Tapioca is a starch force-food prepared from the root of the tropical plant Cassava. Tea is made from the leaf of the tea-plant. Chinese tea has eight per cent, of tannin. One part of tannin in 10,000 of food prevents salivary digestion. There is about one-tenth of a grain of theine in an ordinary cup of tea. " Theine is a restorative agent to the nervous system, and is opposed in its therapeutic properties to the action of the essential oil. 'Die infusion, therefore, of tea or coffee may induce palpitation in a heart liaJble to excessive or inco-ordinate action; but theine, on the con- trary, may be looked to, therapeutically, to quiet palpitation." Dr. Shapton. "Theine is built on the chemical type of the alkaloids, a class of bodies which nature forms in plants, but not in food-plants,-bodies that include narcotics, stimulants, hypnotics, deliriants, poisons, tonics." Prof. A. B. Prescott. Tea, four to five parts, by weight, to 100 parts boiling water, ranges from 2% to 7%, is beneficial (1) to the overfed and sedentary, for they need increased vital action; (2) to the old whose vitality is deficient; to those who have a non-perspiring skin ; (3) late in the day to quicken digestion; (4)during excessive heat to relax the skin; (5) for those of strong nerves. Tea is harmful (1) to those of spare habit and to the underfed; (2) to the young who are full of vitality; (3) to those who per- spire much; (4) early in the day, for it then increases tissue waste; (5) to the nervous and hysterical and those whose hearts are weak. (Dr. Buddock.) The best teas color the water the least. Pouring hot tea over a slice of lemon with the rind on improves the flavor and allays thirst. The later investigations of Dr- Roberts have proved that both tea and cof- FOODS, AND THEIR PREPARATION. 199 fee retard digestion In a degree proportioned to their strength, which lie considers a needed effect in order to prevent our foods which are so prepared as to yield up the maximum of nutriment from being too rap- idly passed out of the system. There are few spurious, but many infe- rior teas on the market. The practice of "facing," i. e., coloring is common, and renders the sale of inferior teas as of better quality very easy, but is probably not specially deleterious to health because of the minute quantity of the coloring material used. Tomatoes.-Much used for sauces, catsup, preserves, confectionery, and pickles. A popular notion attributes the increase of cancer to the use of tomatoes. But it probably has no foundation. Turkey.-One of the most valued kinds of poultry. Turnips.-About ninety to ninety-six parts of its weight are water. Young leaves are good for greens, especially those of the Swedish kind or rutabaga. Its strong flavor and woody fiber disagree with delicate stomachs. Veal is too hard of digestion to be a desirable food for the feeble. Vegetables require soft water, and cabbage and carrots can hardly be boiled too long. Asparagus.-Very wholesome, eaten as soon as cut. Greenest heads best. Good for rheumatism, gout and gravel. Cabbages while not very nutritious nor easy of digestion are richer in nitrogen than any other vegetable. They are apt to produce flatulence on account of the large proportion of sulphur contained. Carrots and Parsnips.-Pleasant, may produce flatulence. Celery contains much woody fiber. Should be eaten with a light lunch of bread and cheese. Cucumber, raw, is indigestible. Stewed, is wholesome. Leeks, if white and of little smell, are good and digestible. Leguminous Seeds (pulses) are peas, beans, etc. Peas are delicate and nutritious, boiled without their pods, if so young that the skin cracks in boiling ; otherwise indigest- ible unless soaked, stewed and crushed. Lettuce, cooling, digestible, mildly soporific. 200 THE SECRET OF HEALTH. Onions, very wholesome, if readily digested. Pumpkins, not very nutritious, but easily digested. Rhubarb, contains oxalate of lime ; should be avoided by those subject to calculus. Spinach, wholesome, laxative. Vinegar is the product of acetous fermentation of a sac- charine material. Cider vinegar is the only kind in general use. One part in 5,000 delays salivary digestion one-third. One part in 1,000 delays salivary digestion more than seven times. One part in 500 absolutely prevents it. (Roberts.) Yet is use- ful in moderate quantities in some cases of biliary difficulty. Where cider vinegar cannot be obtained an artificial vinegar can be prepared. To one gallon of water add 1£ pounds of sugar and a pint of yeast; keep three days at a temperature from 75 to 80. Draw off into a refining cask and add one ounce of bruised raisins and one ounce of crude tartar to each gallon. When the sweet taste has entirely disappeared, cork tightly and bottle. Distilled Vinegar is simply acetic acid distilled from wood and diluted witli five times its volume of water. This contains five per cent, of acetic acid, and is called proof vinegar. Is much used by pickle manufacturers. Adulterants consist of burnt sugar and sul- phuric acid. Venison, the flesh of the deer, is less nutritious than beef but more digestible, hence is much sought for by the conval- escent. Witter is hard when it contains carbonate of lime in solu- tion. It is six degrees hard when a gallon consumes as much soap before making a lather as will combine with six grains of carbonate of lime, and so on. Hard is useful for rickety chil- dren. Water is unfit to drink if it contains more than one- tenth of a grain of iron or copper to the gallon, or a very much less quantity of lead. Deep well and deep spring waters are best. Water in which ice is melted is unwholesome. Better fill bottles with water that has been boiled and cool them by contact with ice. Cold water should not be taken with meals. Dr. Beaumont gave St. Martin a gill of cold water and the tern- FOODS, AND THEIR PREPARATION. 201 perature of his stomach fell at once from 100° F. to 70° F., and it was more than half an hour recovering the heat it had lost. Whey.-One pint of milk mixed with one teaspoonful of liquid rennet set in a warm place until it curds, then strain. Is a useful variety of milk food in sickness. Wines.-The grape juice is about 60 to 70 per cent, of the weight of the grapes. The sugar of the juice is about 20 to 30 per cent, of its weight. The fermentation of the sugar gener- ates about 50 per cent, of its weight of alcohol. Antiseptics.-Prof. E. W. Hilgard has laid down the broad principle that "whatever impedes fermentation also impedes digestion." Sulphuric acid, or plaster (sulphate of lime) is often used, as are also salicylic acid and boracic acid. Of sev nty samples analyzed eighteen had salicylic acid, thirteen had sulphuric acid, and two had both. Alcohol in wines varies from 5.7 to 27.15 per cent., the average being 11.5 per cent. The New York law allows alcohol to be added ("fortify- ing") to the extent of eight per cent, of its volume, which would give 17 or 18 per cent, in the wine. Girard found from .81 to 3.50 grams of sali- cylic acid in each liter, while Dr. Edson condemned over 5,000 gallons made of dried fruits, water and sugar which contained four and a half grains of salicylic acid to the pint. Sweet Wines.-Prof. Parsons found in a "Sweet Muscatel" 31 per cent, of sugar, and in a "California Port" 21 per cent, of alcohol by weight, and Prof. Crampton says of the Muscatel and Angelica, "very little grape juice enters into their composition," "they are chiefly composed of alcohol, sugar and water." 3. PARTICULAR FOODS FOR PECULIAR NEEDS, AND HOW TO PREPARE THEM. It is an unquestionable fact that very many sick people have been actually starved to death, and multitudes have been crowded from curable to incurable conditions by the sick-diets (called diets for the sick) that have been relied upon in the past. And it is the burning shame of the medical education of even the present, that every year hundreds of students are graduated from our medical colleges, without any instruction whatever upon how to feed those whose lives are entrusted to their care. 202 THE SECRET OF HEALTH. For the purpose of showing the real food-value of many of the articles named in this section, they are compared with whole milk, lean meat and wheat bread, these being rated as follows, viz. : Fiber. uFat. Force. Minerals. Water. Calories per lb. Milk, 3.7% 3-4% 1.9 " 55.5 " 0.6% 1.0 " 87.5% 32.7 " 310 Bread, 8.9" 1.280 Meat, 19.5 " 16.0 " 1.0 " 63.5 " 1.034 The reader should bear in mind the facts that a man at moderate work needs every day 125 grams (4.3 ounces) of fiber- foods yielding 512 calories of heat, and also enough fat and force foods to increase the calories to 3,500. Also that the ratios for persons of different classes as given by Prof. C. D. Woods are : In a state of health, for man at moderate work, 10; woman at moderate work, 8 ; child, 6 to 15 years, 7 ; child 2 to 6 years, 5 ; child under 2 years, 2|. This would require fiber elements and calories as follows : For a man 125 grams of fiber elements and 3,500 calories per day; woman, 100 grams and 2,800 calories ; child, 6 to 15, 87| grams and 2,450 calories ; 2 to 6 years, 621 grams and 1,750 calories ; under two years, 31 grams and 875 calories. The last period should be subdivided into at least three. A child two years to 14 months old as stated, requires food containing 31 grams of fiber elements and enough fat and force foods to supply 875 calories daily; 14 months to six months, about 15 grams and 437 calories; under six months, about 7.5 grams and 218 calories. But comparison with moth- er's milk shows that 370 calories a day are required under two months, and 20.1 grams of fiber elements at 20 ounces per day. Hence the lowest figure should be over 350 calories. Substantially the same ratios may be fairly assumed to exist where the similarity of diseased conditions approximates the likeness in health conditions, but the nature of the disease will necessarily largely modify both the quantity and charac- ter of the food required. A perfect food in health for light work has about eight per cent, fiber element, and yields an average of 1,200 calories to the pound. That is about the average of good bread. FOODS, AND THEIR PREPARATION. 203 The Following' Diets are meant to merely suggest how selections of foods can be made for certain conditions, not to direct such selections ; nor are all the articles under one diet to be used simultaneously. The various articles are described in detail in the subsequent pages. 1. For Convalescence from Typhoid Fever, Dysentery, Cholera, Inflammation of Bowels, etc.-Albumen water, black- berry cordial, Carnrick's diet, milk thickened, oyster broth No. 1, and rice water. 2. For Same.-Blackberry cream, chicken milk No. 1, mutton broth No. 2, rice boiled, and rice milk No. 2. 3. For Recovery from Acute Gastritis, Acute Cystitis, Acute Inflammation of Kidneys, etc.-Fortified gruel, gum arabic and homemade koumyss. 4. The Same.-Beef pulp, smoked beef broth and our toast. 5. Exhausting Hemorrhage.-Beef broth No. 1, bean bread soup No. 2, buttered toast, eggnog No. 2, date pudding, oyster broth No. 2, puree and our tea. 6. Shock.-Bez''' broth No. 2, beef essence, milk punch, milk substitute and restorative jelly. 7. Starvation.-Eggs boiled and egg coffee. 8. Anaemia.-Beef tea, Porter's, chicken milk No. 2, cod- fish creamed, fruit pudding, grape juice No. 2, malt and milk, our coffee No. 2. 9. Blood Poison, Uraemia, etc.-Fruit, oatmeal soup, oys- ters roasted, unleavened wafers, raw diet No. 6. 10. Plethoric Apoplexy.-Baked potatoes, banana sauce, lemonade, barley and orange cream. 11. Fevers.-Barley water, buttermilk, cracker gruel, kefir and toast water. 12. The Same.-Chicken panada, custard, fish boiled and peach bread pudding. 13. Nervous Prostration.-Barley gruel, beef tea nutri- tive, corn coffee, egg and milk, potatoes creamed and unleavened wafers. 204 THE SECRET OF HEALTH. 14. La Grippe.-Beef tea stimulating ; oatmeal pudding, wine whey and our toast. 15. Acute Rheumatism.-Alkaline drink, apples and bread and milk, raw diet No. 1, raw diet No. 6, raw diet No. 2. 16. Biliary Dyspepsia.-Egg lemonade and puree, raw diet No. 1. 17. Nervous Dyspepsia.-Beef scraped, dyspepsia crack- ers, fig water, malt and milk, and broiled chopped meat. 18. Pneumonia, Bronchitis, etc.-Blanc mange, clam broth, demulcent drink No. 1, lemonade, elm, flaxseed or gum, and linseed tea. 19. Diabetes.-Bran water No. 2, gluten bread, gluten cakes and gluten gems. 20. Bright's Disease.-Elderberry syrup and raw diet No. 3, 4 or 6. 21. Consumption.-Raw diet No. 6 or 3. 22. Chronic Rheumatism.-Celery toast, mustard dress- ing, oysters broiled and puree. How to Prepare Special Foods for peculiar needs is fully set forth in the following pages. The character of each food or of each combination of foods is described, the reasons given for its peculiar uses, and full directions and recipes are set forth so plainly that any housekeeper can pre- pare these foods without the doctor's assistance or advice. Infant's foods are accorded a section by themselves. Albumen Water-Cold water one-half pint, whites of two eggs, sugar of milk, one teaspoonful; stir gently until well mixed. Nourish- ing fiber food, particularly useful as a drink in inflammatory bowel diseases. Alcohol is undoubtedly a food of great value in certain conditions. It is very easily and quickly oxidized along the digestive tract and yields its heat and force just where it enables the liver-cells to transmute the fiber elements to the best advantage. Its dangex lies in the gener- ation of too much heat. The proper time to use it is when there is an inability of the liver to extract-from the glucose in the blood enough heat to maintain the vigor of the vital processes. Then, with suffi- cient oxygen supply, just enough alcohol to furnish the requisite heat without an excesses beneficial. But it is generally given to excess FOODS, AND THEIR PREPARATION. 205 even in medical practice, e. ff., one teaspoonful of alcohol yields 826,676 foot pounds of energy. This repeated every two hours is an ounce and a half a day, which gives 9,920,112 foot pounds or 3,906,823 (based on Dr. Porter's standard), in excess of the entire normal heat expendi- ture per day, aside from any other food. This requires an oxygen sup- ply of only 72 pints, leaving a surplus of over 1,400 pints. The human system is not adjusted to run on any such plan. That excess of oxygen would burn the tissues all out in a few days. Alkaline Drink.-Slice the peel of one lemon very thin, and put into a pitcher with a tablespoonful of sugar; pour on enough hot water to dissolve the sugar, then add half a pint of pure cold water and half a pint of Vichy water. A pleasant drink; for use in rheumatism and other acid states of the blood. Apples, Baked No. 1.-Peel, core and slice large sour apples; sprinkle with sugar and a little nutmeg. Add one-half teacup of water to every quart of fruit, cover and bake slowly three hours. Let them cool in the dish and turn out solid. Excellent with meat diet when there is not much flatulence or looseness of the bowels. About one-tenth the fiber, no fat, and nearly three times the force that milk has, giving about the same heat production,=320 calories. Apples, Baked No. 2.-Take large sour apples, core and put in bak- ing dish. Fill cavities with brown sugar and pour a cupful of hot water in the pan and bake. When done, remove all but the softest, which leave in the juice. Remove their skins and mash, adding nut meg, salt and teaspoon of butter and pour over the apples. Considera- bly more nutritious than No. 1, but not as easy of digestion. Apples, Baked No. 3.-Peel and core sour apples. Fill cavities with sugar and pour in a cup of hot water. Cover and simmer until soft. Lift them out without breaking, and dust nutmeg into the syrup. About as nutritious as No. 1. The same uses. Apples and Breatl and Milk.-Pare and slice eight ounces of ripe, sweet apples into a pint of milk and crumb in four ounces of bread. If preferred, bake the apple until soft. The heat product ion is about 753 calories. Excellent for children, invalids, and the aged. If it pro- motes flatulence a little fennel tea will correct it. Apple Snow.-Drain and press through a sieve a cupful of apple- sauce, add one ounce of sugar and set on the ice. Put over it the whites of two eggs. Beat together for twenty minutes, or till the mass is light and snowlike. Delicate and nutritious, with 1.9 percentage of fiber-food and 216 calories. Apple Water.-Two large, juicy, sour apples sliced into a pitcher; one quart boiling water poured on and tightly covered till cold. Strain and sweeten. A good fever drink, slightly nourishing. 206 THE SECRET OF HEALTH. Arrowroot Jelly.-Dissolve two teaspoonfuls of sugar in a cup of water. Bring to a boil. Wet and rub smooth two teaspoonfuls of arrowroot. Stir into the boiling water. Add one teaspoonful of lemon juice and boil until clear. Put in a mold. Eat cold with cream and sugar. An agreeable and easily digested force-food; its food value largely depending upon the quantity of cream and sugar taken with it. Artificial Fibrin.-Pour the white of an egg into cold water and let it stand until it becomes a snow-white solid. Heat to the boiling point. Appetizing and very easy of digestion, less nourishing than albumen water. Good in bowel disorders. Baked Potatoes.-Bake a nice potato and when done cut off one end, scrape out the inside, season with salt, pepper, cream and butter, beat up light, put back in the skin and brown in a quick oven. The fiber value is about one-fourth, and the fat and force are raised by the cream and butter to nearly one-half that of bread. Banana Sauce.-Make a syrup of a cup of sugar and half cup of water, and boil. Thicken with one tablespoonful of corn starch wet in a little cold water, and stir in a teaspoonful of butter. Mash one large ripe banana and beat into the sauce. Should be used as soon as it is cool. A pleasant force-food, but should not be taken with a hearty meal of fiber-foods. Barley Gruel.-Mix one tablespoonful (say two ounces) of barley flour, one saltspoon of salt, and one scant teaspoon of sugar together with a little cold water and one cup of boiling water and boil ten min- utes. Add one cup of milk, just bring to the boiling point, strain and serve hot. May be made without milk, using one pint of water. A pint of this yields about 580 calories of energy, giving fiber value nearly one-half greater than milk. Barley Water.-Wash two tablespoonfuls of barley and soak one- half hour in tepid water, and stir without draining into two cups of slightly salted boiling water. Simmer one hour; stir often. Sweeten and strain. It can be made slightly relaxing by adding two or three tamarinds. A nutritive drink when sufficient solids cannot be taken When milk disagrees this yields more than half as mucn fiber value, while its force product is 380 instead of 310 as in milk. Beef Broth No. 1.-One heaping teaspoonful of Mosquera's beef meal in a cup of hot water, seasoned with capsicum 6r pepper. A fiber food having about one per cent, of fiber element, and yielding only twenty-four calories. Beef Broth No. 2.-Cut into thin slices a pound of beef, free from fat. The neck or shoulder is best. Pour over it a quart of cold water some salt, and simmer over a slow fire one hour. Boil one hour, strain and season. Has too little nutritive value to be relied upon at all, but is FOODS, AND THEIR PREPARATION. 207 slightly stimulating and may aid the absorbents to appropriate other nutriment that otherwise might be excreted. Beef Essence.-Lean, juicy, pounded beef one pound, broiled two minutes over very hot fire, t .en put into a fruit jar with one pint of cold, salted water; soak four hours. Tie cloth over the mouth, set in ket- tle of cold water, and boil slowly ten hours. Strain and season Its com- ponent parts are quite similar to beef tea (Dr. Porter's)which see, except that the coagulation of the albumen by the broiling diminishes its fiber elements, while its long boiling concentrates and thus increases its extractive stimulating properties. Should only be used as an emer- gency food, when this kind of stimulation is deemed desirable. Beef Juice.-Cut a pound of rump steak into small pieces (one- fourth inch) add a pint of cold water,twenty drops of dilute hydrochloric acid and half teaspoonful of salt, cover and stand two hours in a cool place; strain (pressing the meat) and gently simmer ten minutes. A tablespoonful may be mixed with the white of an egg when wanted. Rich in nutriment. Without the egg, its nutritive value is considerably in excess of ordinary beef tea because of the partial pre-digestion of the meat. Beef Panada.-Beefsteak broth with the meat-pulp left in the broth and rolled cracker crumbs added. This approximates in food- value the Beef Tea Nutritive, which see, and is much more easily made, but lacks the partially pre-digested quality of that. Beef Pulp.-Scrape a raw steak with a silver spoon until all the pulp is extracted. One to two tablespoonfuls for an adult. A dessert spoonful mixed with red currant jelly, or with a little salt between bread for children. Has the food value of lean meat. Beef Scraped.-Cut tender steak into pieces half an inch thick. Scrape the soft part off with a knife until there is nothing left but the tough, stringy fibers. Season the pulp with salt and pepper and make into cakes one-half inch thick, and broil. Serve on toast. A safe way to prepare steak for one who is just beginning to eat it. Practically of the same food-value as beef-pulp but its digestibility modified by broiling. Beefsteak Broth.-Scrape the pulp from a pound of round or sir- loin steak, or mince fine in a chopping tray. Cover m saucepan with cold water; slowly heat to boiling, then simmer half an hour. Strain. Take off fat with sheet of paper and season with salt. Practically about the same as Dr. Porter's beef tea, but more expensive. x Beef Tea (stimulating).-A pound of tender, lean meat chopped fine and soaked two or three hours m a pint of cold water Heaton the stove (not to boiling), two or three hours longer, until the water has evaporated to half a pint. Has the same food constituents as beef- biot b No. 2, but in a much more concentrated form. ' 208 THE SECRET OF HEALTH. Beef Tea (Dr. Porter's).-Five pounds and 7J ounces of best quality of bottom round beef. Remove the fat. Cut beef into one-half inch cubes and place in a saucepan with just cold water enough to cover. No salt. Soak two hours, then gradually warm to boiling and boil until the cubes become hard and contracted. Remove and press the cubes and set liquid aside until cold. Remove the congealed fat. This yields 34.5 ounces of tea, having to every 100 parts, fiber 3.28, fat 0.25, mineral salts 0.67, that is, almost as much fiber food and mineral salts as milk, but only 1-16 as much fat, and no force foods while milk has 4.7. It yields only 72 calories per pound,-23 per cent, as compared with milk. Hence, when it is desirable to sustain the tissues without much generation of heat, this is preferable. But when both are re- quired in a fluid diet and milk is distasteful or cannot be borne, then the addition to each pint of one-fourth ounce of butter and 1| ounces of barley, will about make tip the deficiency in that respect and give a slight excess of the fiber element. If the butter be undesirable, add a little more barley and omit the butter. Beef Tea (nutritive).-One pound of round beef cut fine, and soaked in one-third quart of cold water over night. Pour off and save the water. Simmer the meat two hours in two-thirds of a quart of water, supplying the loss by evaporation. Pour this broth into the saved water and squeeze the meat as dry as possible, then slowly dry it in tlie open oven, and powder it in a mortar. Then mix the powder with the fluid, salt to taste, and add twenty drops of muriatic acid and three grains of pepsin. One pint of this contains fiber 6.9, fats 3., and aside from the acid and pepsin, yields 725 calories of heat. It is practically a homemade Mosquera's broth, with the very important difference of 725 calories instead of 144, which would in some cases be a great advantage and in others detrimental, e. f/., to a fever patient give the beef broth No. 1, but to one who is to undergo exposure give the beef tea nutri- tive. Blackberry Cordial.-Wash and mash some fresh berries. Strain out tlie juice, and to every four quarts add a quart of boiling water. Let it stand in a cool place twenty-four hours. Stir occasionally. Strain again and add two and a half pounds (two pints) of sugar to every gallon. Stir and cork in jugs or seal in cans. No alcohol needed to keep from fermentation. A small fraction of one per cent of fiber elements, and yields about 340 calories per goblet. Blackberry Cream.-Mash and sweeten two quarts (say three pounds) of blackberries with half a cup of sugar. Set aside for two hours, then strain. Partly whip one pint of sweet cream, then add juice, sweetened with another half cup of sugar. Whip again and gradually add the stiff beaten whites of two eggs. Tills lias about 2,8 fiber, and yields about 3419 calories of heat FOODS, AND THEIR PREPARATION. 209 Blanc Mange.-Soak for half an hour in warm water one-third of a cup of dry moss. Put in a pudding bag and cook in a quart of milk for one hour. Take out the bag, squeeze, and throw away the moss. Add one quarter of a cup of sugar, strain, and put in molds. Sene with cream and sugar. This adds to the components of the milk the nutri- tive and demulcent constituents of the moss, and the fat and force elements of the cream and sugar. Bran Bread.-Mix bran flour into a dough with hot water. Set in a warm place to raise. Bake in small loaves 1J hours, then thrust into boiling water four seconds and return to the oven a few minutes Keep in cool place, and if crust becomes hard, cover with damp cloth. Acts mechanically in cases of constipation but causes the loss of other nutriment, hence is unfit for the poorly nourished. Bran-bread Soup No. 1.-Toast without burning four ounces of bran-bread and pulverize. Into a pint of boiling beef broth No. 2 stir enough of the powder to make a thick soup. Fiber value 1.8. Bran-bread Soup No. 2.-Stimulating and somewhat nourishing. Made like No. 1 except that beef broth No. 1 is used Its nutritive value is 27; calories 354. Bran Water No. 1.-Boil wheat or rye bran three-fourths of an hour, squeeze out the bran, add honey to the water and boil one-fourth hour. One-half pint twice a day. Rich in mineral constituents and in the glucose of the honey. Bran Water No. 2.-Wheat bran two quarts, cold water three quarts. Soak over night. Rub and squeeze the bran; strain. Nutri- tious and safe for diabetics. Bread Coffee.-The crust of bread pulverized coarsely and treated as other coffee. This, according to Reichenbach and Von Bibra, con- tains a bitter substance called assainar having effects on the system similar to coffee. Is a good substitute for coffee, but owes its nutri- tious properties mainly to the milk or cream and sugar taken with it. Bread Jelly.-Toast stale crusts without burning, put in a dish with sugar and a little salt. Cover with boiling water and set, with a tight lid on, in a pan of boiling water. Simmer until like jelly. Eat warm with sugar and nutmeg. Has substantially the qualities of bread plus the sugar. Buttermilk.-Consists of the albuminous sacs which have been broken from around the oil globules by churning, together with all other elements of the cream except the oil, which has massed as but- ter. In fiber and force elements it is a little stronger than milk, while it has less than one per cent, each of fat and mineral salts It keeps up the full constructive and reparative work of the system, with only two-thirds the normal oxygen demand; therefore, in all conditions of 210 THE SECRET OF HEALTH. incomplete oxidation conjoined with inaction of body and mind, it is superior to any other single food. Consumption, pleurisy, emphysema, interstitial pneumonia, sclerosis of the lungs and fevers are best dieted on buttermilk alone, or mainly. May be served in a goblet or china saucer with bits of strawberry ice floating in it. Buttered Toast ("Our toast").-Spreadw ith one-fourth ounce of butter to one ounce of bread. This adds to the 80 calories of the bread 56 from the butter; total 136. Should not be eaten in fevers, nor when, for any reason, it is not desirable to take strong heat-making food. Calves' Feet Milk.-Calves' feet prepared in the same manner as Chicken Milk No. 1, are an excellent substitute for beef tea, and form variety in the limited menu of the invalid. Carnrick Diet.-Kumysgen, Carnrick's food, lacto-cereal food or lacto-preparata, every two to four hours, from one to three weeks; then, gradually add milk, eggs, meat, fish, and finally vegetables in modera- tion. Very uncertain in the ratio of its food constituents, yet of great value in cases of under oxygenation with excess of uric acid, as in rheumatism, many cases of dyspepsia, etc. Celery Toast.-Cut up the celery and boil in a little water until tender; add milk and stew for awhile, salt and pepper to taste, thicken slightly with flour. Pour over toast. Said to be of benefit in chronic rheumatism. More nutritious than milk. Chicken Broth-Cut the chicken in two longitudinally, removing lungs, skin and fat. Cut into small pieces; pour on a quart of cold water, salt, and let it simmer for an hour and a half; then set back for half an hour longer. Strain, season and thicken if desired. Aside from the thickening this has considerably less food elements than Chicken Jelly, which see. Chicken Jelly.-Haifa spring chicken, bones and meat. Put into a pan with one quart of cold water. Cover and simmer until meat is reduced to shreds and the liquid boiled down one-half. Remove from fire and strain twice. Season with salt and pepper. Return to the fire and simmer five minutes longer. When cool it forms a jelly. Slice and serve cold, alone, or on toast, or wafers. The jelly may deceive some into the supposition that this is an extremely nutritious food, but it jellies because of the gelatinous substance of the cartilages, etc., which has very little food value although nitrogenous. Chicken has fiber 24.4, fat 2, calories 540 per pound. But this rejects the substance of the tissues and produces a chicken-food analagous in its nutritive properties to the broth from beef as compared with beef itself. Of course, if toast be added its nutritive properties are correspondingly increased. Chicken Milk No. 1.-Cut a chicken info small pieces, clean care- fully, remove skin- Put into a china-lined sauce pan, wjth the bones FOODS, AND THEIR PREPARATION. 211 and neck, the white part of a head of celery,and the stalks (not leaves) of a fresh bunch of parsley, a few pepper-corns and a little salt. Cover the meat with a little cold water, and let it simmer till it is in rags and falls from the bones. Strain into a flat basin or large bowl. When cold it should be in a stiff, clear jelly. Carefully skim off the grease, gently wipe over the top of the jelly with a clean cloth wet in hot water so that no greasy matter remain. Take equal quantities of the jelly and fresh milk, put them into a small, china-lined saucepan, and let them boil together. Boil up the mixture three times and strain into a cup. A teacupful is generally considered sufficient at a time. The finest strips of dry toast are an agreeable addition. It can be eaten hot, or allowed to cool and form again into jelly, according to taste. This jelly is about equal to Chicken Jelly, which see. The milk adds 3.6 fiber, and 310 calories per pound, and the toast gives 8.9 fiber and 1,280 calories per pound, so that as a whole in the absence of special analysis, it is safe to estimate its fiber at 6.2 and its calories as 802 per pound. Excellent for very delicate stomachs plus the chicken elements. Chicken Milk No. 2.-Prepare the chicken in the same manner as in No. 1, but instead of using water, cover it with a quart of fresh milk in a very large jam-pot, and setting that in a sauce pan nearly filled with cold water; when the milk in the jam-pot boils, the "chicken milk" is ready for use. Cream may in some cases be substituted for milk, and sometimes equal quantities of cream and milk are used. In this case, over and above the chicken elements are the 3.1 fiber and 769 calories of the mixture per pound. If cream alone be used, it will stand-fiber 2.7 and calories per pound 1,228-too full of force for ordinary conditions in sickness. Chicken Panada.-One-half cup of bread crumbs, soak in milk enough to cover them. One cup of chicken meat chopped fine. One pint of chicken broth. Press bread crumbs through a coarse strainer into the meat, pour in the broth (first removing fat), and add pepper and salt. Boil one minute. Should be of the consistency of thick gruel. May be seasoned with celery-salt or curry powder. Two table- spoons of sweet cream may be added. This gives fiber 18.4 and calories per pound 1,072, about equal to lean meat. If cream be added it will increase fiber 2.7, and calories 1,228 per pound, in the ratio used. Children's Food.-See Infant's Food. Clabbered Milk is thick sour milk ; called also loppered milk and bonny-clabber. Use when it is firm before the whey has separated. Eat with cream and sugar, or cream and nutmeg. Dyspeptics should not eat it with sugar. Has about the same fiber value as milk but with slightly diminished force in itself, but which may be made considera- bly larger by the cream and sugar added. 212 THE SECRET OF HEALTH. Clam Broth.-Wash six large clams and pour over them a cup of water. Put in a kettle on the fire. The broth is the juice of the clams with the water boiled a minute. As soon as the shells open, the broth is done. Clams contain fiber 8.6, fat 1, force 2; 240 calories per pound. This broth cannot contain fat and force elements to produce over 100 calories of heat, while the amount of soluble albumen taken up must be very small. Hence, as a food, it cannot rank at more flan one- fourth or one-third the value of milk. Codfish Creamed.-Cut and soak over night, one-half pound of fish into thin pieces crossways of the grain. Pour off the water in which it has soaked, put in fresh water and cook half an hour. Add teacupful of milk and tablespoonful of flour. Before serving, stir in a beaten egg. This is the usual dish and gives more fiber food than meat, yield- ing about 508 calories. The addition of three-fourths of a cup of cream would raise the calories to nearly 888, and make it adequate to sustain under severe labor. Cod Laver Oil is looked upon as the panacea for all the ills of innu- trition, and has been employed to an extent that has populated ceme- teries beyond comprehension. Fats are oxydized in the cells of the lungs and thus exhaust the oxygen supply at its very fountain-head, besides dissipating a large proportion of the heat before it can reach the liver, which is really the normal furnace of the animal organism. Besides, in lung diseases, the local effect is to raise still higher the temperature, which is already at the point of congestion, and thus hasten the congestive and suppurative changes that should be pre- vented if possible. This waste of heat in the lungs also robs the nutri- tive organs of the heat which they need, and thus prevents the very process of absorption, to promote which, the oil is given. Hence, it becomes a carbonaceous poison in the blood, throwing an extra work of elimination upon the weakened and already overtaxed lungs, which, unable to expel it, pass it along again in the circulation only to debili- tate all the nutritive functions of the system. Therefore, in the great majority of cases, codliver oil in consumption means death. For the same reasons all other fats should be carefully adjusted to the condi- tions of the case. Coffee Cream.-Soak one-fourth of a box of gelatine in one-fourth of a cup cold water half an hour. Pour on one-half cup of boiling, strong coffee, to dissolve it; add one-half cup of sugar and strain. When cool and about the consistency of syrup, pour in 1| cups of cream or 1 j cups of milk. Stir for about ten minutes and put in mold to harden. The gelatine is of so little nutritive value that its worth need not be esti- mated. The coffee is a nervous stimulant. The cream and sugar have about half the fiber value of milk and yield 1,371 calories of heat, to which the gelatine and coffee will add somewhat. FOODS, AND THEIR PREPARATION. 213 Coffee Syrup.-Make strong coffee with two tablespoons of the ground berry, a little white of egg and one cup of boiling water. Sim- mer together one cup of sugar and a third of water five minutes, then add one-half cup of the coffee. Strain and bottle. The whole will yield about 900 calories of heat, the stimulating properties of the cof- fee, and an inappreciable quantity of fiber from the egg. Corn Coffee.-Common field corn, roasted as brown as possible without burning, ground coarsely and steeped like coffee. Add milk and sugar. Much more nutritious and less stimulating than coffee. Made quite strong, with cream and sugar it equals milk. Corn Meal Gruel.-Stir one cupful of corn meal into a paste with cold water and turn into a quart of boiling water and boil forty minutes. Salt. Richer than bread in fiber constituents and yields 825 calories. Cottage Cheese No. 1.-Tie in a cloth and drain clabbered milk. Hang in a cool place over night. Without special analysis, this would be rated as a fiber food as stronger than meat and approximating cheese, while rich also in fats. Cottage Cheese No. 2.-Heat sour milk. Pour off the whey and put curd in a bag and drip for six hours. Chop and salt. Work to con- sistency of soft butter adding cream and butter. Mold and put in a cool place. Eat while fresh. The addition of cream and butter makes this one of the strongest foods in both fiber and fat constituents. Should be used sparingly except with great muscular exertion or very great exposure, and with little or no other foods having these elements in any considerable proportion. Cracker Gruel.-Mix one scant saltspoon of salt and one scant tea- spoon of sugar with two ounces of rolled soda cracker crumbs; then pour on one cup of boiling water, and one cup of milk, and simmer for two minutes. Five-eighths the fiber value of bread; yields 406 calories. Custard.-Three eggs well beaten, a quart of fresh milk, and an ounce of sugar, slightly baked. This gives 912 calories of heat and a fiber value 4.2. Custard, French.-Put into the bottom of the custard cups a tea- spoon of raspberry jam. Then with a tunnel pour custard in slowly. Bake twenty m'nutes. The jam, if firm, will not mix with the custard, and imparts a nice flavor. Slightly diminishing the fiber value of cus- tard, but increasing the number of calories to a small degree. Date Pudding.-Sprinkle in a buttered pudding dish half a cup- ful of dry crumbs wet with a little milk; cover with layer of dates, then another of bread crumbs moistened with milk. One quart of milk taken from fire when nearly boiling; add yokes of four eggs beaten with one-half cup of sugar; then the whites, stirring lightly. Return to the fire until it thickens. Add a little salt and half teaspoon 214 THE SECRET OF HEALTH. of vanilla. Put a spoonful of the custard upon the crumbs and bake. The quantities are too uncertain for a safe estimate of food-value, but it unites the qualities of a good custard with those of fruit. Demulcent Drink No. 1.-Mix two ounces of sugar of milk, eight ounces of white powdered sugar, and one ounce of powdered gum arable together. Dissolve half an ounce of this in a pint of water. Makes a demulcent drink for use in bronchitis, pleurisy, or pneumo- nia, with considerable energy. Digestant No. 1 for fiber-foods.-Pepsin and dilute muriatic acid of each, two drams. Glycerine and cinnamon water of each, two ounces. Mix. Dose, a teaspoonful after each meal. Digestant No. 2 for force-foods.-Crushed malt three ounces, cold water half a pint. Mix and stand twelve hours. Filter through paper until clear. Prepare fresh, daily. One to two tablespoonfuls sipped along through the meal. Digestant No. 3.-Our liquid malt; one-half teaspoonful with meals. Dyspepsia Crackers.-Take good wheat to the mill and have it ground; sift out only the bran, leaving the middlings and flour together. This is wheat meal. Take wheat meal one quart; butter one tablespoonful; water to make a very stiff dough. Beat this on a bread board with a rolling pin thirty minutes; then roll very thin, cut, prick, and bake in a quick oven. Upon the same basis as graham crackers, the fiber value is slightly in excess of bread, while they yield 2,050 calories per pound. Eggs, Boiled.-Pour a pint of boiling water on each egg, the warmed dish standing on a thick woolen cloth, cover and stand six minutes. Mix yolk and white thoroughly, and if the stomach will digest it add one-half to three-fourths of an ounce of fresh butter to each egg. The eggs alone are in fiber value midway between bread and meat, and yield 720 calories per pound, or CO each. If one-half ounce of butter be added it will give 238 calories to each egg. Egg Coffee.-To a cup of strong coffee add one-half cup hot milk, sweeten well and boil; then pour it over a well-beaten egg and serve at once. Has about 4.9 fiber value and yields nearly 243 calories. Egg Lemonade.-The juice of one lemon in one goblet of lemon- ade. Beat one egg to a froth and stir in and add pounded ice. Has the fiber value of the egg, and yields about 102 calories. Egg and Milk.-One raw egg stirred into one-half pint of milk is palatable and nourishing. Flavor with cinnamon, spice, vanilla. More nutritious than bread and yields 210 calories. Eggnog No. 1.-Scald and cool one tumbler of milk slightly salted. Beat together one egg and one dessert spoonful of sugar and add one dessert spoonful of brandy and mix with the milk. The fiber element Is about 5. per cent, and the calories 252. FOODS, AND THEIR PREPARATION. 215 Eggnog No. 2.-Milk as in No. 1. Yolks of two eggs, two table- spoonfuls of sugar and one tablespoonful of brandy. Mix as in No. 1. The fiber in this is 4.3 and the calories are 396. The brandy is too strong for any but exceptional cases or very temporary use. Eggs, Scrambled.-Beat two eggs, a saltspoon of salt and a little pepper in a bowl until light; add two tablespoons of sweet cream or rich milk, and set the bowl into a kettle of hot water, and stir constantly until it coagulates. Serve alone or with our toast. Alone, this is mid- way between bread and meat in fiber elements, and yields 225 calories. If toast be added, see Toast. Egg Toast.-Mash up the yolk of a hard-boiled egg and spread on a slice of " Our Toast " with butter and salt. With one-third ounce of butter and two ounces of bread, and yolk estimated at one-half of an ounce we have 289 calories of heat, and fiber value about one-half more than bread. Elderberry Syrup.-Boil elderberries down with honey into a rich preserve. One teaspoonful in a glass of water makes a pleasant drink with a slightly stimulating effect upon the kidneys. Earina Gruel.-Salted, boiling water one pint. Stir in briskly one tablespoonful farina and simmer thirty-five minutes. While hot stir in a tablespoonful of cream or fruit cream. If the cream be used this has no fiber value, and yields but 233 calories of heat. If fruit cream be used, there is a trace of fiber element. Fig Pudding.-Chop together one pound of figs, one pound of fine bread crumbs. Add one pound chopped beef suet, one pound brown sugar, cup of milk and six eggs. Boil three hours and serve with eight ouncescream or liquid sauce. The fiber constituent is about 4.3 and the energy of the whole 5J pounds is 5,569 calories, giving enough construction material and energy to support one man two days at moderate work. Fig Water.-Boil one-half pound of figs with half an ounce of gin- ger in two quarts of water until reduced to a pulp. Strain and bottle, or use at once. Has the food value of figs together with the carmina- tive, stimulating effect of the ginger. May be used in flatulence, and in cold states of the digestive tract. Fish.-When fresh is firm and hard and will rise at once when pressed with the finger. If the flesh is soft, eyes dull or sunken, gills pale, it is not fresh. With red blood is nutritious but not easily digested. Average fiber value is fifteen per cent., and calories per pound, 431. Fish, Boiled.-Select any white fish, fresh cod, for instance, two pounds. Clean and put into a wire vegetable basket, drop the basket into a disli of boiling salted water, and let it simmer from fifteen min- 216 THE SECRET OF HEALTH. utes to three quarters of an hour according to the size of the fish. Do not allow it to boil rapidly as it will break. When done serve with drawn butter as follows: Simmer together two minutes four ounces of butter and two ounces of flour; then add, a little at a time, a pint of boiling water, or chicken broth, stir constantly. Makes enough for two pounds of fish. Season with parsley, grated yolks of hard-boiled eggs, few drops of lemon juice, bit each of cayenne and mustard and a few drops of onion juice. This will make a moderate meal for three persons, and will give to each (excluding chicken broth and eggs) a fiber value of about ten per cent, and 1,520 calories of heat. Fish, Broiled.-Small fish, as perch, young cod, etc., are excellent broiled. After washing and cleaning, split lengthwise, if thick, sprinkle over it salt and pepper, squeeze over it lemon juice, dip in melted butter and broil over clear coals, quickly at first, then very slowly, allowing ten minutes for each inch of thickness. Serve with butter or cream. Has the general nutritive constituent of fish, about ten per cent., and a force production of 431 calories per pound aug- mented by the cream or butter according to the quantity used. Fish, Creamed.-Cream some butter and season with salt, cayenne pepper, lemon juice and vinegar. A teaspoonful of butter is enough for small fish with a speck of salt and pepper with teaspoonful of vin- egar and lemon juice (half of each). Spread on the fish or serve sepa- rately. See Fish, for nutritive value, aside from the condiments which are too uncertain to be estimated. Fish, When in Season.-Cod, haddock, halibut, flounder and clams all the year; cusk and white fish in the winter; shad in spring; perch, spring and summer; salmon, May to September; bluefish, June to October; swordfish, July to September; smelts, September to March; and oysters, September to May. Flaxseed Lemonade.-Pour upon four tablespoonfuls of whole flaxseed one quart of boiling water, cover and steep three hours. When cold add juice of two lemons and sweeten. Serve ice-cold as a demulcent drink. Flour Ball.-Mix one pound of flour, one teaspooonful of salt, one teaspoonful of sugar of milk and four tablespoonfuls of cold water, and tie into a firm ball in a pudding bag and boil twelve hours. Hang up to drain. After twenty-four hours open and peel off the layer of dough. Dry the hard solid ball in the sun or an open oven. Keep in a dry, cool place. Two or three teaspoonfuls shaved off and made into a paste with water, then stirred into a pint of scalded (not boiled) milk makes a very digestible and nutritious food The little of the flour ball used adds but very slightly to the fiber value of the milk, but its long exposure to heat has changed its starch, partially digesting it, and thus causing it to become a digestive ferment to the milk. FOODS, AND THEIR PREPARATION. 217 Fruits, How to Serve.-The beauty of fruit depends upon the man- ner in which it is put upon the table. This means even more to the sick than to the well. Apples.-Polish well, pile high, yellow and red together; serve with silver knife. Bananas should be heaped with oranges or grapes. Berries should be served without sugar as that draws out the juice and toughens them. Grapes.-Clip all unripe and unsound ones from the cluster. Ar- range the green and purple together upon some of the leaves or with oranges. Grape scissors are now frequently used. Melons.-Keep on ice for a few hours before using. Watermelons should be brought on the table entire, and cut across the middle. Nutmeg and Muskmelons should be cut lengthwise, seeds removed, and served with ice on each hemisphere, and with both salt and sugar. Peaches should be peeled thin and sliced. Reserve a few of the finest for a central dish, garnished with some of the leaves, as many prefer to pare their own. Pears.-Serve in a high dish with green leaves. Plums, purple and green gage, with a few sprays of nasturtium leaves and blossoms. Fruit Minute Pudding.-Scald a pint and a half of milk with one cup of sugar and turn over five tablespoons of flour previously mixed with half a pint of milk. Stir. Return to kettle and cook until it thickens. Take off and beat while cooling. When half cold, add one and one-half pounds sliced bananas, or any fruit. If made with bananas this will give a fiber constituent of about 3.2 per cent, and the whole will yield 3,782 calories of energy. Fruit Oatmeal Soup.-Soak one-half pound dates, figs or other dried fruit in one-half pint of milk until soft. Chop fine and stir into a quart of oatmeal porridge. The quart of porridge, fi er 1.5, gives 460 calories to which the fruit and milk add enough to raise the fiber to about 5.7, and the calories to 1,100. Fruit Pudding.-Soak for half an hour a pint of stale bread crumbs in a quart of milk. Then stir in a cup of sugar and the yolks of three eggs beaten together. Mix in one teaspoonful of butter and beat all thoroughly together. At the last add the juice and grated rind of a lemon. Bake half an hour in moderate oven. Beat the whites of three eggs with as many tablespoons of sugar. Spread over the top with jelly, jam, or marmalade, or fresh fruit mashed and sweetened. Put in the oven and let it brown. Aside from the uncertain top-jam or fruit this affords less than bread in fiber constituents, and about 2,800 calories. 218 THE SECRET OF HEALTH. Fruit Tapioca.-Wash one-half pint tapioca and soak one hour in two cupfuls of cold water. Boil in farina kettle until clear. Lay in pudding dish a pound of sliced fruit and three ounces of sugar and pour over it the tapioca. Bake one-half hour. Serve hot or cold with three ounces of cream or custard to taste. Omit the custard, and the fiber value is considerably less than one per cent., while its calories are 2,000. Making an almost pure force-food. Fruit Temperance Beverage.-Twelve lemons, one quart ripe raspberries, one pineapple, two pounds sugar, and three quarts of soft cool water. Peel and squeeze the juice of the lemon over the peel; let it stand two hours, add the sugar; mash the berries with one-half pound of the sugar, cut the pineapple into thin slices and cover with sugar. Add the three quarts of water and strain. Not quite two- tenths of one per cent, of fiber element and 4,800 calories in the whole, or 200 per goblet. Fruit, Stewed.-Any sub-acid fruit, perfectly sound and ripe, stewed until soft in just enough water to soften it and sweetened with glycerine. May be eaten sometimes by the dyspeptic when sugar dis- agrees. Gluten Bread.-Mix a pint each of milk and warm water; soak one-half of a yeast cake in a little warm water and add to it two eggs well beaten and mix with the milk and water. Stir in gluten flour to a soft dough and work into this a heaping teaspoonful (one ounce) of butter. Raise and bake in a quick oven. Estimating the flour at one pound of sixteen per cent, gluten, this will give a fiber value of about one and a half times that of wheat bread, and about 2,800 calories. There are special gluten meals that contain a much greater per cent, with corresponding yield of fiber element. Gluten bread is chiefly for dyspeptics and diabetics, because of its relatively small proportion of starch. Gluten Cake.-Mix thoroughly one cup of gluten flour, two table- spoonfuls butter, two of grated cheese, two of cream, the yolks of two eggs, half a teaspoonful of salt and a little nutmeg; Toll out thin and bake in quick oven. This gives a little over fourteen per cent, of fiber element and only 774 calories. Gluten Gems.-Beat up one egg, add it to a pint of water salted; sufficient gluten flour (say eight ounces) to make a thin dough; mix with the dry flour a tablespoonful of baking powder; add the egg water and a small tablespoonful of butter (two ounces); st'r, bake in quick oven. A little over twelve and a half per cent, of fiber and 720 calories. Grape Juice, No. 1.-Put into a kettle, with a little water, grapes not too ripe, and scald slowly. Drain over night. Express the juice FOODS, AND THEIR PREPARATION, 219 and drain again • then bcil the juice, skimming frequently, and sweeten to taste; bottle full and cork tightly, as it cools,press down the corks so there is no space between the cork and the juice. If there is, scald, bottle and cork as before. Too indefinite to be estimated. Grape Juice, No. 2.-Put in a double boiler one quart of washed Isabella, Concord, or Black Hamburg grapes, with water to just cover. Heat slowly until soft, then hang in a pointed bag until the juice all drips cut without squeezing. To each quart of juice add one cup of sugar and keep hot, but below boiling, one hour. Pom into scalded bottles, seal with wax and keep cool. Number 2 has about a half of one per cent, of fiber and 1,610 calories. Gruels, if made with over four to five per cent, of cereal flour, become too thick and pasty, and if of this strength, only contain one- half of one per cent, of fiber material, and about 5 to 6 calories per ounce Gruel, Fortified.-Make a gruel by stirring an ounce of flour slowly into a pint and a half of salted water. Cook one-half hour. Cool. Add one to two tablespoonfuls of malt infusion and an equal quantity of milk or beef tea. This adds to the gruel the strength of the milk or beef tea, and partly predigests it, thus making a very good dish for those who are confined to the bed, but insufficient for the active. Gum Arabic, dissolved and flavored with sugar, is a demulcent drink, that also furnishes enough calories of heat to make it desirable in some diseased conditions. Honey Tea.-Boil a tablespoonful of honey in a pint of water fif- teen to twenty minutes Cool and strain. Honey has about the nutri- tive value of good syrup. Jelly.-Three-fourths of a pound of sugar to a pint of well-cooked juice. About four-tenths of one per cent, of fiber element and 2,091 calories. Jelly Water.-One tablespoonful of any jelly, stirred into one glass of ice water unt il mixed. Kefir.-About same as homemade koumiss, with the exception that the kefir fungus is used to start the fermentation, instead of the yeast cake. Koumiss, Homemade.-A number of clean, stout, quart bottles. Put into each one-seventh of a cake of compressed yeast, one table- spoonful granulated sugar, and two of hot water, and shake till the yeast is dissolved, then add lj pints fresh milk and stir constantly while being brought to a blood heat. Cork tightly and tie on; shake, lay on sides, and keep at a temperature not lower than 75° three to five days, turning daily. When it looks thick and smooth put on ice for 220 THE SECRET OF HEALTH. twenty-four hours. Draw with champagne-tap, or uncork cautiously, as it will fly. This has a fiber value of 2.04 per-cent., and yields 190 cal- ories per pound. A very insufficient food for any out-of-bed condi- tions, and to be relied upon even in bed only temporarily, or as adjunct to other foods on account of its carbonic acid being so acceptable to the stomach. Lemonade.-Wipe two lemons and peel off the outer rind, but none of the white of the rind. Now peel off and throw away the white. Cut lemons into thin slices, seed; put tlie slices and the rind of one lemon into a pitcher with a tablespoonful of sugar, pour on 1J pints of boil- ing water and stand on ice till cold. Strain. This has less than a quarter of one per cent, fiber and yields about 200 calories. Lemonade Barley is lemonade with one teaspoonful of barley flour added to the goblet, the flour having been previously boiled fifteen minutes in just enough water to keep it from being a thick paste. This adds to the lemonade one-fourth of an ounce of barley to each eight ounces, giving a little over one per cent, of fiber, and raising the calories to 225. Lemonade Cream.-Beat white of an egg to a froth, add strained juice of one lemon and three teaspoonfuls of powdered sugar; beat well, and pour into a tumbler half full of chopped ice, and add four tablespoonfuls of fresh cream. Nearly 1J per cent, fiber and 600 calories. Lemonade, Egg.-To a goblet of lemonade add an egg beaten to a froth, and a little pounded ice. Has the nutritive value of the egg with the acid of the lemon. Lemonade, Elm.-Use elm instead of gum and proceed as for gum- lemonade. Lemonade, Flaxseed.-Pour one quart of boiling water on four tablespoonfuls of whole flaxseed and steep three hours. To each gob- let of lemonade add the Juice of one lemon and a goblet of the flaxseed water, and give in portions ice cold. Similar to lemonade-gum, but stronger of acid. Lemonade-Gum.-Gum arabic four teaspoons, hot water one pint, stand on stove until dissolved. Then, to each goblet of gum water, add a goblet of lemonade. Use cold. A demulcent acid drink suitable to feverish conditions with a local irritation of throat or stomach. Lemonade, Hot.-Boiling water one-half pint, lemon juice two tablespoonfuls, sugar one tablespoonful, red pepper just enough to taste well, and drink hot when not liable to exposure soon. Limed Milk.-One tablespoonful of lime water, one tablespoonfid of cream, five tablespoonfuls of milk. This preparation simply dilutes the milk one-sixth without Increasing the proportion of lime; in fact, slightly diminishing it (see Lime Water), and adds one-seventh of FOODS, AND THEIR PREPARATION. 221 cream, thus raising the fiber element about four-tenths of one per cent, and almost doubles the fat, yielding, instead of the milk equivalent of 310, about 600 calories. Lime Water.-Put a piece of unslaked lime, size of an egg, into a quart bottle of rain water. Stand twelve hours. Pour off the clear water for use, and refill as long as the lime lasts. This is the saturated solution usually ordered for children and contains but 1.3 grams of lime per pint, while milk contains 1.7. (Bunge). To mix this with milk as an ant. acid or to supply the mineral is equally useless. If the latter be the object, and the milk be poor or wanting, give the yolk of egg instead. Linseed Tea.-On one ounce of bruised linseed and one-half ounce of sliced licorice root pour one quart boiling water. Cover and set near the fire two hours. Strain through muslin; flavor with sliced lemon and sugar candy. One to two tablespoonfuls as necessary. This is a slightly nutritious demulcent preparation of service in irrita- ble conditions of the respiratory tract, when the diet otherwise affords sufficient fiber elements. Malt and Milk.-Ground malt four tablespoonfuls, boiled ten min- utes in a pint of water. Pour off and add a pint of new milk. Its value as a food is about that of milk as the malt adds only a little starch element, and partly predigests the milk. Broiled Chopped Meat.-Reduce to a pulp, first removing the skin, connective tissue, gristle, etc. Make lightly into a cake. Heat frying pan very hot and place upon it without water or grease, and allow to remain until the surface is seared over; then turn. When this side is seared also set back, cover until the red color of the meat changes to a drab. Season with fresh butter and a little salt. This furnishes a fiber and fat diet excluding the force constituents altogether. It is not properly a sick diet, but is well adapted to furnish strength in active conditions, and is often curative in dyspepsia, liver complaint, etc., by reason of its simplicity. Meat Infusion.-Mince the breast of chicken, add half its weight of water, stand two hours and press through cloth. Flavor with lemon, or with extract of meat. Has the value of other meat extracts sub- stantially. Not to be depended upon for subsistence. Milk.-Is safest taken after it has been scalded, and in the main, is then more easily digested than uncooked. The invalid may, at first, take a quarter of a pint at a meal, increasing the amount until after considerable exercise is taken, when a pint may be used at each meal. A pint of milk is as nutritious as, or even more than, six ounces of lean beef or mutton. (Densmore.) Should not be boiled. Milk Diet.-Divide the day into even periods, say six, and at each period drink one-third of a pint of fresh milk. Increase each day until 222 THE SECRET OF HEALTH. five or six quarts are taken daily. Increase the number of periods for the larger quantity, so as not to take more than one-half pint at a time. Take it cold or warm but it must not be boiled, and nothing else must be eaten. For variety, clabbered milk may be taken part of the time. Many times those who are unable to take solid food, and who, in health, are unable to digest milk, can take it in this way in any quan- tity, as it passes directly through the stomach and is digested in the duodenum. (Roberts.) Milk Gruel, Peptonized.-Add to hot milk gruel an equal quantity of cold milk, and to each pint of the mixture two teaspoomuls of liqour pancreatieus or its equivalent, and twenty grains of bicarbonate of soda. Set in a warm place two to three hours, raise to boiling point and strain. In uraemic vomiting, gastric catarrh, cardiac disease, per- nicious anaemia, gastric ulcer and pyloric and intestinal obstruction peptonized milk gruel is of especial value. (Roberts.) Milk, Peptonized.-Dilute a pint of milk with one-half pint of lime water, or with one-half pint of water containing twenty grains of bicarbonate of soda. If in the winter slightly warm the ingredients. Add three teaspoonfuls of liquor pancreatieus, or an equivalent in other pancreatic extract, and set aside in a jug for three or four hours. Then use at once, or boil a moment, so as to stop the process of digestion. Milk Punch.-One goblet of milk sweetened to taste, two dessert spoonfuls of brandy, stir well and season with nutmeg if desired. This quantity of brandy may be allowed as an emergency supply, but is more than double what should be used if the punch is taken every two or three hours. See Alcohol. Milk Substitute No. 1.-For digestive troubles of infancy when milk cannot be tolerated. A strong gruel predigested with malt infu- sion mixed with an equal volume of beef tea or other meat decoction (Roberts.) Should not be used in the first eight or ten months of a child's life, as its starch element is too strong even though partly digested. Milk Substitute No. 2.-Soak two tablespoons of washed barley half an hour in a little lukewarm water, and stir into two cups of salted boiling water. Simmer one hour, stirring often. Sweeten and strain. Should be used with the same caution as No. 1. Milk Substitute No. 3.-One pound of raw beef, chopped fine, in a bottle with one pint of water and five drops of muriatic acid. Stand on ice twelve hours. Stand in a pan of water at 110 F. two hours. Strain with pressure and salt. Add a flavor of cinnamon, celery or pepper. Much more stimulating than either of the others, but must not be relied upon to sustain life during long periods. FOODS, AND THEIR PREPARATION. 223 Milk Thickened.-Stir flour into cold milk to a thick paste, then stir the paste into boiling milk until thoroughly cooked, and salt to taste. Has a nutritious value between milk and bread, and is excellent in bowel complaint of adults or children. Mustard Dressing;.-Boil one heaping tablespoon of butter, or beef fat, and add one tablespoon of flour; stir. Gradually add a pint of water, teaspoon of salt and a fourth of a teaspoon of pepper. Add a little mustard. Or, half teaspoon of beef fat can be used and one-half teaspoon of butter, cut in small pieces. Mutton Broth No. 1.-Take one pound of mutton, without fat, cut into thin slices. Pour over it one quart of cold water, let it simmer one hour and boil one hour. Stir. Strain and season. Belongs to the beef tea and meat extract varieties of food. Stimulating from its large proportion of mineral salts, but having no fiber element. Mutton Broth No. 2.-One pound of mutton from the neck, or bet- ter, the loin, one quart cold water, and teaspoon of chopped onion Remove tough skin, fat and all membranes, and cut meat into small pieces. Put all into saucepan and simmer three hours, strain out the meat, dip off the fat with a spoon, remove small particles with paper; season with salt and pepper Serve hot with toasted cracker. This gives zest to the crackers, which constitute the real nourishment of the meal and as far as they go, are about half as strong again as bread. The onion amounts to little more than flavoring. Nut and Fruit Pudding (Densmore's).--A pound of shelled Brazil nuts, or walnuts, or filberts, or hazelnuts, may be added to a pound of dates, a pound of dried figs and a pound of raisins; the dried fruit well washed, sliced thin; stones removed from the dates, the nuts are also better sliced. Mix in a pudding dish, and cover with enough water to give the desired consistency to the pudding after baking two hours, or, the jar may be placed in boiling water and the water kept boiling two and a half or three hours. A portion of this pudding may be eaten with the more acid fruits, well ripened. If it be desired to eat only a small portion of the pudding and more of the fruit, it may be made with double the quantity of nuts, and thus the needed amount of oil can be obtained with a smaller bulk of pudding. This pudding made with one pound of hazelnuts and the dried fruits, gives 5,829 calories, or 1,457 per pound of ingredients besides water. About equal to fat beef flank Nutritive Enema and Embrocation No. 1.-One grain*pure Papoid dissolved in one ounce of water (two tablespoonfuls; mix six ounces of raw lean beef, chopped fine, keep two hours at a temperature of 130 degrees. Strain through cheese cloth, and add a little boiled water. If desired, five per cent, of brandy may be added. Use as an embroca- tion when absorption is wanted. 224 THE SECRET OF HEALTH. Nutritive Enema No. 2.-To equal parts of Milk Gruel and Beef Tea (stimulating) add a dessert spoonful of liquor pancreaticus, or its equivalent, and administer immediately. Nutritive Enema No. 3.-A tablespoonful of Beef Pulp, one of Cof- fee Syrup, and two of sweet cream with a dessert spoonful of liquor pancreaticus. Oatmeal and Fruit.-Over one-half pint of oatmeal mush lay half a pound of sliced fruit, bananas, oranges, peaches, etc., and over that pour four ounces (one-half cup) of cream and sprinkle on an ounce of pulverized sugar. Nearly the same as milk in fiber, and yields about 1,000 calories. Oatmeal Gruel.-Make a smooth paste with two tablespoonfuls of oatmeal and same of water. Stir in a pint of boiling water; boil half an hour. Salt, and strain through muslin. If too thick, thin with milk. Without milk its fiber value is a little less than two per cent., and its calories 230. Oatmeal Mush.-Boil in a double boiler five hours, one-half cup (four ounces) of oatmeal with one-half teaspoon of salt, with one pint of boiling water. Put upper vessel on stove for two minutes to start boiling. Serve with cream or jelly If rolled oats are used three hours is sufficient to cook them. Estimating twelve ounces of the food, its fiber will be five per cent and its calories 460, aside from cream or jelly. Oatmeal Porridge.-Mix two ounces of oatmeal with small teacup of cold water until of uniform consistence Pour over it one pint boil- ing water. Boil, and stir for forty minutes It is now ready for use or can be kept simmering, adding more water as needed. Its fiber value is about 1.5 per cent., and it gives 230 calories. Oatmeal Porridge (thick).-Put two quarts of boiling water, salt, and six ounces of oatmeal into a farina kettle. Cover and boil one hour. Do not stir Eat hot with six ounces of sweet cream. Assum- ing that the porridge equals three pounds, its fiber value is nearly two per cent., its calories 690, which are raised by the cream to over 1,400 Oatmeal Pudding.-Take two pounds oatmeal porridge, add yokes of four eggs, three ounces of sugar, salt and lemon, and the whites of the eggs, well beaten. Bake one hour. Serve with five ounces of sweet cream. This gives a fiber percentage of about three percent, and 4,842 calories; that is in fiber nearly equaling milk, and in calories nearly four times as much as bread. Oatmeal Tea.-On a tablespoonful of oatmeal pour a pint of boil- ing water, sweeten with honey and flavor with lemon-rind, cut thin. Stir and stand till cool. Warm for drinking if desired. Before the addition of the honey its fiber value is one per cent., and its calories 115. FOODS, AND THEIR PREPARATION, 225 Oatmeal Water.-Stir a tablespoonful of oatmeal into a goblet of cold water and stand an hour. Strain and drink cold. Fiber value two per cent., calories 115. Orange Cream.-Squeeze the juice and pulp of three oranges into a bowl. Add the juice of half a lemon, three ounces of sugar, one and a half pints of cold water; boil and strain. Dissolve two tablespoon- fuls of corn starch in a little cold water; add to the juices; let it boil fifteen minutes to cook the corn starch. When cold, beat up the whites of three eggs to a foam and whip it into the corn starch. The liber element is but a fraction of one per cent., and the whole quantity yields less than a thousand calories, so that in small portions it is rather a pleasant amusement than a diet. Orange Sherbet.-To every quart of water add juice of four oran- ges and juice of two lemons. When nearly frozen stir in the beaten whites of three eggs. An albuminous food, with good sustaining prop- erties, when an acidulated fiber food is required in fluid form. But it should always be remembered that, in drinks, the food elements are greatly diluted. Our Coffee No. 1.-A favorite mix is two-thirds Java and one-third Mocha. Should be ground just before needed. For a pot of coffee use one heaped tablespoon to a cup of water. Add a little yolk or white of an egg to the grounds, diluted with a spoonful of water. Mix thor- oughly, then pour on boiling water and simmer for five minutes, and steep ten minutes more. Should be served at once. A nervous stimu- lant. Our Coffee No. 2.-A tablespoonful of coffee soaked over night in one-half cup of cold water. Heat almost to boiling, add one-half cup of boiling water, and set back five minutes. Stir in one-half of the mixed white and yolk of one egg. Settle, and serve with one-half cup of scalded milk and loaf sugar. A nervous stimulant to which is added by the egg, milk and sugar about 100 calories of heat, and a fiber value over half bread. Oyster Broth No. 1.-Chop eight fresh oysters fine, and put into a saucepan with a cup of cold water. Slowly heat to boiling, and sim- mer five minutes; strain, flavor with salt, and serve hot. Supposing this to make seven-eighths of a pint, its food value as compared with milk is, fiber about one-third less and calories 85. While not the equal of milk in sustaining or heat-generating power it is a pleasant and appetizing variety for totally inactive conditions. Oyster Broth No. 2.-Oyster Broth No. 1 eaten with buttered toast (see B. T.). This adds to the nourishment of the broth 136 calories for each ounce of toast, and is subject to the same restriction as that toast but in a less degree. 226 THE SECRET OF HEALTH. Oysters, Creamed.-Clean a pint of oysters and dry on a napkin, then spread on a plate and season with salt, pepper, and a suspicion of cayenne. Make a rich cream sauce of one pint of cream, one even tablespoon (one ounce) of butter, and two tablespoons of flour. After cooking, pour over the seasoned oyster and bake ten or fifteen min- utes. This cooks, but does not harden the oyster. The mixing of oyster and sauce should be done quickly so that the sauce may not become cold before being put in the oven. Also requires more time for cooking. This gives a fiber food somewhat stronger than milk, and heat production nearly three times as great; being for the whole, 1,588 calories requiring about eighty-two pints of oxygen for its com- plete transmutation. Oysters, Broiled.-Drain large oysters on a cloth, and turn from one side to the other to make as dry as possible. Soften some butter, and season some cracker crumbs with salt and pepper. Then, holding each oyster, dip Into the crumbs, then the melted butter, then the crumbs. Arrange on an oyster broiler and broil over hot fire for about two minutes. Turn the broiler frequently. Should not be shriveled, but soft, plump, tender and juicy. In fiber constituent midway be- tween milk and bread; fats and calories uncertain because of the variable quantity of butter and crumbs, but probably about midway between bread and meat. Unfit for feeble digestion. Oyster Stew.-One-third of a teacup of oyster liquor in a stewpan with half as much water; salt and pepper, and add one teaspoon of rolled cracker. Have ten oysters ready, and the instant the liquor begins to boil pour in the oysters, and as soon as it begins to boil again count thirty seconds and pour immediately into one and a half table- spoonfuls (i ounce) of cold milk, and serve. Supposing the oysters of the same size as in Oyster Broth No. 1, the whole product will give about 160 calories, and is somewhat richer in fiber than is Oyster Broth No. 1. Oysters, Roasted.-Place twelve oysters in the shell upon the fire until the shells open a little. Take off, open, retaining juice; serve hot with pepper and salt. If the " hard part" is at all tough, do not eat it. Delicate, digestible, and of the nutritious value of oysters. Peach Bread Pudding.-Pour boiling water on a pint (eight ounces) of fine stale bread or cracker crumbs, with a small tablespoon of butter (one ounce). When thoroughly soaked, stir in two well- beaten eggs and half cup of sugar. Put first a layer of batter, then of peaches and sugar, until full. Eat with cream, four ounces. Peaches two pounds. This gives about three per cent, fiber constituent and 2,200 calories. Peach Foam.-Peel and cut ripe peaches into small pieces so the'-e will be a cupful when done (eight ounces). Beat for half an hour with FOODS, AND THEIR PREPARATION. 227 half cup of powdered sugar and white of one egg. This gives about 1.5 per cent, of fiber and 600 calories. Pie Crust, Hygienic, No. 1.-Mix equal quantities of graham and white flour together with cream, ir the proportion of three cups of flour to one scant cup of cream, Stir rapidly and lightly. Without kneading, set in a cool place half an hour before rolling out. Two tea- spoons of baking powder will make the crust lighter. In that case roll and bake at once. Pie Crust, Hygienic, No. 2.-Take equal quantities of white pastry flour, Indian and oatmeal, and wet with cream as above directed. Roll very thin. No. 1 has about 9 per cent, fiber and produces 3,077 cal- ories. No-2 has 9.3 per cent, of fiber and 3,143 calories. Peach Paste.-Pare half a peck of peaches, weigh them, and to each pound allow a quarter of a pound of sugar. Stew slowly. When cooked dry enough to spread in a thick paste, spread over a buttered board, and stand in the sun to dry; if necessary, put it out the second day. When dry, so that it does not stick, roll up like leather aid keep in a dry place. The sugar will add 450 calories to the 250 of each pound of the uncooked fruit, making 700 each. The condensation by drying it is difficult to estimate, but is not less than three-fourths, which would give the dried article a heating power of 2,800 calories, more than double that of bread, and a fiber element of about two per cent., or more than half that of milk. Peach Pie, Deei>.-Fill dish with two quarts ripe, peeled peaches, leaving in pits to increase the flavor. Fill half full with cold water, sprinkle in eight ounces sugar, and cover with a light paste of Pie Crust, Hygienic, No. 1, rolled to twice the thickness used for pies. Bake in a slow oven three-fourths of an hour. Eat with cream, half pint. Sup- posing the water to measure one pint and the crust to weigh two pounds, the fiber element will be about 5.3 and the calories of the whole 5,579. Pomarius.-Filter new cider through flannel bag and heat until it begins to thicken. Finish drying in shallow dishes till it is of the con- sistency of jelly and about one-tenth of its first measure. Pack in glass or earthen, and it will keep during the summer. May be diluted for sauces or beverages. Potatoes, Creamed.-Cut boiled potatoes In half-inch dice, put in a pan with salt and pepper, and pour on milk until even with the sur- face of the potato. Simmer until all the milk is absorbed. For every pint of potatoes make a pint of white sauce, season with a saltsnoon of salt and teaspoon of chopped parsley. Chopped onion may be used. Supposing eight ounces each of potatoes and milk to constitute the above ingredients, the fiber element will be 7.5, and the calories for the whole 1,078. 228 THE SECRET OF HEALTH. White Sauce.-Butter two ounces, two ounces flour. Cream them, and pour a cup of boiling water over them. Fiber element two per cent., calories 658. Pudding, Strawberry.-Make a jam by mashing one quart fresh strawberries and sweeten to taste, say four ounces of sugar. Spread slices of wheat bread (one pound) with it, and pile one above the other in a pudding dish. Pour over thin cream, one pint, to moisten well, and cut into pieces. Custard may be used in place of the cream. The fiber constituent of this pudding is 3.8, while the whole yields 3,286 cal- ories,-enough for three hearty meals at light labor for a woman. A Puree.-A tablespoonful or two of water or bouillon in a sauce- pan over a fire, add chopped meat, stirring it until the red color has given place to a drab; season with salt and butter. One, two, three, or four ounces of this meat should be given to the patient at a meal, as strength may warrant and stomach allow. No food when there is no appetite, and none after appetite has been satisfied. Raspberry Shortcake.-Rub three tablespoons (six ounces) of but- ter or lard into a quart of flour, sifted with three teaspoons of baking powder until it is fine, then add milk until it is as soft as can be rolled out. Handle as little as possible. Make about one-half inch thick, bake, and invert the bottom of the cake for the layer of berries. Pile them on an inch thick with bits of butter, dredge with sugar and put over them another layer like the first. Pour over whipped cream, or, in place of it, use a sauce made by creaming together three times as much sugar as butter. Then add an egg, and stir in, slowly, half a cup of rich milk. A delicious dish of which only those with strong diges- tion should partake, or, if the dyspeptic does indulge, it should be the sole food for that meal. Raspberry Syrup.-Six pounds of raspberries, one quart of water, and two and one-half drams of citric (or tartaric) acid, stand twenty- four hours. Strain without bruising the fruit, and to each pint of the juice add one and a half pounds of sugar and stir till dissolved. After a few days bottle securely. Makes a pleasant drink, or flavoring. Raw Diet No. 1.-Bovinlne, oysters, lettuce, tomatoes, cabbage, fruits. Raw Diet No. 2.-Beef pulp, milk, fruits. Raw Diet No. 3.-Bovinine, milk, raw eggs. Raw Diet No. 4.-Fruits, nuts, milk. Raw Diet No. 5.-Grapes, cereals. Raw Diet No. 6.-Bovinine. Raw Diet No. 7,-Mosquera's beef meal. The food value of all these will depend upon their combinations, and can be learned under the several articles named. FOODS, AND THEIR PREPARATION. 229 Restorative Jelly.-Put one-half box of gelatine, one cup of port wine, and two cloves, and a half-inch square of cinnamon into a double boiler. S t on the fire and when the gelatine is dissolved put in one tablespoonful of powdered gum arable, two tablespoonfuls of lemon juice, and three tablespoonfuls of sugar. Stir thoroughly; strain, and put into mold an inch thick. Cutin cubes; served two or three at a time; to be held in the mouth until melted. An aromatic stimulant, grateful to the stomach in certain conditions of weakness, affording a fair degree of energy, but not to be relied upon to replace wornout fiber. Rice, Boiled.-Boil in sufficient water to cover it, for one hour. Season with salt or butter, and serve with milk, or plain. If cooked properly, until the grains are soft, it is an excellent dish in bowel dis- eases. If the grain can be felt it is not done. Will support a life of no great activity, but needs to be combined with some strong fiber food for ordinary consumption. Rice Bread.-Make a sponge of one quart of warm water, one tea- cupful of yeast, one tablespoonful of sugar, two tablespoonfuls of lard and one quart of white flour. Beat, and in about five hours, when it has risen, add three pints of warm milk, and three teacupfuls of rice- flour wet to a thin paste with cold milk, and boil four minutes as you would starch. Should be a little more than lukewarm when stirred into the batter. If not thick enough to make into dough, add a little wheat flour. Knead and treat as wheat bread. This has about one per cent, less fiber than bread, but adds considerably to its heat production. Rice Gruel.-Boiling milk, one pint; ground rice, one tablespoon- ful; wet the rice with cold milk, making a smooth paste, and stir into the boiling milk. Boil for ten or fifteen minutes and salt. Stir well for it will burn easily. About one-half of one per cent, stronger in fiber element than milk, and the whole yielding over 400 calories. Rice Milk No. 1.-Wet two tablespoonfuls of rice flour in cold milk and stir into two cups of boiling milk and boil ten minutes, stirring constantly. Sugar, one ounce, and eat warm with one ounce of cream, or fruit cream. A little over one per cent, stronger than milk in fiber constituent, and yields about 700 calories. Rice Milk No. 2.-Boil a tablespoonful of rice for an hour and a half in a pint of fresh milk. Rub through a fine sieve. Add a table- spoonful of white sugar and boil again for two or three minutes. Sup- posing the product to be reduced by the boiling to twelve ounces, we have about five per cent, fiber and 524 calories. Rice Water.-An ounce of well-washed rice soaked three hours in a pint of tepid water, then slowly boiled an hour. Add salt, sugar, or 230 THE SECRET OF HEALTH. nutmeg. About one per cent, of fiber, and 100 calories in the whole without sugar. A good drink in bowel diseases. Rusk,-Toast, without burning, dry crusts of bread in a moderate oven until brown. When cold, pound in a mortar or grind fine in a coffee mill until reduced to a coarse meal. Eat with milk or cream. Sweeten if desired. Has the value of the milk or cream, plus the bread contained. An excellent light dish for warm weather for those with whom milk agrees. Smoked-beef Broth.-Cover one-half pound chipped beef with one pint cold water in a double boiler. Simmer one hour. Add one pint of sweet milk that has simmered in another vessel; strain, and season. This affords, if not much concentrated by boiling, about 7.5 per cent, of fiber, and 720 calories for the whole. Strawberries and Whipped Cream.-Sift two ounces powdered sugar over a pint of hulled strawberries alternating, first the berries then the sugar, until the dish is full. Should be done before they are served. Pour over them a cup of whipped cream witli the whites of two eggs and one tablespoonful of powdered sugar. This gives about the fiber strength of milk with nearly three times its energy, so that it will support far more active exertions than milk can. Tamarind Water.-Stir one tablespoonful of tamarinds into a gob' let of ice water, add a teaspoonful of sugar; strain, and drink cold. A pleasant acid drink in fevers. Tapioca Jelly.-Put in a two-quart dish, one cup of tapioca with water to cover it, and soak four hours. Put the dish into a saucepan of boiling water. If too thick pour more warm water over it. Boil and stir frequently. When clear, add juice of a lemon and sweeten to taste. Put in molds. Eat cold with cream, flavored to suit. Tapioca is, substantially, pure starch, and the addition of the sugar only increases its power of heat production. It is a dish on which child or man would starve if restricted to it alone. Good in small quantities with foods rich in fiber, but is unfit for feverish conditions, and for dyspepsias with fermentive flatulence, and for rheumatics with the uric acid tendency. Tea, Our.-Best black tea one heaping teaspoonful. Boiling, soft water, one cupful. Infuse three minutes in a covered earthen pot, previously heated, and pour off, and keep covered till used. Exhila- rating, socializing, and used at the end ofa meal of solids, not so strong as to affect the nerves, beneficial. Toast, Our.-Stale bread cut about one-fourth of an inch thick, and held just near enough to the fire to dry it through, then brought close enough to give a delicate straw color; this is toast, digestible and enjoyable, with much of its starch turned by heat into glucose. FOODS, AND THEIR PREPARATION. 231 Sprinkle with a little salt, and butter after it reaches the Invalid's plate. With the salt, less butter will be desired. Has the nutritive value of the bread partly predigested, plus the energy contributed by the butter. Toast Water No. 1.-Three slices of " Our Toast" broken into a pint bowl. Cover with cold water and soak an hour, then squeeze out, and serve cold with cream and sugar, or with fruit cream, or acidulated with lemon juice. Toast Water No. 2.-As above, except boiling water is used. Both are slightly nutritious but chiefly valuable as an agreeable drink in sickness. Tomato Soup.-Peel and cut into small pieces six good-sized toma- toes (say 24 ounces); put in a pan with a quart of water, boil until ten- der; season with salt and pepper. Stir into the water half a teaspoon- ful of baking soda. Lift from the stove when stirring in the soda, or it will run over. Boil again and add a pint of sweet milk. Pour over one-half pound broken crackers. Excellent dish for convalescents and may be used in all cases except where there is a tendency to looseness of the bowels. Its fiber element is about three per cent., and it yields 1,450 calories as a whole. Unfermented Bread.-One ounce of bicarbonate of soda (baking soda) and one-quarter of an ounce of salt. Mix with four pounds of flour. Mix this with a quart of cold water containing half a fluid ounce of muriatic acid; make a thin dough with as little kneading as possible; put in the oven without delay. Requires longer time for baking than it takes for fermented bread. Has about the nutritive elements of wheat bread, and is better in fermentive states of the digestive organs. Unleavened Wafers.-Mix good, dry flour, little salt, to a stiff dough with milk. Roll thin. Cut into round cakes and roll again as thin as letter paper. Bake quickly. May be mixed with water. Easily digested, and fill an important place in the dyspeptic's dietary. Has the nutritious value of good bread made with milk. Wine Whey.-Bring to a boil, one pint of milk. Pour on one-half a gill of sour wine; let it simmer, and skim off the curd which rises. After a few minutes pour in another half gill of wine, skim the remaining curd, and add one teaspoonful of sugar, and when cold is ready for use. Good in fevers where its 300 calories of energy are not objectionable. Whisky Drink.-Whisky diluted to the taste with water. Allow- ing two ounces of whisky, at 50 per cent, alcohol, this will give 217 calories to each drink, with no fiber element. 232 THE SECRET OF HEALTH. INFANT'S FOODS. Infants,-from birth to near the end of the second year. Some facts of prime importance should precede the discussion of this subject. Dr. W. R. Pritchard is authority for the statement that, in 1886, 500,000 children under five years of age died in the United States, and that more than 333,000 of them died in consequence of improper feeding. That year was not exceptionally fatal. Look at the appalling fact! Since that year more than two million children, under five years, have died in the United States from improper feeding ! More lives than were lost by all the armies of the Union and the Confederacy during the entire four years' war of the Rebellion. Said Sir C. Clark, the eminent London surgeon, "The igno- rance of mothers in feeding their children is worth a thousand pounds ($5,000) a year to me." This ignorance is chiefly as regards proper substitutes for mother's milk, although the time of feeding and the quantity furnished are of great importance. Cow's Milk.-The first substitute usually thought of is cow's milk. Cow's milk contains more albuminous matter, and mineral constituents, and less fat and sugar than human milk, and is acid, while mother's milk is alkaline. A gallon contains seven pints of water and one pound of solid matter. The casein of cow's milk forms a hard, insoluble curd in the stomach of the infant. The calf has four stomachs, and exer- cises the day it is born and grows rapidly, is therefore in need of the extra fiber element, and capable of digesting the tough casein of cow's milk ; but it is not appropriate for the babe. Nature has prepared human milk for the infant, in which the casein is light and flocculent, and will not form into hard and indigestible curds in the stomach like the casein of cow's milk. The fact that rugged, country-born infants often thrive on cow's milk is no proof of its general adaptation to the needs of infancy, particularly in cities. . " The albuminoids in woman's milk are only about one- half the amount of those contained in cow's milk ; but the amount of albumen-that part of the albuminoids readily FOODS, AND THEIR PREPARATION. 233 digestible and not coaguable by acids-is, in woman's milk, nearly double that in cow's milk ; while in cow's milk the caseine-that portion of the albuminoids difficult of digestion and coagulable by acids-is nearly fivefold greater than in woman's milk." These are differences of immense signifi- cance. Starch Foods.-The next substitute usually sought is some form of starch. But under about six to ten months the infant has no salivary ferment with which to digest starch ; therefore, indigestion must result, with its consequent pain and bowel derangements. It is true that Dr. Christopher claims that all the ferments of the child are capable of digesting starch, but his admission that starch food is not proper as a continuous diet for the young child, robs his assertion of all value, if quoted in favor of starch as an element of its food. There are a few fundamental principles to be observed in the production of a substitute for mother's milk, namely : 1. Human Milk is the Correct Standard.-Dr. A. V. Meigs has made a series of very carefully-conducted analyses, ten in number, comprising the milk of forty-three mothers, in which he has reached conclusions differing from all others. His reasoning in support of the claim that all oth- ers had followed defective methods does not seem decisive, yet his conclusions cannot be ignored. There is no dispute as to the amount of water and fats in human milk. There is diver- sity of opinions about the amounts of fiber constituent and sugar. There is about the same range of variation between the total amounts of sugar and fiber element. L. 'Heritier found a difference between the fiber constituents of blonds and bru- nettes of six-tenths of one per cent., by the same methods of analyses. A. V. Meigs, himself, found a difference by his method between the milk of different women of over one-half of one per cent. The average of all analyses at hand (over 100) gives 2.3 per cent, of fiber element. Meigs claims that 1 is the correct fig- ure. It is evident, therefore, that from 1. to 2,3 is the range 234 THE SECRET OF HEALTH. of variation. Enduring vitality unquestionably depends upon a sufficiency of the fiber element; therefore, any food that does not contain one per cent, of that should be rejected at once, whatever may be its excellences in other respects. The fat and force elements may impart a seeming plumpness, the delusion of which is very apt to fade away before the ordinary diseases of childhood. Composition of Human Milk.-Allowing what may be termed a variable average obtained by comparison of the general average above quoted with the Meigs' table, we reach the following as the composition of human milk: Water, 87 ; fiber element, 1 to 2.3 ; fats, 4 ; force, 6.5 to 7.4 ; salt, .15. The complete digestion, assimilation and excretion of this evolves from 19J to 21| calories of energy per ounce, and requires the absorption of from 7| to 8 pints of oxygen per ounce. 2. Quantity of Food Required.-Mother's milk is the correct guide as to quantity as well as substance. On the average, healthy mothers secrete, and infants consume a little over two ounces of milk in every twenty-four hours for every pound of their weight. Hence a child at two months weighing 9| pounds requires twenty ounces in seven or eight feeds ; at six months and fif- teen pounds, 31| ounces in six meals ; at ten months and nine- teen pounds, forty ounces in five meals, and at one year and three times its birth-weight (28| pounds), fifty-eight to sixty ounces. Parrot estimated 14| ounces at two months, Bon- chard twenty ounces, and A. F. Meigs 35 ounces, the mean of which is 23 ounces. It should be understood, however, that these are only- averages, and the only true rule is, if a healthy child leaves a part of every feed, he is getting too much ; but if he cries after every feeding, evidently not from pain, but from dissat- isfaction, he is not having enough. 3. The Substitute Food should contain no elements not found in mother's milk. No mother's milk ever contains starch in any form ; therefore it should be excluded from the FOODS, AND THEIR PREPARATION. 235 substitute. No mother's milk contains cane sugar or ordinary table sugar, but instead lactose or milk sugar, which is readily assimiliable, while cane sugar must first undergo a special pro- cess of digestion into glucose before it can be assimilated at all,-a process which is in itself irritative to the delicate digestive organs of the babe. 4. The Elements in the Substitute Should be Proportioned as they are in mother's milk, except as differ- ent digestibility may require slight variation. For example, the albumen of the substitute may necessarily be a little less digestible than that of human milk, therefore its percentage should be correspondingly increased in order to compensate for that deficiency. So, likewise, the substitute must lack the animal vitality with which mother's milk is charged as it is drawn warm from the breast; hence a slight increase of the fats in order to com- pensate for that deficiency, may also be allowed. From 1.5 to 2.8 for the protein, 4 to 4.3 for the fats, and 6.5 to 7.8 for the force element, should embrace the allowable range of variation. 5. The Energy Evolved by the working up of the substitute in the physiological processes, should correspond with that of human milk, that is, 19J to 21| calories for each ounce consumed. Any considerable deficiency will necessa- rily entail corresponding lack of vitality, while a large excess will produce abnormal restlessness, inflammations and fevers. 6. The Oxygen Required for the generation of the above amount of energy must correspond with the amount required for the production of the same amount of energy from mother's milk, namely 7| to 8 pints per ounce of food. Less than the normal demand will be attended with less seri- ous results than an excess, because the little exercise and feeble respiratory power of the infant render its procurement impossible, with consequent sub-oxidation of the blood and tissues. That the Construction of a Substitute that shall fulfill all these 'conditions is not easy, is evident from the 236 THE SECRET OF HEALTH. almost uninterrupted series of failures of the past thirty years, notwithstanding the chemical and physiological knowledge that has been brought to bear upon the subject. This fact might be less deplorable were the statements of the manufac- turers of infant's foods more reliable. Their published analy- ses, unless very explicit, are of no account, because with infant's foods, as with baking powders and patent medicines, few are so poor that they cannot find some chemists venial enough to serve their purpose ; e. g., it is easy to testify that a certain food has as much albuminous matter as human milk, which may be literally true as in the case of cow's milk, but a larger part of it may be in such an insoluble form as to be practically worthless. Says Dr. Stutzor of Bonn, "The analysis of this limited number of infant's foods shows how far incomplete and inferior most of them are, and how rarely they meet the requisite conditions of a rational food." Prof. Everhart says that, 1. No infant food now sold can be made up either with or without cow's milk into a liquid having as great an amount of total solids (13.75 per cent.) as are in woman's milk, unless they consist of starch or the casein of cow's milk. 2. The nitrogen of not one of them is as easy of digestion as that in mother's milk. 3. The percentage of fat is uniformly too low. 4. The soluble carbohy- drates are different in chemical properties, and most likely in physi- ological, from the sugar in woman's milk. 5. The most of them con- tain starch which is never found in mother's milk, and cannot be assimilated. 6. Where there is an approximation to woman's milk it is due to the use of cows's milk. These are sweeping statements, but wre shall show that with few exceptions they are correct, yet it must be conceded that many children actually thrive on perhaps every kind of infant food ever largely sold, which proves not the good qual- ity of the food, for many diseased mothers nurse apparently healthy children, but that the vitality of the children is supe- rior to the defects of their diet, or that the time of the appear- ance of unfavorable symptoms has not yet come. In many cases that time is puberty. Substitutes are Needed.-None the less imperative is the demand for a substitute that shall be a substitute and not FOODS, AND THEIR PREPARATION. 237 a sham. Thousands upon thousands of anxious mothers are asking every day : " What and how much food must we give to our bottle-fed infants ? " The manufacturers have answered in the way indicated by the testimonies of Dr. Stutzer and Prof. Everhart. What, then, can the poor mothers do? Turn to their physicians ? But they are just as much in the dark as are the mothers! In demonstration of this statement we have tabulated many of the best foods that are recommended by physicians as follows, only promising that the Children's Hospital food is from the published formulae of The Children's Hospital of Philadelphia (after reducing it as far as practicable to definite standards) under the management of some of the most skillful physicians in the country. To the two fundamental tests formerly recognized by the most careful practitioners, namely, the presence of a suffi- ciency of fiber element, and the absence of starch, the advances made by chemists in physiological researches during the past fifteen years now enables us to add two more of very great, if not equal importance, namely, the amount of oxygen required to consume the food taken, and the amount of energy generated by the food elements,-that energy being estimated in calories. The fifth and sixth principles before mentioned as funda- mental, require close attention to these new tests of the adapt- ability of infant's foods. The Various Foods Compared.-It seems scarcely necessary to say that the following exhibit is made in the light of all the facts obtainable and with no prejudice against any, and with no interests to serve except those which are com- mon to every lover of humanity for humanity's sake. In a very few instances manufacturers have refused analyses or any specific information concerning the constituents of their products, and, in all cases, as far as practicable, the analyses of interested parties have been carefully compared with others, and corrections made if deemed necessary. 238 THE SECRET OF HEALTH. TABLE OF INFANTS' FOODS. According to analyses of Stutzer, Soxhlet, Chittenden, Rach, and Lee & Chandler, when reduced to the consistency required for actual feeding according to the directions accompanying the foods. (Quantity estimated after Bouchand as 20 ounces at second month, and 52 ounces at one year). 'ante of preparation, constituents, and directions for use. Prot'in Fats C. H. O. Calories Oxygen Food p'r day ozs. Perd'ylPer oz. Perd'y|Fer oz. 1. Mother's milk Children's hospital, 4 tablesp. each of milk, cream, lime- Ito 2.30 4.00 6.5-7.40 385-430 191-21J 150-160 74-8 20 water, arrowroot water* and a lump of sugar 1.60 7.50 1.90 1,049 24 396 9 44 2. Highland evaporated cream 1 oz., water 7 oz .55 .69 .72 60 3 20 1 20 3. 4. Highland evaporated cream (12 mos.,) 1 oz., water 3 oz Dr. Parker's. Alderny milk 8 oz., water 16 oz., limewater 4 1.40 1.80 1.80 416 8 150 3 52 5. oz., sugar of milk J oz Dr. Everhart's, cow's milk 16 oz., water 12 oz., cream 2J oz.. 1.20 1.10 2.07 130 50 24 20 6. milk sugar 14 oz Dr. I. T. Meigs', arrowroot water 1 oz., milk 1 oz., cream 2.50 3.40 7.10 400 20 150 74 20 1 oz., limewater 1 oz 1.60 7.50 1.90 480 24 180 9 20 7. 8. Dr. Sieberts', milk 12 oz., gruel 12 oz., sugar 4 oz Dr. Starrs', milk 1J oz., cream 4 oz., milk sugar water 1.80 6.10 7.60 624 26 240 10 24 14 oz 1.90 5.70 4.20 440 22 170 84 30 9. 10. Dr. Warcks', barley flour J oz., milk 16 oz.. sugar 4 oz Dr. Rochester's, yolk of egg 4 oz., sugar of milk J oz., 1.90 3.40 3.60 310 154 120 6 20 11. water 7 oz ;. Dr. Jacobis' (special), while of egg | oz., water 6 oz .97 1.40 1.90 .02 8.70 320 30 16 14 120 6 i 64 20 12. Dr. Radi's, Ideal food 12 oz., water 874 oz 2.80 2.80 5.70 360 18 130 20 13. Lacto-Preparata 4 oz., water 24 oz 2.20 .70 6.40 351 12 124 44 294 14. Carnrick's Soluble Food J oz., water 6} oz 1.90 .36 7.50 240 12 85 44 20 15. Malted Milk | oz., water 3 oz 2.10 .55 7.50 250 124 90 44 20 16. Lactated Food | oz., milk 4 oz., cream 2 oz., water 10 oz.... 1.50 4.10 4.30 350 174 130 20 17. Baby Brand Condensed Milk 1 oz., water 13 oz .38 .35 .57 40 2 15 i 20 ♦Arrowroot water; 1J teaspoonfuls of arrowroot rubbed smooth in a tablespoonful of cold water, then stir in one pint of boiling water. FOODS, AND THEIR PREPARATION. 239 Name of preparation, constituents, and directions for use. Prot'in Fats C.H.O. Calori es Oxygen Food p'r day ozs. Per d'y Per oz. Per d'y Per oz. 18. Baby Brand, 12 inos., 1 oz., water 61 oz 1.20 1.10 1.60 312 6 117 2} 52 19. Dr. fc. Smith's, whey 1 oz., cream oz., hot water 2 oz .84 5.40 2.50 360 18 140 7 20 20. Condensed milk, sweet, 1 oz., water 10 oz., cream Ijoz 1.60 4.10 3.40 330 16J 125 6} 20 21. Albumen Food, white of egg j oz., shaken in 8 oz. of sweet- ened water (J oz. sugar); add 2 grains of lacto-peptine... .94 .01 1.20 50 2J 20 1 22. Keating No. 3 (?), 8 oz. milk, 8 oz. water, 1 oz. cream, 1 oz. sugar of milk, 4 grains of bicarbonate of soda 1.80 3.10 3.80 300 15 120 6 23. Weaning Food, cream J oz„ milk 4 oz., sugar of milk | oz., water 11 oz 2.60 4.30 5.30 410 20J 160 8 20 24. Loeflund's Kinder-milk, 1 teasp. to 8 of water 1.08 1.30 6.04 240 12* 80 4 20 25. Loeflund's Kinder-milk, 1 teasp. to 6 of water 1.30 1.70 7.70 780 15 260 5 52 26. Mellin's Food 2 oz., water 8 oz., milk 8 oz 2.80 2.30 6.80 340 17 130 61 20 27. Rose's Beef Peptone Food, J oz., water J oz., milk 4 oz 4.30 3.20 4.50 360 18 150 n 20 1.10 .91 3.02 140 7 60 3 20 29. Wagner's Infant Food, an even tablesp. (| oz.) in 8oz.of .97 .58 3.40 130 6J 40 2 20 30. Biedert's Substitute, cream 4.3 oz., boiled water 13 oz., sugar of milk of an ounce .65 6.40 3.40 430 21J 160 8 31. A. V. Meigs' Substitute, cream 1 oz., milk J oz., limewater 1 oz., sugar water 1| oz.t .82 5.10 7.20 450 22 J- 170 8i 20 32. A. V. Meigs' Milk Substitute, humanized, cow's milk | pint, water J pint, cream 2 oz., peptogenic milk powders (Fairchild's) 4 measures} 2.00 4.50 7.00 520 26 200 10 20 t Sugar water; 17} drams of milk sugar dissolved in a pint of water. } These powders contain pancreatic ferment, milk sugar and various mineral salts. TABLE OF INFANTS' FOODS (Continued). 240 THE SECRET OF HEALTH. The New York Infant Asylum is stated to have used nearly 1,000 pounds of one of these foods in 1889 in its undiluted form. Showing both their appreciation of the importance of good food, and their con- fidence that the particular kind used by them is the best that the mar- ket affords, yet that food shows only about one-half of one per cent, of fats when it should have four per cent., a little over one-half the nec- essary calories and oxygen requirement, yet its full proportion of fiber element goes far toward making it superior to most other foods upon the market. Conclusions from the Table.-Omitting No. 11, which is designed only for special uses, and recalling the six princi- ples named on Pages 233-5, particular attention is called to the following conclusions established by the foregoing tabulation. 1. Of the whole thirty-two, seven are deficient in fiber elements, while five have an excess, and twenty have a suffi- ciency. The deficiency runs as low as 38-100 of one per cent., which, expressed in plain words, means a lack of two-thirds of the most important constituent of human food, of which more is needed during thejieriod of growth than in adult life. 2. Of the whole thirty-two, twenty-one have less than the normal amount of fats, while eleven have an excess (in two the excess is very slight), and none have this constituent in precisely the right proportion. The deficiency falls to 35-100 of one per cent, (excluding No. 11, also No. 21 as possibly a spe- cial food only), which is but about one-twelfth of the necessary amount. Babies fed on such foods may be fat, yet as Christo- pher has shown may be suffering from fat-starvation ; that is, the fat is unphysiological. The growth of bone requires in the child a relatively much larger supply of fat than the adult needs. A child a year and a half old requires about three- fourths as much fat in twenty-four hours as an adult. This necessity arises also in part from the fact that the force foods contain hydrogen and oxygen in the proper portions to form water, leaving the carbon, alone, available to produce heat, but the fats have an excess of hydrogen, which excess, during its combustion, produces two and a half times as much heat, or heat and force, as the force foods. FOODS, AND THEIR PREPARATION. 241 3. Of the thirty-two, five have an excess of force ele- ments and twenty-four are deficient. Nine of them have less than half the needed amounts, thus entailing lack of energy and power to resist chills and depressions, unless the deficiency is supplied by an excess of fat element. Three are right. 4. The lack of due proportion is most obvious. That of human milk, taking the mean of 1.6 for the fiber and 6.9 for the force element, is as fiber 1 to fat 2.5, and force 4.3. Not one of the whole thirty-two foods here tabulated exhibits this proportion, and most of them are glaringly wide of the mark. 5. Applying the fifth principle named (on Page 235), we find that 19| to 21J calories of energies, per ounce, should be produced by the food when worked up in the body of the child. Twenty-three of the 30 are deficient, six are excessive and three only are right. This may seem a small matter, but a deficiency of only five calories from the mean of 19.9 means one-fourth less than normal energy,-no insignificant thing with which to run the fearful gauntlet of the 20 to 100 chances at the best, against infant life. On the other hand, the more than five calories of No. 7 and No. 32 in excess, increase the heat generated almost one-half beyond the nor- mal, thus predisposing to conditions of inflammation and fever perhaps equally perilous to the health of childhood. 6. The sixth principle laid down by which to test the value of infant foods is the oxygen requirement of 7| to 8 pints for each ounce of food. Twenty-two of the thirty-two are deficient, ten of them more than fifty per cent., six are in excess, four only are right. Number 20 stands really as representative of the whole class of sweetened condensed milk ; so that if all the brands were separately added, our list would run up to forty-five or fifty instead of thirty-two, thus making the foregoing con- clusions still more striking. These Foods Often Satisfactory.-Notwithstanding all the deficiencies enumerated, the fact remains that nearly, if not quite, ail of these foods have given satisfaction to some 242 THE SECRET OF HEALTH. mothers, and had the endorsement of some honest and skilled physicians. Another fact equally apparent is that, in many instances, an inferior food has been successfully substituted for a disa- greeing superior food. These facts would seem to indicate upon the surface, that the quality of the food is really of but little moment. Not at all. Many healthy children grow up in the slums of cities, but that fact does not prove that such places are good for the rearing of healthy children. If it does, then all reasoning upon hygienic matters is mere folly. The second fact named, simply shows that personal idiosyncrasies in the matter of diet begin very early in life, and that when present, that which is insufficient for the average may be sufficient for the individual. Which Foods to Employ.-The great necessity remains for a substitute for human milk that will correspond with it both in chemical constituents and in physiological effects. Until that necessity is met, the best that we can do is to select from the foregoing table several manufactured foods that most nearly approximate mother's milk in their elements, and rely upon them until something better appears. The following table reproduces several of the foods named on Pages 238-239, concerning every One of which the manufac- turers affirm in substance, with great positiveness, that " It is the nearest approximation to human milk ever made." Protein. Fats. Force Foods. Calories per oz. Oxygen pints. Human Milk, 1 to 2.30 4.00 6.5 to 7.40 191 to 211 71 to 8 No. 2, .55 .69 .72 3 1 " 13, 2.20 .70 6.40 12 41 " 15, 2.10 .55 7.50 121 41 " 16, 1.50 4.10 4.30 171 6| " 17, .38 .35 .57 2 " 20, 1.60 <10 3.40 161 •* 24, 1.08 1.30 6.04 12 4* " 26, 2.80 2.30 6.80 17 61 " 29, .97 .58 3.40 6} 2 " 32,* 2.00 4.50 7.00 26 10 * Of this the peptogenic powder only is " manufactured." With these figures it is apparent that only one of the man- ufacturers of these articles speaks the truth, which one we FOODS, AND THEIR PREPARATION. 243 leave to our readers to decide ; but of this list of ten, Nos. 16, 20, 26 and 32 are chemically to be preferred. Errors in Choice of Foods.-As an illustration of the facility of error, the author may state just here, that not one of the three foods which, prior to this investigation, he has approved and publicly commended, appears among the four. Physiology vs. the Chemistry of Foods.-While this presents the purely chemical aspects of the question, it should be borne in mind that food may possess physiologial qualities of which chemical analysis can take no note. Such is the anti- scorbutic (anti-scurvy) property of human milk, and such is the same property of cow's milk which disappears, no chemist can tell how or why, upon its sterilization. Hence, beneficial as that process may be in some respects, the effects of the con- tinued administration of sterilized milk needs always to be closely watched, and the first appearance of rachitic (rickety) symptoms such as sweating (particularly about the head), rest- lessness at night, convulsive indications, delayed teething and bony deformities, should be regarded as a warning that must be heeded to restore the anti-scorbutic element by the use of unsterilized milk. True, scurvy and rickets are different dis- eases, but as both are diseases of innutrition, proper nutrition is the cure for both. Number 20 of the table, chemically one of the best of the foods tabulated, is open to this serious objection, and we have seen very grave, almost fatal results, follow from its continued use. The objection that is sometimes made that the malt-foods are peculiarly liable to fermentation is probably incorrect in those cases where maltose is the form employed, as that is a saccharose, not a glucose, which, according to Bruce, is a form of sugar that does not ferment. The Question Properly Arises just here, how far we may accept the physiological tests of experience as against chemical errors in the constituents of an infant's food. The answer must be, if chemical analysis is of any worth, only to the extent that exceptions are con- ceded to all general laws, as for example those of personal idiosyn- 244 THE SECRET OF IIEALTll. crasy in diet, after allowing for the known transformation of fats and force foods, and of the fiber foods into fat and force effects. But as there is no reverse transformation of either the fat or force elements into fiber element, it is clear that whatever modification of chemical formulae may be allowed, it must not materially change the normal proportion of the fiber. The experiments of A. Bechamp, confirmed by Leeds, prove that both human and cow's raw milk have a starch-digesting ferment (gal- actozymase) which goes far toward explaining the apparent anomaly of young infants' thriving on starch foods, when they have no starch- digesting saliva; the milk taken with the food acts in that capacity. But that does not remove the objection that starch is unphysiological for the infant. A Marketable Ideal Infant's Food should contain all the elements of nutrition in proper proportions, be suited to the infant's digestive capacity, be in a convenient form for use at home or abroad, not readily liable to deterioration or decom- position, and be inexpensive. Tested by these conditions, the candidates for the honor of being such can come from neither the farinaceous nor milk-foods in ordinary use, because the first contain from sixty-five to seventy-eight per cent, of starch, and the other from thirty to forty per cent, of starch and about as much cane sugar, both utterly unsuited to the digestive func- tions of the babe under six or eight months, yet they are freely recommended and prescribed by the profession. With such a showing what can the poor mothers do ? If they turn to the prepared infant's foods on the market and take their directions as guide, they are only substituting a commercial ignorance in place of professional. Certainly, when God created the infant to draw from its mother's breast its own sustenance, He knew all the adaptations necessary, and His work must be the ideal standard for our imitation. Yet the attempts of honest and skillful men have gener- ally failed to even closely approximate it, which emphasizes the tremendous necessity of having healthy mothers who can nurse their children, and the terrible iniquity of the bottle- raising of infants whose mothers might, if they would, feed them in Nature's way. FOODS, AND THEIR PREPARATION. 245 And it still further emphasizes the remark of Dr. F. I. Knight before the Climatological Association in 1890. " At present 1 he usual preparation of food is so bad that after one has found out the class of nutriment a patient requires, it is well-nigh impossible to secure it to him,"-as especially perti- nent to children. The Indigestibility of Cow's Milk can be overcome by peptonizing it, but Prof. Vaughan is authority for the statement that " milk digested with the pancreatic extracts of the markets swarm with bacteria." The following table, given in Konig's " Chemie der Mensch, Nahrungs-und Genussmittel, ' shows the variations between the component parts of woman's milk and cow's milk :- Components. Woman's Milk. Cow's Milk. Water.... 87.09 87.41 Sugar .... 6.04 4.92 Casein, Albumen, | Albuminoids 0.63 3.01 1.31 0.75 Fat 3.90 3.66 Ash 0.59 0.70 Reaction Alkaline. Acid. This table shows that condensing the cow's milk will only increase the disproportion, therefore, condensed milk must be discarded. The disparity will be only slightly modified by any food that requires the admixture with it of cow's milk to any considerable extent, unless the analysis shows that it is pre- pared expressly to make the compound like breast milk. Six cows in every hundred kept in the neighborhood of our large cities for milk have tuberculosis, and are capable of com- municating consumption by their milk. They only live from twelve to eighteen months, and the post-mortems of children who have died of marasmas show the bacilli in the absorbents and lymphatic glands of the intestines and nowhere else, thus proving that their food was the cause of their death. Hence, the importance of reducing the milk-product to a minimum, and also sterilizing it by heating. As milk so readily absorbs deleterious matters and even generates poisons under some 246 THE SECRET OF HEALTH. circumstances, the heating is also essential whether in the city or country. Substitutes for Cows' Milk.-Some other article not liable to these mishaps is certainly very desirable, provided its composition be such as is required by the conditions of the case. The claim is made that the malt in some prepared foods aids infant digestion of the casein in cow's milk, but we know of no fact in the chemistry of digestion that substantiates the theory, yet it is constantly put forward by the makers of foods that require the addition of cow's milk. Dr. H. C. Routh says that sugar of milk "allays morbid irritation and will often check diarrhoea." Dr. T. C. Duncan says " sugar of milk is to be preferred to cane sugar because it is an animal product, undergoes no change in its assimila- tion, and contains phosphates and other salts." Prof. Kuss says that sugar of milk " is the principal element in woman's milk," and Dr. Ruschenberger declares that " it allays even extreme irritability of the stomach." Dr. F. Krauss of Vienna has used Mosquera's Beef Meal and Beef-Cacao successfully in many cases of disease, and many physicians have employed the whites of eggs as a substitute for human milk, while Bunge and others recommend the yolks as desirable in certain conditions. Our Own Formulae.-Profiting by all these hints, in the interests of the suffering innocents, and with no finan- cial interests to serve, we shall propose some formulae for trial as emergency foods. It should be understood in advance that these formulaes are purely theoretical, having had no opportunity to observe their practical operation. But should their physiological effects harmonize with their chemical ele- ments, proportions, capacity of heat production and oxygen demand, we can see no reason why they should not meet a long-felt want. Yet it is very probable that they will need some modification to suit individual cases. Should they be too rich for certain conditions they may be diluted with soft boiled water. FOODS, AND THEIR PREPARATION. 247 Palatability.-If means could be devised to improve their palatability without detriment to their constituents it would be very desirable. Yet the question of palatability is of only secondary consideration. Certainly the most unpalatable food that we ever tasted was Murdock's Liquid Food ; yet that at the time of its greatest use probably saved the lives of more children than any other food ever made within an equal period. We have seen it lift the wretched, diseased, syphilitic waifs of the poorhouse into stalwart health to a far greater extent than the better-born children of city hospitals have reached under their best dietaries. Another product far more palatable and quite similar in chemical constituents is now known under the name of Bovinine. Yet the children who were fed on the Liquid Food seemed to relish it as well as nurselings do their mother's breast milk. Few adults, we fancy, would greatly relish that. The facility with which a taste is acquired for the nauseous tobacco proves but too well that relish is a thing of habit very largely. The Variety in the elements of the proposed foods ena- bles the parent to select from the number that one which promises best, and to change from one to another as the exi- gencies of taste, disease, or circumstances may require, with the assurance that whichever one is adopted it approximates closely the chemical and, probably also, the physiological characteristics of breast milk, and is in strict harmony with all of the six principles named as fundamental in the construc- tion of a substitute for human milk. In all cases these foods should be strained before use for small infants. Uffelmann, the well-known authority on die- tetics, says: " There is no general diet for the sick," and Dr. Carl Rothe recommends the Mosquera preparations in alterna- tion and combination with other things for older children. The food captions are merely suggestive, and not to be rigidly adhered to. 1. When a Strong Food is Needed.-Whites of eggs 3 oz., yolks 2 oz., cream " oz., sugar of milk 4 oz., water 43 oz. This yields of fiber 1.5 per cent., fat 4.2, foyce 6.8, cajorjes per oz. 20J, oxygen per oz. 7J. 248 THE SECRET OF HEALTH. Boil and cool the water to such a temperature as will equal blood- heat after the other constituents are stirred in. Make only such a pro- portion of the whole as may be needed for the time. Add soda bicarbonate as in No. 2 when it seems desirable. This food costs in the country about three mills per ounce. 2. When a Strong, Partly Predigested Food is Required.-Rose's Beef Peptones 1 oz., cream 5J oz., whey 32 oz., sugar of milk | oz. This furnishes fiber 1.8 per cent., fat 3.9, force 6.6, calories per oz. 20 J, oxygen per oz. 7J. It costs about two mills per ounce in the country. To a pint of fresh milk add two teaspoonfuls of liquid pancreatin or liquid rennet; heat gently until it begins to curdle, then stir until complete separation of the curd is seen, then strain off the whey. Dis- solve the peptones and sugar in a portion of the whey, add the cream and the remainder of the whey. If desirable to keep a portion until the next feeding, do not mix in the peptones until the time arrives. Make as needed. Ten grains of soda bicarbonate to the pint is a desirable addition if any tendency to acid fermentation is seen in the child. For an Inexpensive Rennet Preparation get a stomach of your butcher, turn inside out, rinse two or three times only, in soft water, sprinkle it freely with table salt, draw over a forked stick, rub the outside well with salt, put a handful inside and hang in a cool place. When well dried, take from the stick, roll, and put in a tight box in a cool, dry place. For use, the night before it is wanted, cut off a piece about one-half inch square and soak in a teacup with just tepid water enough to cover it. In the morning, after warming the milk to blood- heat, stir into every pint about a teaspoonful of the rennet-water and keep warm. If it does not begin to curdle in twenty minutes add another teaspoonful, and so on. When the strength of the rennet is learned use just enough to cause the milk to begin to curdle in twenty minutes. The solution will keep through the day in any cool place. Prepare a fresh piece every night. 3. A Convalescent Food.-Mosquera's beef meal | oz., cream 6 oz., sugar of milk 2J oz., water 32 oz. This contains of fiber 1.7 per cent., fats 4.2, force 6.2, calories per oz. 20J, oxygen per oz. 7J, and costs about 2J mills per oz. Boil the water and pour } into a separate dish, in which dissolve the sugar, and when cooled somewhat, the cream also. To the remain- ing J add the meal and boil 20 minutes. Mix. If any is kept until the next meal, keep the meal broth separate until the time. 4. For Anaemic Conditions.- Bovinine J oz., yolk of egg 1 oz., sugar of milk J oz., water 6 oz. It yields of fiber 2.8 per cent., fats 4, force 6, calories per oz. 21, oxygen per oz. 8, and costs about 7i mills per FOODS, AND THEIR PREPARATION. 249 oz. iii the country. Boll the water, dissolve in it the sugar, and cool until the addition of the bovinine and egg will make it about blood warm. Z" 5. In Acute Diseases.-Bovinine 1 oz., cream 1| oz., sugar of milk i oz., water 6J oz. It analyzes of fiber 1.8 per cent., fat 4.3, force 7.5, calories per oz. 22, oxygen per oz. 8; costs in the country nearly 9 mills per oz. Make in the same manner as No. C. 6. Chronic Affections With Anaemia.-Beef cacao J oz., cream 11 oz., milk 4 oz., sugar of milk oz., water 7 oz. This gives of fiber 1.7 per cent., fat 3.7, force 6.9, calories per oz. 20, oxygen per oz. 7|, and costs about 2 to 2J mills per oz. Boil the water, milk and sugar together, add the cream and cacao, and boil one to four minutes if preferred. A delicious food in conval- escence. 7. Anti-Scorbutic Food for young infants.-Milk 2 oz., cream J oz. sugar of milk } oz., limewater 2} oz. Yields of fiber 1.7 per cent., fat 4, force 7, calories per oz. 201, oxygen per oz. 7J. Notes on the Above.-Mosquera's Beef Meal and Beef Cacao and Bovinine may be obtained of any druggist. In cases of specially weak digestion, the peptonization of Nos. 1, 4, 5 and 7 may be an advantage, in the same proportion as for milk; see Page 251. Two processes are much talked of in respect to cow's milk, each of which is strongly advocated by high authority as sufficient to fit it for the sustenance of infants-sterilization and peptonization. Sterilization.-A substance is deemed naturally sterile when the transplanting of bacteria into it will not form colo- nies of freshly-generated germs. It is difficult to say what fluid is absolutely sterile to all germs, but, practically a fluid is sterilized when the micro-organisms within it are destreyed, and it continues sterile so long as none are formed. Sterilization is ordinarily effected in milk by heating it one hour at a temperature of 190° F. in vessels with narrow mouths that are stoppered with long cotton wads. Repeat op the second and third days if the milk is to be kept; but if fof immediate use, it is sufficient to pour into a pitcher that has been thoroughly cleansed and then boiled, and cool quickly by setting in a pan of cold water. The latter purifies but does not 250 THE SECRET OF HEALTH. fully sterilize the milk. Indeed we question whether complete sterilization is desirable, for the following reasons : 1. Many instances are known where children have not thrived upon the best of foods ' ' closely resembling human milk " (Christopher), but when put upon sterilized milk have improved, which would seem to favor the sterilized milk ; but there are perhaps as many instances in which unsterilized milk has done as well for those who were " wasting away upon sterilized milk." (Dr. E. P. Davis.) 2. The experiments of E. Duclaux,W. D. Halliburton and A. Bechamp, as repeated and conclusions corrected by A. R. Leeds, prove that the effects of sterilization are :- a. The starch-liquifying ferment-" galactozymase " is destroyed. b. A portion of the lactalbumin (a nitrogenous substance not coag- ulable by acids), is partly coagulated, giving to the milk a ropy or mucilaginous character. c. The casein is less coagulable and yields more slowly and imper- fectly to the action of pepsin and pancreatin. d. The fat globules become less assimilable. e. The milk sugar is completely destroyed. From all this it results that "sterilized milk is less readily and less perfectly digestible than raw milk." f. To the foregoing should be added the damaging fact that steril- ization destroys the anti-scorbutic property of raw milk. After many tests at the Philadelphia Hospital and elsewhere, Dr. Davis concludes that infants fed on sterilized milk recovered from acute diseases " only to succumb after two or three weeks from gradual starvation." He continues, " It was the invariable experience, that sterilized milk, whether peptonized or not, resulted in but a tempo- rary improvement and, as a food, the ordinary process of sterilization renders milk unfit for nourishment." Prof. Leeds recommends heating the milk to 155° F. for six minutes which makes it practically, though not completely sterile and says, " The appearance and properties of the milk heated to this tempera- ture are in no wise noticeably different from raw milk." He adds, " A still more advantageous method consists in sterilization and pepton- ization at the same time, the proteid mat ter of which the micro-organ- isms are composed being digested away and their vitality destroyed." Peptonization originated with Prof. Pfeiffer of Weis- baden, and consists in more or less perfectly digesting the FOODS, AND THEIR PREPARATION. 251 albumen of the milk into peptones by the agency of the trypsin of the pancreatic ferment. It is done by adding to a pint of the milk warmed to about 100 to 110° F. (i. e. as hot as the hand can be held in one min- ute) a dessert spoonful of liquid pancreatin, or five grains of pure pancreatin with twenty grains of sodium bicarbonate previously dissolved in a gill of water, then kept in a warm place until the milk assumes a grayish color and a slight bit- terness to the taste, when it should be cooled rapidly or fur- ther digestion will render it unpalatable. Should not be kept many hours. If the pure pancreatin be used it should macer- ate in the water fifteen minutes before adding to the milk. The Cost of a Prepared Infant's Food should not greatly exceed that of cow's milk, or about two mills per ounce. No. 16 is a cheap food. Poor people who cannot afford to use the best prepared foods, on account of their expense, would do well to make a little of one of them into a thin gruel with which to dilute their cow's milk. If this be done the tables should be consulted and that one selected, by the addi- tion of which, the product will be more, instead of less, like human milk. Conclusion.-In view of this examination of infant's foods, the conviction forces itself upon us more and more of the profound significance of the words of Dr. Porter. "With a complete knowledge of the chemical composition of the food-stuffs, and a careful study of the digestive possiblities and the oxygenating capacity of each individual treated, the thor- oughly scientific physician is in possession of a solid basis upon which he can select at once the most available diet." PREPARED FOODS. In this section the attempt is made to describe most of the prepared foods in the market, in alphabetical order, in the light of such analyses as were procurable and such other information as could be found. As a General Caution the statement should be made that the proportions of "nitrogenous," "albuminous" and 252 THE SECRET OF HEALTH "nutritious" elements affirmed to be contained in any food is no criterion of its value, because much of it may be indigesti- ble or unassimilable, and, in fact, most of the combinations of nitrogen are utterly valueless as food, only a small part being utilized in the animal body ; thus, a food may be full of the nitrogenous extractives of the muscle serum yet be incapable of sustaining life. The importance of nitrogen has been well stated by Dr. E. A. Parkes,-" Every structure in the body in which any form of energy is manifested ... is nitroge- nous, . . . and even the digestive liquids are not only all nitrogenous, but the constancy of this implies the necessity of the nitrogen to perform their functions." The Beef Preparations may be divided into five classes : 1. Beef extracts (Liebig's), already sufficiently character- ized. See Pages 163-4. 2. Blood-preparations and egg, or blood albumen. Too nauseous to be generally acceptable, whatever may be their nutritive value. 3. Beef extracts containing beef dried and ground to a fine powder. The main objection is the excess of the salts of beef, and the fact that when beef is thus administered, much of it is lost because of feeble digestive power. 4. Mechanical mixtures of beef-powders, milk, gluten, etc. The same objection as to loss as stated under class 3, but to a more limited extent. 5. Preparations in which the albuminoids of the beef are predigested into peptones. These are to a great extent prepared for immediate absorption without the labor and delay of peptic digestion, hence are peculiarly appro- priate in cases of very weak digestion, great prostration, etc. The use of predigested foods, while it saves the digestive organs some labor, is not always to be commended. Brunton has suggested that even beef tea may, occasionally, form pep- tones which, absorbed at once into the circulation, may act as poisons. Hofmeister proved that they undergo a change in FOODS, AND THEIR PREPARATION. 253 the mucus membrane, and Von Ott demonstrated that the change was from peptones to serum albumen. Hence these foods should be employed only as directed by a physician. TABLE OF PREPARED FOODS Compiled from Stutzer, Chittenden, Fresenius, Hassall, Rach, Lee, Atfleld, Macadam, Tichborne, Soxhlet, Endemann, Tscheppe, Chand- ler, Henry & Chevallier, Wyatt, Mott. Food Materials. Water and Retuse. Protein. Fats. Carbo- Hydrat's Mineral Salts. Calories per Pound. Pints Ox. req'd 100 gms. food Porter's Beef Tea* 95.70 3.20 .25 8.60 .67 71 7 Kumysgen* 86.81 4.10 1.02 .02 280 23 Johnston's Fluid Beef 9.12 1.20 2.40 224 22 Kelir* 90.73 3.80 2.00 .27 200 17 Matzoon* 87.69 3.90 4.510 .50 .78 292 26 Dr. Rochester's Infant Diet... 3.70 6.60 10.30 539 44 Nestle's Food 5.44 11.09 4.60 76.60 1.70 1,825 138 Carnrick's Sol. Food 6.14 16.40 5.00 67.70 2.90 1,778 1,611 138 Mellins'Food... . - 8.34 7.30 .05 79.20 3.50 120 Wells, Richardson & Co's Lac- tated Food , 8.06 8.30 2.10 78.40 2.20 1,701 127 Horlick's Food 6.30 10.80 .60 .79 2.70 1,707 127 Dr. Ridge's Patent Food 9.04 7.90 1.20 84.00 0.48 1,708 126 Anglo-Swiss Milk Food 7.27 11.20 2.37 76.03 1.95 1,732 130 Imperial Granum 9.22 9.50 .80, 78.80 0.37 1,688 125 Liebig's Ext. of Beef 20.06 •06 .91 24.00 39 3 Armour's Ext. of Beef 14.03 .68 1.20 ....... 28.20 66 6 Valentine's Meat Juice 60.31 .55 .78 11.30 43 4 Wyeth's Beef Juice 57.88 .47 .85 17.50 44 4 Bovlnine 81.09 13.90 1.40 1.00 279 32 Mosquera's Beef Cacao 13.90 5.70 27.00 1,001 82 Arlington Chem. Co's Beef Peptonoids Mosquera's Beef Meal 6.80 27.60 2.90 5.00 642 62 6.68 77.20 13.60 4.20 2,022 94 Rose's Peptonized Beef 34 25 3.00 766 75 Wagner's Infant Food 2.50 1.50 8.80 275 21 Lcefiund's Kinder-mllk, Av. .. 8.60 9.30 44.50 1,380 108 Liquid Pep., Av Lacto-preparat a 70.00 9.40 10.30 1,890 167 14.50 12.30 63.60 1,972 155 Condensed Milk sweetened... 30.34 16.07 12.10 38.80 2.11 1,532 123 Beef Peptones, Rudisches'.... 35.70 41.50 664 67 Poluboskos 7.50 91.00 0.50 .40 0.60 1,721 173J Swift's Extract of Beef 18.66 50.75 30.47 944 95J Lacto Cereal Food 1.64 22.99 4.18 67.39 3.80 1,857 147 The * indicates prepared for use. Av. signifies averages of different analyses. Ale and Beef Peptonized.-Made of Rose's Beef peptones, and a superior quality of ale specially brewed for this purpose. Contains all the nutritious properties of beef predigested together with the stimulating properties of the ale. An excellent combination of food and stimulant. 3.6 per cent, of alcohol. One to two wineglassfuls three or four times a day. Belongs to class 5 of beef preparations. 254 THE SECRET OF HEALTH. Alpine Milk Biscuit.-About one-fourth of this dry product is the substance of milk combined with wheat and maltose, and rich in phos- phates. Designed for children between six and twenty-four months. Anglo-Swiss Milk Food.-A condensed milk. For constituents see Table on Page 253. Avenola -Wheat and oats thoroughly cooked, and partly digested; with milk and fruit, an entire dietary for the feeble in certain condi- tions. Beef Extract.-There are several brands of this preparation, in nature similar to Liebig's extract of beef. This contains only seven- tenths of one per cent, of available protein, and its nutritive value is only one-third of one per cent, compared with lean beef as 100. Useful to quicken appet ite by the temporary stimulation of the vital functions, and possibly also to promote absorption, but must not be depended upon for nutrition. Dose, one teaspoonful or more in a little warm or hot water. It is composed mainly of the soluble extractives and inor- ganic salts of muscle tissue. The extractives are the waste products of muscle transformation, utterly useless for nutrition although largely nitrogenous. According to Kemmerick, an animal fed on such beef extracts alone, will die of starvation sooner than if absolutely without food; yet they have some value as stimulants. Dr. Stutzer of Bonn has shown that a patient must drink two quarts of beef tea to get as much nourishment as is in one-fourth of a pound of steak. He also declares that Liebig "never intended his beef extract as a food but only as a relish." Liebig himself said " I have declared repeatedly that in the preparation of the extract the albuminoids remain in the residue, and that this certainty is a defect of the extract." Prof. Aus- tin Flint says, " Not very inaptly, beef tea has been compared to urine, and a few years ago a German experimenter, whose name I cannot recall, declared that he produced fatal toxaemia (poisoning) in dogs by feeding them with this popular article of diet." Beef Peptonolds (Rudisches').-The albumen of fresh lean beef artificially digested. Nutritious value as compared with fresh lean beef at 100, is 14.3. Belongs to class 5 of beef preparations. Beef Peptone (Sarco Peptones).-A pure, soluble beef jelly contain- ing the nourishing elements of beefsteak predigested into peptones, one pound equal to eight pounds of beef. Palatable. May be sweet- ened for children. One-half to one teaspoonful every half hour, hour or two hours; rectal use, one tablespoonful in four oz. milk for an adult. Belongs to class 5 of beef preparations. Beef Peptonoids (Powder).-Lean beef separated from the larger muscular tissue, and an equal quantity of milk having seventy-five per cent, of its water removed, and gluten from wheat. About one- FOODS, AND THEIR PREPARATION. 255 fourth of the albumen is digested, and all the water except about four per cent, is expelled. Contains all the nutritive and stimulating prop- erties of beef and milk with the addition of the gluten. Contains nine- ty-five per cent, of nutritious matter, of which about twenty-seven per cent, is protein and the rest mostly starch and sugar; about 1.4 times as nutritious as lean beef. Thoroughly sterilized. May be added to broths, soup, punch, oatmeal, rice, etc. Belongs to class 4 of beef preparations. From one-half to one tablespoonful three to six times a day. Bovinine,-The juices of lean, raw beef expressed by a mechanical process yielding both the albuminous and extractive properties of the meat, to which is added the albumen of the egg, enough glycerine to make the compound bland and agreeable, and sufficient old whisky to aid in its preservation. It is a raw food giving in a twelve-ounce bot- tle the nutriment from ten pounds of steak. The blood corpuscles of the meat are preserved intact and ready for immediate absorption. Compared with ordinary beef tea, one bottle is equal to eighty pints prepared from eighty pounds of lean beef. As a local nutrient by sub- cutaneous injection around old ulcers, but five per cent, of failures are reported from 300 cases. Belongs to class 2 of beef preparations. Dose for babes from five drops every hour or two up. For adults, maximum, four tablespoonfuls daily. Biardot's Concentrated Preparations for Invalids.-Beef lea, chicken broth, mutton broth, beef. To be reduced for use with seven times their quantity of water to retain their delicate flavor, and avoid the burnt taste of meat extracts. Class 1 of beef extracts. Bullock's Blood.-Defibrinated and dessicated. Used for wasting diseases. The removal of the fibrin prevents the clotting, but leaves the albumen and salts as a liquid beef, which is carefully dried, dessi- cated and packed in tin. Dose one-half teaspoonful prepared as directed on label. For rectal feeding, six teaspoonfuls as directed. Belongs to class 3 of beef preparations, practically. Carbon Wafers.-A food for acid states of the digestive organs, made with wheat charcoal and deemed almost a specific if the patient will avoid sweets, cakes, pastry, raw fruits, desserts, rich gravies, coarse vegetables, fried foods and fats. The charcoal prevents fer- mentation, and absorbs irritating acids. Carnrick's Soluble Food.-Solid constituents of cow's milk 37J per cent.; 37 J per cent, of wheat; 25 per cent, of milk sugar; cocoa butter in place of milk fat, partly digested; only three per cent, of moisture. Made of 50 per cent, of lacto-preparata and 50 per cent, wheat in which the starch is converted into soluble starch and dextrine, easily diges- tible; the fat is nearly all removed. In hermetically sealed ean& 256 THE SECRET OF HEALTH. Designed to follow lacto-preparata as the exclusive food of infants (if healthy mother's milk is not available) from the first six or seven months to the end of the nursing period. Dextrine is a non-fermenta- ble form of carbohydrate, not irritating to the stomach and easily assimilated. In diluting children's foods only water that has been boiled should be used, and not cooled by putting ice into it. Clam Bouillon.-A nourishing and appetizing canned clam broth or juice. One tablespoonful, more or less, in a glass of hot or cold water, and seasoned with salt, pepper or celery salt. Cod Liver Oil.-See Cod Liver Oil, also Hydroleine in index. Condensed Milk.-Made by evaporating a large part of the water from milk and adding about 40 per cent, of cane sugar. Useful for cook- ing and on the table, but should not be used as an infant's food because its excess of saccharine material forms an unnatural appetite for sweets, and produces stomach and bowel troubles, while, as a whole, it is defective in some essentials of a complete diet. Open to all the objections to completely sterilized milk. See Page 250. Cream Milk.-A condensed milk from the Alps in Switzerland, of great richness and purity. Same uses as other condensed milks. Preferable to many others for many purposes because it is preserved without sugar. Cream, Highland Brand Evaporated.-This is really an unsug- ared condensed milk, with its casein mechanically broken up so that it is said to curd flocculently like human milk. If this be so it is far preferable to cow's milk and other kinds of condensed milk as a standard food for invalids and infants; but for the latter the effect of its sterilization should be watched, and its defective elements should be supplied by the addition of cream and milk sugar. Diabetic Food.-This consists mainly of gluten and is designed as a perfect substitute tor lean meat and bread. Dukehart's Fluid Extract of Malt and Hops.-Claims the highest per cent, of diastase to be obtained from Canada barley, free from alcohol; very palatable; not subject to fermentation One tablespoon- ful three or more times a day Fruit Crackers.-Made of dried and preserved fruits, without lard, and of unadulterated sugar and flour While not good for dys- peptics, as a luxury for those who can digest them they are unmatched. Gluten Wafers.-A crisp, palatable cracker chiefly gluten, without lard, and very suitable for dyspepsia and nervous exhaustion accom- panied by inability to digest vegetable food, and as a substitute for a meat diet. Gofio.-The whole grain of wheat, rye, barley or corn parched, browned, then ground in a mortar. Contains a large amount of nutri- FOODS, AND THEIR PREPARATION. 257 ment in a given weight, partly digested, and in a very palatable form. We suggest its nse in the place of coffee in cases where coffee does not agree. Ten cents per pound, Graham Crackers No. 1.-Made of best Graham flour, granulated sugar and butter. For persons with fair digestive power, but inactive bowels, they are far superior to cakes and puddings. No. 2.-The same without the sugar. Very crisp and nice. Graham Grits.-Made of the germs of wheat, the most nutritious portion of the grain. A concentrated vegetable nutrient of the highest value. Granula.-Prepared from the choicest portions of wheat, oats and corn, containing all the elements of adult nutrition in perfect propor- tion. Valuable for invalids, children (not infants), travelers, and all who are exposed to special exhaustion. Gelatine (All Makes).-" Another worthless product, though not pernicious, is the refined glue called isinglass, calf's-foot jelly, gela- tine, etc., used for invalids and in soups. It is no more food than is sawdust." (Dr. F. R. Lees, Leeds, England.) Hoff's Malt Extract (Tarrant's).-Alcohol four per cent. Extractive matters eight to eleven per cent. Pleasant appetizer and invigorant; a digestive agent for starches, and easily assimilable. Good where a mild stimulant and a slight nutrient are required. Horlick's Malted Milk.-Cow's milk, malted cereals and sugar with the casein of the milk partly predigested, the malt digesting the starcli of the cereals when in proper solution. The manufacturers claim that the casein is partly digested " not by animal pepsin or pan- creatin, but by the action of the vegetable ferments of specially malted grain." Hydroleine.-This preparation is named here (although it is partly a medicine, as each dose contains with its eighty drops of Nor- wegian cod liver oil, five grs. of soluble pancreatin, forty-three grs. of soda and one-fourth grn. of salicylic acid), because we regard it as the best form in which the nauseating oil can be used. Even this mix- ture is best used as a nutrient enema. Most human stomachs rebel against cod liver oil in any form. See Cod Liver Oil under consumption. Imperial Granum.-As a flour-food it is useful for invalids and children, provided a sufficiency of mineral salts and fiber food can be obtained elsewhere, but its calories and oxygen requirement are excessive. Kefir,-A derivative food resulting from the fermentation of milk by the agency of the Dispora Caucasia, until the nitrogenous portions are peptonized. There is a kefir, so called, on the market, made by the agency of brewer's yeast, but that yields only an alcoholic fermen- 258 THE SECRET OF HEALTH. tation, which does not predigest the fiber elements. Dujardin-Beau- metz gives the constituents of kefir as in the table, 0.4 of the carbohy- drates being lactic acid and there being also 0.8 of alcohol. This gives nearly an ounce of alcohol per day if enough kefir be taken to give the normal quantity of fiber food, i. e., 110.5 ounces of kefir for 4.19 ounces of protein. The oxygen-demand is small and the stimulation consider- able, making it valuable in those cases where a milk diet is ordinarily deemed necessary, and its predigested state renders it preferable to skimmed milk. Koumyss.-The original article is made in Tartary from mare's milk. In this country a number of products made from the milk of cows are now largely employed as a diet for the sick. According to the analysis of Prof. C. A. Doremus, nearly thirteen pints every twenty-four hours of Dr. Brush's koumyss would be requisite to furnish the normal quantity of fiber foods, for one in health. But in many cases of dis- ease it furnishes adequate nutriment for a brief period in an easily assimilable and agreeable form. Koumyss poured a few times from glass to glass becomes like whipped cream and is then most palatable. As ordinarily made its food value is seen in the table. Koumyss Cream.-Contains every element of pure milk in an easily assimilable form, with tonic, stimulant and diuretic properties that render it valuable in many cases of diabetes, dyspepsia, albuminuria, pregnancy, sea-sickness, amenorrhcea, malnutrition, etc. Half a pint or more at a time, from four to twelve times a day. Kumysgen (a Koumyss Powder).-The great objections to koumyss are, the necessity of frequent preparation, of ice for preservation, and the constantly increasing acidity the longer it is kept, hence its vary- ing acid character. These difficulties have been successfully overcome in the preparation of the powder kumysgen, which, besides furnish- ing a superior koumyss, makes the preparation of it as easy as the mak- ing of a cup of tea, and the powder is palatable, always the same in chemical and nutritive constituents, keeps perfectly, is ten times more nutritious than cod liver oil, is about thirty-five to fifty-five per cent, less expensive than ordinary koumyss (according to size purchased), about thirty per cent, of its casein in soluble form, and may be varied at pleasure in its lactic acid, carbonic acid gas and alcohol constitu- ents. It is diaphoretic in warm and diuretic in cold weather. Increases the flow of the gastric juice, increases flesh faster than many other foods, is tonic and stimulant, and adapted to a great vari- ety of conditions. One-half pint to four pints in twenty-four hours. Liebig's Food.-Kept at most drug stores. Malted bailey, wheat flour, wheat bran, bicarbonate of soda. Its starch is converted into maltose by the action of the malt. Must add seventy parts cow's milk FOODS, AND THEIR PREPARATION. 259 to five parts of the food. Has been much used in constipation and as an infant food. The maltose is in excess and is liable to produce diarrhoeas. When used for constipation it should be used alone rather than with milk. The hard coagula of the casein of the added cow's milk, the maltose has no effect upon. Therefore, the child is exposed to the double danger of indigeston from coagula, and diarrhoea from the maltose. Lacto-Preparata.-Cow's milk, milk sugar, cocoa butter substi- tuted for a part of the milk-fat which has been removed. The casein is partly digested, and the remainder coagulates in soft curds; a pow- der (only three per cent, water); add water, and it has the taste and appearance of mother's milk. From one even dessert spoonful in twenty-four hours in first week to thirty-six dessert spoonfuls at fif- teenth month. Lactated Food.-See table, Page 253, which shows its food-value to be almost precisely like that of sweetened condensed milk when both are prepared for infant feeding. Valuable as an adjuvant for inva- lids, while for infants its worth is represented in the tables on Page 238. Lacto-Cereal Food.-Powdered milk sterilized and partly digested, dextrinated wheat, malted barley, dessicated bananas, cocoa butter, manna, and some parched corn. It contains the ferment that digests starch, is nutritious, easily digested, neutral in its effects upon the bowels; contains fruit to keep liver and bowels in a normal condition ; may be added to water, milk, soups, broths, milk punch, eggnogg, or mixed with any food. Valuable as a food for invalids. Maltine.-A thick, syrupy extract of malt. Combines wheat and oats with the barley. Has the highest attainable diastastic power; is superior in palatability, uniformity and stability. Its nitrogenous constituents almost identical in composition with the chief constitu- ents of the blood. One part of maltine will digest thirty-two parts of starch, i. e., convert them Into dextrin and sugar. Also made with peptones. Two to four teaspoonfuls at a time. Matzoon.-Sterilized milk with its sugar converted into lactic acid by fermentation. Easily digested, nutritious and refrigerant; does not curdle like milk; its casein finely subdivided; very acceptable to the palate. An excellent preparation in all otherwise appropriate cases where its lactic acid is not objectionable. Dose one-fourth to one-half pint up. Medium Oatmeal Crackers.-A combination of oatmeal with a cer- tain proportion of wheat flour. About the same as oatmeal biscuit, but not fermented; palatable and wholesome. Mellin's Food-Its starch predigested into maltose, entirely free from cane sugar; to be used mixed with cow's milk. One to four even 260 THE SECRET OF HEALTH. teaspoonfuls to one and one-half to four and a half ounces of milk for babes, and one to two tablespoonfuls to eight to twelve ounces of milk for adults. It is assumed that the malt will aid the digestion of the casein of the milk, which we regard as doubtful. Mosquera's Beef-Cacao.-Made of equal parts of Mosquera's beef meal, Dutch chocolate and sugar. Combines the palatableness of a beverage with the value of a concentrated meat food. One to two teaspoonfuls in a cup of milk. A valuable addition to the food prod- ucts of the age. Mosquera's Beef Jelly.-The albumen (fifty-three per cent.) of the meat digested by a vegetable ferment into peptone. Contains all the stimulating properties of the beef extracts also. A concentrated nutri- ent; palatable, entirely devoid of bitterness and disagreeable odor. Class 5 of meat preparations. Mosquera's Beef Meal.-The elements of beef sterilized and par- tially peptonized by the addition of the pineapple, which possesses remarkable power to digest egg albumen and blood fibrin. Protein matter available for nutriment sixty-nine to seventy-seven per cent., of which thirty to forty-one per cent, is prepared for immediate absorption. The water is extracted leaving a highly concentrated nitrogenous food. Class 3 of beef preparations. One teaspoonful per mt.Al. Vestle's Food.-A carbohydrate dextrinated food which has value As a march food for invalids in suitable cases, and as an adjunct for children over one year old, who obtain nearly a sufficient supply of Aber foods from other sources. Murdock's Liquid Beef.-Has 14.31 per cent, of soluble albumin, and is an extremely valuable food, but its taste and odor are so objec- tionable that patients prefer other tilings. " The fresh blood of beeves and sheep defibrinated by churning, to which is added ten to fifteen per cent, of whisky and egg and blood-albumen. Raspberry leaf tea or other astringents are also added." (Boston Journal of Health.) Oatmeal Biscuit.-About twice the thickness of an ordinary cracker, slightly sweetened, shortened with butter and made light by yeast; very palatable. Highly recommended for persons troubled with constipation with no acidity or flatulence. Plain Graham or Dyspepsia Crackers.-Best graham flour and soft water subjected to processes that make them so crisp and palata- ble that one can hardly believe that they are not shortened. Some- times lose crispness somewhat by absorbing moisture in damp weather, but it can be restored by placing the crackers in a hot oven for ten or fifteen minutes. Plain Oatmeal Crackers.-Unfermented, and contain neither sugar nor shortening; exceedingly agreeable, crisp and nice. FOODS, AND THEIR PREPARATION. 261 Poluboskos, a Gluten Food.-Most of the gluten foods in the mar- ket contain from twelve to fifty-four per cent, of starch. Polu- boskos contains only four-tenths of one per cent. Gluten is the element of the vegetable world which gives force and energy to animal life, and is the equivalent to the albumen of the animal kingdom. Poluboskos needs no special preparation; it is ready at a moment's notice. Mixed with milk it makes a nourishing, stimulating and ref resiling food and drink for convalescents and dyspeptics; readily assimilated by the weakest stomach. Valuable as a nerve food. Two teaspoonfuls contain as much nitrogenous matter as one pound of meat. Excellent for diabetics. Ridge's Food.-An oatmeal and barley preparation, neutral to the bowels, of utility when appropriately used for invalids, and, as a children's food to be estimated by the tables on Page 239. Rose's Peptonized Beef.-A therapeutic nutrient, primarily a food and secondarily a digestive agent. Each pound contains nearly live pounds of fresh lean beef, botli the albuminous and extractive constituents. Useful in derangements of the digestive canal; in dis- eases attended with elevation of temperature, conditions of debility or tissue waste, as being assimilated with the least expenditure of force, and in all nervous maladies, as being the important factor in the elaboration and nutrition of fat. For alcoholism one-half teaspoonful in hot milk every two hours will be found of great service. Class 5 of beef preparations. One teaspoonful each dose; begin with one-fourth and increase. Dose every one to three hours. For enemata, double the quantity. Rye Wafers.-Rye meal and whole wheat flour. Crisp and palata- ble. For all kinds of dyspepsia accompanied by constipation, except gastric dyspepsia when whole wheat crackers should be used. Universal Food.-A dry powder made from the germs of wheat and barley thoroughly cooked, ready to be eaten by simple maceration for a few minutes in milk. Easily digested, and taken with milk or cream, very fattening. Wagner's Infant Food.-A predigested milk food with the gluten of wheat and digested meat juice and mineral salts. Its true value as an infant food can be seen in the table of Infant Foods. Wheat Gluten.-Nearly all the gluten in the market contains sev- enty-five per cent, of starch. This, according to Prof. Atfield, has only a mere trace of starch. Diabetics who must use gluten will find this what they need. Wheat Preparations.- Wheatena is prepared from wheat exclud- ing the inert portions. One part of wheatena powder poured into six or seven parts of salted boiling water is ready for use in one minute. 262 THE SECRET OF HEALTH. Appetizing, nutritious, easily digested. Wheat Granola, Arlington Whole Wheat Meal, Sanitarium, whole wheat flour, etc. Zwieback No. 1.-Made of whole-wheat flour, sanitarium brand, containing more than fifteen per cent, of gluten ; nutritious, palatable and digestible; said to be superior to the original Carlsbad manufac- ture ; with milk or cream it is a real delicacy. No. 2 is made of wheat flour and rye-meal bread for slow digestion and constipation. No. 3 is specially prepared for acid dyspepsia with tenderness and painful digestion. Special Treatments. 1. The Faith Cure-2. Mind Cure-3. Christian Science Cure- 4. Hygienic Treatment-5. Fasting Cure-6. Abstinence Cure-7. Dietetic Cure-8. One Meal Cure-9. The Salis- bury Treatment-10. Graj e Cure-11. Fruit Method-12. The Fruit-and-Bread Cure-13. The Natural Method-14. The Camp Cure-15. The Rest Cure-16. The Oxygen Treatment-17. The Movement Cure-18. The Massage Treatment-19. The Magnetic Cure-20. Electrical Method -21. The Hall Treatment-22. Our Doctors Colon Flush, an Exhaustive but Plain Statement of the Simple but Ef- fective Treatment by Means of Bowel Injections-23. The New Method Cure-24. The Inhalation Treatment-25. The Biochemic Cure-26. The Densmore Preliminary Treat- ment-27. The Kneipp Cure-28. The Climate Cure, the Objects Sought by it, How They are Accomplished, and Where to Find the Desired Climate-29. The Tractor Cure -30. The Earth Cure-31. Our Doctor's Water Treatment, a Comprehensive Discussion of Hydropathy, Who May Employ It, When and How. Our purpose is not to sketch all the special treatments now •ecognized, to a greater or less extent, for the cure of disease, but simply to glance at those which have some particular merit that can be appropriated in a work like this, with more detailed directions concerning those treatments that are within the reach of ordinary families. These treatments should not be considered in the sense of different schools of medicine, but 263 264 THE SECRET OF HEALTH. particular applications of the healing art which all schools can, to a considerable extent, accept and practice. All schools agree in anatomy, physiology, chemistry, preventive measures, and the arts of obstetrics and surgery, but disagree as to the remedies to be employed and the method of their administra- tion. A momentary survey of the three leading schools may be of interest just here. The Allopaths, or " regulars," so-called, do not admit that there is any law of cure for disease, but believe in exper- imenting to find the effect of drugs, and give medicines, " be- cause they have been used with advantage in similar cases." The Eclectic believes that the law of cure is to produce an effect opposite to the diseased action, which is always an excess, defect or perversion. Hence, their remedies are se- lected according to the symptoms which indicate which of the three forms of disease is present. The Homoeopath holds that the law of cure is " similia similibus curanter." Like things cure like, i. e., a drug that has produced like symptoms in a healthy man, will cure the same symptoms in a sick man ; and that the power of drugs is increased by subdivision. By carrying these principles out they have amassed a symptomotology that is almost unman- ageable, and have run their dilutions to such a degree that what part of the medicine is left is incomprehensible. Thus, the single remedy aconite has 2,400 symptoms and 800 condi- tions; while the thousandth potency of some drugs is some- times recommended. Yet, absurd as this extreme may be, within reasonable limits homoeopathy is often more success- ful than the "regular" practice in its treatment of disease, as proven by hospital statistics and health-board returns. 1. Faith Cure.-By this is meant the cure of disease by the agency of faith in prayer. The method is founded mainly upon the passage found in James 5, 13-15: "Is any sick among you? let him call for the elders of the church; and let them pray over him, anointing him with oil, in the name of the Lord, and the prayer of faith shall save the sick, and SPECIAL TREATMENTS. 265 the Lord shall raise him up." The advocates of this method are divided into two classes: (1) Those who believe that the anointing should be literally accomplished, and that all sick- nesses of believers may be cured at any time; (2) those who hold that the healing is a special privilege of some, while others must suffer in common with other men. The fact of multitudes of cures through these means can only be denied upon grounds that would invalidate all histori- cal evidence. Many attribute the cures, however, to mental emotions, hopefulness, or other purely natural agencies. But this cannot be admitted ; because, however potent such agen- cies may be, there is a peculiarly Christian fact in these " faith cures" that is entirely ignored by their assumption. This fact is the personal consciousness in the subjects of faith-healing, of an in-working, Spirit-helped faith. This consciousness is just as much a fact of experience in their case, as is the con- sciousness of personal salvation in the heart of the believer. No philosophy can ever account for these faith-cures upon any hypothesis that precludes or ignores this consciousness. And any denial of this consciousness, either as to its validity or value, as an element of proof, must be upon theoretical grounds, that would; with equal weight, bear against personal salvation itself. Admitting, then, the fact that faith cures do occur, the question arises, what relation does that fact sustain to a book like this? The answer is, to Christian readers it may empha- size a possible privilege of any one of them. And therefore its mention, at this place, is proper, in order to suggest further reading of works specially illustrative of the subject. 2. Mind Cure.-This is based upon the creed of the German philosophy, which holds that there is no reality but mind. Matter has no existence. Pain is only an imagination. Sickness exists only in belief. Therefore, cure consists in changing the conceptions of the mind, relative to its supposed physical state. That change to be accomplished by the im- pression which the healer produces on the mind of the patient. 266 THE SECRET OF HEALTH, When that impression is sufficient to work the necessary men- tal change, the cure is complete; but when obstructed by doubts and hesitancy on the part of the patients, the cure is but partial and unsatisfactory. That many cures are wrought by this agency, no student of science can deny. And to the extent that it can inspire hopefulness in disease, it is many times an agent of great value, but ought not to be relied upon to the exclusion of other measures which experience has proved of great service, even if not absolutely required. 3. Christian Science Cure.-Christian Science is a misnomer ; for that which denies the fundamental postulates of Christian faith, ought not to bear the cognomen of "Chris- tian Science." In 1864, Mary Baker Glover made her first "discovery" concerning healing by this method. Her doc- trines, as stated by herself, are : "God is an Impersonal principle; man is his idea. Matter is but a belief, and mind the only reality. To believe in the possibility of pleasurable sin, makes all that is sin. Life is not structural and organic, but without beginning and without end. Soul is not in body, it is the unlimited intelligence. Man is an idea, and soul the principle that produces it; therefore, man and his maker are inseparable. " The five personal senses are beliefs. There is no personal sense. Repulsion, attraction, cohesion and power, supposed to belong to mat- ter, are constituents of mind. Spirit cannot act through matter. Dis- ease is a belief only. Electricity is not a vital fluid, but an element of mind. Belief is mortality's self, nothing whatever but illusion. Man never dies; it is only a belief of man (that dies). Man born to-day and dying to-morrow, as if something was newly created and lost, is a dream and illusion. Mind, not matter, embraces all suffering. When the sick are made to realize the lie of personal sense, the body is healed. What if the lungs are ulcerated or decayed; mind has done this. Change, therefore, your belief in the case, and you will form the lungs anew, and they will resume their healthy functions. It matters not what the body indicates, in reality all is mind. The battle lies wholly between minds. Dismiss the first mental admission that you are sick; never admit sensation in matter, or that the body can be pained. Battle the old belief until you destroy it, and you will get well. Pains of the body are unreal, but not more so than its pleasures. Food neither helps nor harms man. You can prevent or cure scrofula, SPECIAL TREATMENTS. 267 hereditary disease and the like, in just the ratio you expel from mind a belief in the transmission of disease and destroy its mental images. For a broken bone or dislocated joint it is better to call a surgeon, until mankind is further advanced hi the treatment of mental science. The time approaches when mind alone will adjust joints and broken bones." These verbatim extracts from " Science and Health" pre- sent a condensed summary of the principles of this method of healing, based upon a pantheistic God, a Deified humanity, experience a universal lie, and the idealistic figment of one school of Germany philosophy the one saving truth of this universal sham. Yet its teaching has a place, to a limited extent, in leading the sufferer to match will-power against pain. 4. Hygienic Cure.-This consists in a careful conduct of the life, in accordance with the laws of health ; embracing eating, breathing, sleeping, exercise, baths, sanitary surround- ings, social relations and mental employment. Whatever careful adjustment of personal condition with these factors will not do towards the restoration of health, it is not deemed advisable to attempt by any other means. As an adjunct to other measures of established value, this system cannot be overestimated. But it has the disadvantage of supposing a knowledge and control of circumstances on the part of those who employ it, both of which are entirely beyond ordinary human attainment. Therefore, as a sole reli- ance, it will often be found most disappointing in the time of greatest need. 5. Fasting Cure.-This is based upon the assumption that people ordinarily eat too much, and that the main cause of disease is the clogging of the fluids and tissues of the body with the surplus material of the food and the wastes from tis- sue change. Therefore, when sickness occurs, the proper thing to do is to cut oft the source of superabundant supply. In other words, abstain from food until the system has not only appropriated all the surplus, but expelled the excrementi- tious matter, and thus restored the normal balance between the in-take and the output of the organism. 268 THE SECRET OF HEALTH. With this method, as with the last, held in a subordinate position, it may contribute largely toward recovery; but when the blood is filled with the microbes of some diseases, starva- tion alone is likely to exterminate the patient much sooner than it will the parasites. As an illustration of the proper use of this method, we cite the following case : 6. Abstinence Cure.-A personal friend, who was at the head of a very large mercantile agency, the business of which required the constant expenditure of an excessive amount of brain vitality, was subject to occasional attacks of prostrating illness. His uniform practice, at such times, was to retire to his bed, in a partially darkened room, and there remain, without food, medicine, or any kind of employment, until his sickness passed away. He never failed to find relief within a few days. 7. Dietetic Cure.-The hope of the advocates of this system is, that by the careful adjustment of the diet to the needs of the system, the seeds of disease may be extirpated. Like other single agencies, it has a value not to be overlooked as an auxiliary, but as a sole contingent with which to fight the array of physical ailments that besets men, it is lacking in two fundamental elements of success. The first of these is the general, popular and professional ignorance concerning what constitutes the best diet in certain conditions. The sec- ond is the inability of the mass of people to regulate their diet according to the that may be deemed authoritative. For these reasons, it is unwise to trust to diet exclusively for the relief of most diseases ; although there may be dyspep- tic and kindred ailments that are amenable to it. Proper diet and forms of food, under various conditions, are fully set forth in previous parts of this book. 8. One Meal Cure.-This is recommended especially for those slaves of appetite who find all their good resolutions of prudence vanishing before the temptations of a well-spread table. The London Lancet says: By active employment or outdoor sport the patient can manage, for hours, to divert his mind from the thought special treatments* 269 6t the dinner-table, and when he at last sits down to a late meal, it is too late for the demon of the besetting vice to retrieve the lost oppor- tunity, and the invalid will be neither able nor inclined to eat more than his digestive organs can utilize in the course of the next twenty- four hours. By the simple plan of masticating every morsel of food slowly and thoroughly, a feeling of satiety can be made to assert itself before it is too late; and the idea that one meal a day might fail to supply the alimentary wants of the system is refuted by the experi- ments of modern sanitarians, as well as by the habits of the ancient Greeks and Romans, who, for a long series of centuries, limited them- selves to one daily meal, eaten in the cool of the evening, or, at least, not before the completion of the day's work. 9. The Saulisbury Cure.-In 1850 Dr. J. H. Saulis- bury began a very thorough course of microscopical and chem- ical analyses in order to discover the causes of the incurable diseases. In 1854-7 he added many experiments made upon himself and upon men whom he hired for the purpose, in order to ascertain the effect of living exclusively upon one food at a time. In 1858 he amplified his experiments upon two thousand hogs, which he personally fed and dissected. In that year he discovered the cause of disease, as he believes, in unhealthy alimentation. The diseases thus caused are consumption, in all its phases, chronic diarrhea, summer complaint of children, dyspepsia in all forms, rheumatism of all kinds, gout, Bright's disease, diabetes millitus, locomotor ataxia, ovarian tumors, goiter, cretinism, all fibrous tumors, cancerous growths, all paralytic diseases, (1) softening of the brain, insanity, (1) pur- pura haemorrhagica, deafness, diseases of the eye, catarrhs, gravel, urinary and biliary diseases, asthma, (1) fatty diseases of heart and other organs, (1) most prolapse cases of bowels and uterus, most cases of dementia, loss of voice, erysipelas, eczema, scald head, Anaemia, etc. His system is epitomized in these words: "Healthfully feeding those tissues which require nourishing, and starving such as have been over and unhealthfully fed, will, in time, (1) Except when caused by injuries, poisons, infections, effusions or parasites. 270 THE SECRET OF HEALTH, restore the equipoise of an unbalanced organism." " By struc- ture we are two-thirds carnivorous and one-third herbivorous. " Sip one-half to one pint of hot water, 110° F., from fifteen to thirty minutes, about 6 and 11 a. m., and 4 and 9 p. m. A cup of clear tea, coffee or beef tea slowly sipped, near the close of each meal. Hot water or beef tea, if thirsty, between two hours after and one hour before meals. Preferably the center of the round steak, chopped; all the coarse portion removed, made into cakes one-half to one inch thick, and broiled. Put on hot plate, season with butter, pepper, salt, Worcester or Halford sauce, mustard, horse-radish or lemon juice to taste. After the urine becomes clear and free at 1.015-1.020, add side dishes of broiled lamb, mutton, game, chicken, oysters, fish, dried beef, boiled codfish (fresh or salt), baked fish, or soft boiled egg. Bread, toast, boiled rice or cracked wheat, one part by bulk to four to six parts of meat. No other food. Soap and hot-water bath twice a week, then oil the entire body with glycerine and water; rub well. Nightly sponge bath of hot water one quart, aqua ammonia one to four teaspoonfuls ; wipe dry and rub well. Every morning sponge off with hot water, wipe dry and rub well. 10. The Grape Cure in Germany and France con- sists in living exclusively, for several weeks, upon grapes, freshly picked from the vines. Several pounds a day are con- sumed at regular hours, and for some ailments it has proved very beneficial. But the small proportion of nitrogenous con- stituents renders it unfit for active life or for long-continued subsistence. Sometimes a little dry bread is allowed. 11. The Fruit Cure.-This is based upon the state- ment that fruits not only afford the needed carbon, with much less vital strain than is required for the digestion of bread and cereals, but supply the organism with the antiscorbutic fruit elements and phosphates that are absolute requisites to any complete system of nourishment. Fruits abound in elements whose office is to dissolve out and carry off many salts and earthy matters, that otherwise remain to obstruct, and induce SPECIAL TREATMENTS. 271 ossification. These fruits are also nature's aperient, and pro- mote the normal action of the bowels, and are the surest means Bf overcoming constipation. The fruits preferred are figs, prunes, dates, raisins, peaches, pears, apples, berries, oranges, bananas, thus making this cure simply a Broadening of the general idea of the grape cure, with this advantage in favor of the former, that whereas grapes have only fifty-nine one-hundredths of one per cent, of nitrogenous matter, figs contain over five per cent., and their force element is nearly three times as great, or forty-five per cent., and the average of the fruits named give nearly one and a half per cent, fiber element, and one and one-half times more force constituents than grapes. Any greater variety than the fruits named is not deemed desirable. 12. The Fruit and Bread Cure of Dr. Gustav Schlickeysen is based upon the theory that the natural man- ner of living all over the globe, before the glacial epoch, was on fruits, nuts and grains, and that as the tertiary fossil-bones of man are larger and stronger than those of the historical period, therefore, their food was more favorable to physical development. The order of maturity of the fruits and nuts is adapted to the necessities of the seasons. Great variety should be allowed. They should be taken uncooked, mainly because cooking de- stroys the electrical vitality of the food, which is a quality entirely distinct from its nutritive element. Salt and other condiments should be rejected. Preferably the grains are eaten raw, but if bread be used, it is of the unbolted wheat, prepared with water, thoroughly kneaded, set to rise near the fire, then baked two hours. The only beverage allowed is pure water. An abundance of fresh air day and night is insisted upon. Ample experiment has demonstrated the curative virtues of this treatment, and it likewise possesses economical and labor-saving features, that strongly recommend its adoption; but the reputation for oddity that, in the present state of soci- 272 THE SECRET OF HEALTH. ety, must attach to those who depart so far from the ordinary customs of the people, is an insurmountable barrier sgainst its being generally practiced. 13. The Natural Cure of Dr. C. E. Page is substan- tially Dr. Schlickeysen's theory, but favoring the one meal a day system most of the time, as largely increasing the work- ing capacity. The following is Dr. Page's experience while living on a dozen meals a week : "I have walked in snow and slop with low shoes, uncll both shoes and socks were soaked through, and have sat thus for an hour or more; after wearing all-wool flannels during moderate weather, I have, upon the approach of colder weather, removed my under-garments, and have then attended to my outdoor affairs, minus the overcoat habitually worn; I have slept, in winter, in a current blowing directly about my head and shoulders; upon going to bed I have sat in a strong current, entirely nude, for a quarter of an hour, on a v ry cold, damp night in the fall of the year; I have worn a flannel gown, and slept under heavy- weight bed covers one night, and in cotton nightshirt and light-weight bedclothes the next. These, and similar experiments, I have made repeatedly, and have never been able to catch cold. I become cold, sometimes quite cold, and become warm again, that is all. On the other hand, changing the form of my experiments, returning to my old way, the prevalent style of living-a "generous diet," and a full meal every five or six hours through the day-I have found no diffi- culty in accumulating a cold; and within a reasonable length of time could count upon it." Lest the force of this example should be broken by the plea that Dr. Page was exceptionally rugged, it should be stated that he reached this degree of resisting power by sub- stantially this method of cure, from a state which he thus characterizes: "Personally,! have been a lifelong sufferer from 'colds' in a variety of forms, from the 'snuffles' of crammed infancy, and the ' hay fever ' of adult age, to neural- gia, rheumatism and the like." 14. The Camp Cure.-This consists in living for sev- eral months under canvas, preferably in the forest, away from all the exactions of ordinary life, in the freedom and abandon of a vacation, in the company of congenial spirits, and with pothing to do but get strong. The merits of this cure are SPECIAL TREATMENTS. 273 known to many, but still remain to be illustrated on the large and systematic scale that the best interests of the people require. Elegance of appointments, fashionable attire, and the exacting conventionalities of social home-life, are all to be rigidly excluded. No book but the Bible; no used communi- cation save with companions and Heaven, and no luxuries but the pure air, the limpid water, good food, sleep and breath. If any invalids in the world can " throw physic to the dogs" with impunity, it is those who have thus broken loose from the restraining, constraining and distraining duties of home and business life, and given themselves to a temporary nomadic kind of existence, that brings them back toward the healthfulness, buoyancy and gladsomeness of humanities' youth. To consumptives, especially, this method offers a most inviting and efficient remedy, particularly in the early stages. And the victims of stuffed stomachs, laggard livers and nerve- less nerves, may find in it something better than specialists' prescriptions, mineral waters or self dosing. 15. The Rest Cure of Dr. Weir Mitchell is especially for debilitated nervous systems. The cure consists in lying on a clean spring cot, in a perfectly lighted and ventilated room, with nothing to distract the attention, waited upon by a healthy young nurse of a disposition suited to the case. No letters, books or friends admitted. Absolutely nothing to do but rest. Daily massage, and warm sponging before 8 p. m. If the digestive organs be very weak, raw milk is the only diet. If that disagrees, boiled milk is substituted. If that cannot be borne, two ounces of skimmed milk every two hours for two or three days. Then the full milk diet of eight eight-ounce glasses of milk (61 ounces) a day. After a week or more, bread and butter. After a few days more farina, fruits, chops, oatmeal, chicken and vegetables. After a suitable time the patient is dressed and sits up for five minutes, which period is extended as the strength returns, until two hours are allowed morning and evening. Then one letter may be allowed a day ; later, a magazine, and so on, Then a walk of a single block, which is 274 THE SECRET OF HEALTH. gradually extended to three or four miles. Upon leaving the hospital, a schedule regulating hours of meals, exercise and sleep is given for future use. In cases of less digestive debility, the rest-diet consists, the first five days, of five and one-half pints of milk every twenty-four hours. This yields but 1705 calories of energy, and requires 946 pints of oxygen; but as the rest is as nearly absolute as practicable, the diet is found to be sufficient, and the treatment has proved to be very efficient in a class of cases that has been the despair of nearly all other methods. 16. The Oxygen Treatment.-This consists in the inhalation of either pure oxygen gas, or a compound of oxygen and nitrogen, and, in some cases, medicating the gas. When this is judiciously done it is a most effective treatment, but a large proportion of the so-called oxygen treatments are unmit- igated frauds. We could name one largely used whose claims are endorsed by several reputable physicians, but whose circu- lars are tissues of falsehoods, and whose product has been proved by chemical analysis, to contain not one particle of oxygen that can be absorbed by the patient. Deep inhalations of pure air may accomplish most of the results arrived at by this treatment. About twenty per cent, of the oxygen inspired by an adult is absorbed directly into the blood, which has such an affinity for the oxygen that it absorbs two and a half times more than water does. Magnus has shown that arterial blood contains ten per cent, by volume of carbon dioxide, and twenty-five per cent, of free oxygen, and venous blood ten to forty per cent. The objection is made to all oxygen treatments, that the amount of free oxygen in the blood can not be increased be- yond the quantity which it receives by inspiration. If this were true it would still lack any force, because most people live in an habitual state of suboxydation. Yet there are very strong reasons for believing that it is not true, but that an indefinite quantity of oxygen may be taken up by the tissues. No atom of nutrition is ever converted into blood or tissue, and no atom of blood or tissue ever passes through the retro- SPECIAL TREATMENTS. 275 gressive changes backward toward inorganic matter, without the agency of oxygen. Further, usually both the nutritive and excretive processes, in their activity, bear a direct relation to the amount of oxygen inspired. Therefore, the best of physiological reasons favor the employment of oxygen in nearly all forms of disease, and the weight of clinical testi- mony is overwhelming as to its efficiency. 17. The Movement Cure.-Ling, of Sweden, has the credit of introducing and systematizing this very efficient mode of treatment. It is based upon the fact that exercise strengthens. Hence, this system has elaborated special forms of exercise, adapted to the development of every muscle of the human body. It also recognizes the fact that, in order to strengthen by exercise, it is of imperative necessity to allow periods of repose. Great institutions, with elaborate and costly machinery, have been erected both in Europe and this coun- try, for treatment of disease and malformation by this method. Many books have also been written expounding the method. The institutional treatment is necessarily very expensive, on account of its immense outlays. But those who desire the system, and cannot afford the institutional treatment, will find adequate instruction in ' ' Nisens' Swedish Movement and Mas- sage Treatment," "Taylor's Health by Exercise," or "Check- ley's New Method of Physical Training." The exercises found on Pages 29-36 of this volume are selected as adaptations of the general principles of the movement cure, and will be espe- cially applied in Part Eight, on diseases and their treatment. 18. The Massage Treatment.-Massage means knead- ing, handling, manipulating of the flesh. It is divided into pas- sive, in which the patient receives quietly the movements of the operator; and active, in which he resists those movements. It is estimated that there are one thousand miles of tubing in the human system; that the sweat tubes alone are thirty miles long, and therefore, any manipulation that can effectually open all these miles of tubing, must have a pronounced physi- ological result. Experience has proved that the temperature 276 THE SECRET OF HEALTH, of an arm may be raised five degrees in a few minutes by the process. The primary movements are friction, percussion, pressure and movement. The effect of these is to stimulate the ter- minal nerve-fibers, quicken and tone the circulation in the skin, promote its secretions through those miles of tubing, and the interchange of gases. It should be applied from the ex- tremities towards the trunk. Deep massage is a combination of pressure and movement. Its effect is to improve the muscular circulation, tone the motor function, stimulate the lymph glands, restore nervous energy, relieve pain and promote sleep. Massage of the abdo- men excites bowel movements, stimulates the genital organs, improves appetite and digestion, strengthens the heart, deep- ens respiration and increases oxygenation. The best method of performing massage is as follows: " 1. Sponge off the entire surface of the body of the patient, both morning and evening, with castile soap and water, and dry well. 2. The operator should be a young, healthy, vigorous person, full of vital force, intelli- gent and well posted in his or her work. Massage should last for half an hour in the morning, and the same length of time in the afternoon, increased daily until two and a half hours are thus occupied morning and evening, making five hours daily, and after its performance, each time, one-half or three-quarters of an hour of electrical manipulation to follow. Tills massage is to consist of taking a leg and thigh, begin- ning at the toes, foot, leg, up to groin, first rubbing from the extremity up; then grasping the parts between both hands, from foot up, mov- ing each joint as you go along; then a careful painstaking kneading from the sole of the foot up, manipulating the joints well; this to be followed by beating, or patting with the fingers of both hands, coming down on the part at the same time, and the whole to be followed by a rubbing with the points of the fingers, always moving the joints. After one limb has been well done, then the other; then one arm; then the other; then the back; and, lastly, the abdomen, spending upon each a little over half an hour. If there is great sensitiveness, it is often best not to spend the entire time on one member at once, but to go from one to the other, going over each several times. The intensity of mas- sage will depend altogether on the sensibility of the patient. In no case is there any violence or roughness to be used; neither is the skin to be irritated nor much redness induced. During the manipulation SPECIAL TREATMENTS. 277 the patient is to remain perfectly passive, not to make a single effort. All to be done by the operator. This systematic shampooing, grasp- ing, kneading, patting, beating and exercise of all the muscles and nerves of the body, extremities and trunk, has a truly magical effect Its advantages are, the periphera nerve stimulation, carried to brain, cord and other centers, raises the standard of central vitality, and the vital force and stamina of the operator is planted into the nervous sys- tem of the patient by reflex emanation. All his reserve vitality accu- mulated is thus given to the devitalized." Key Notes. It is a most successful measure for the amelioration or removal of nearly all the ailments of humanity. 19. The Magnetic Cure.-Certain individuals are endowed by nature with a surplus of animal magnetism. So much so, that by contact with others they impart a measure of their supply. By some process of transformation not under- stood, this added increment of energy becomes increased vital- ity in the subject. Many cures, seemingly marvelous in their character, have been wrought by persons thus endowed. The ordinary experi- ence of the removal of headache by gentle touches of the hand of another person, is an illustration of the same process. In this case, all that is requisite is that the operator shall be at the time, more fully charged with magnetic influence than the patient. Nurses should always be selected for the sick with reference to their capacity in this direction. The treatment is particularly beneficial in nervous dis- eases, care being taken that the operator be of a congenial temperament, and not exhausted by previous treatment of other persons. If this cannot be assured in any other way, the patient should insist on being the first one treated on that day, and the treatment should be received often enough not to allow the system to drop to its old level in the interval. Exer- cise should be carefully adapted to the strength, especial care being taken not to waste vitality by useless activity when under the invigoration of a recent treatment. Food should be increased as appetite and strength improves, and the habit of sleep should be cultivated. 278 THE SECRET OE HEALTH 20. The Electrical Cure, as properly employed. This consists in passing the current of a battery-either Far- adic, galvanic or frictional-into the body of the patient. The philosophy of the remedy lies in the general facts that such is the effect of the current upon the nerves that the application of the positive pole reduces abnormal sensibility, dissipates congestion, and carries away obstructive material. On the contrary, the application of the negative pole increases the circulation of the part, quickens sensibility and exalts vital function. Undoubtedly, also, by the great law of conservation of energy, a part of the electrical force becomes transformed into nervous vitality. Hence, it is a potent factor in the relief of pain and cure of disease, when rightly applied. But the common practice of keeping a battery for home treatment, without the directions of a competent advisor, is often extremely detrimental, be- cause nerves tire as well as muscles, and over-treatment may cause nerve debility or excitability, that will be hard to over- come. The kind of electrical current, its direction, force, duration, intermittency, frequency of application, are all mat- ters of importance to be determined, in critical cases, only by the experienced. In his hands there is no mightier agency for the relief of human suffering. But just as gunpowder is not a suitable thing for children to play with, so electricity (notwith- standing the assertions of battery-makers) is not a proper agent for the untrained to employ. 21. The Hall Treatment.-For many years physicians in various parts of the world have been experimenting with more or less flushings of the rectum and colon, in order to de- termine their precise value as curative measures. But it re- mained for a scientific layman experimentally to outline a sys- tem now known as the Hall treatment, which consists in the daily or tri-weekly injection into the colon of from three to four quarts of cold water, and its retention as long as practi- cable. The utility of the measure consists in these facts: First.-The highly concentrated foods of civilized life, com- bined with sedentary occupations and unphysiological dress, SPECIAL TREATMENTS. 279 produce, in the great majority of the people, a diminished per- istaltic movement of the bowels, which results in the accumu- lation of the feces in the colon and rectum, either packing the tube with a solid mass, or covering its interior with a pasty substance, leaving a sort of fluid core, which may be expelled in daily evacuations. Second. -But in either case the mouths of the absorbents are furnished with the foul excreta of the organism, to be taken up and carried as a poison, throughout the entire system. Third.-Headache, foul breath, muddy skin, indigestion, liver complaint, palpitation and nervous disturbances are the result. Fourth.-The effect of the flushing is to soften and expel the impacted matter and take up and remove the pasty lining, thus making the colon what nature designed it should be, an organ of transmission, not a receptacle of decay. After many years' use of this method, Dr. Hall claims to have passed from the condition of a hopeless consumptive to that of the healthiest man of his years and generation, and thousands of others have employed it temporarily with great advantage. Yet, as a system of cure, we believe it to be essen- tially defective. First, because lacking in adaptation to very many cases. Second, because it neglects those means of cure which nature itself teaches us to employ. When the dumb animals are sick their instinct teaches them to find, in some growing plant or running stream, or elsewhere, a means of relief. Human reason and experience have proved the utility of sim- ilar agents, and while they have been many times abused, that is no reason why they should not be properly used. 22. Our Colon Flush.-This is a system of flushing the bowels employed by the writer for several years. It orig- inated in suggestions accompanying various clinical reports in different medical journals. In this treatment an attempt is made to adapt the quantity, temperature and frequency of the flushes to the condition of the patient, and special medication 280 THE SECRET OF HEALTH is added as required. In order that the subject may have the comprehension which it merits, 1. The anatomy of the parts should be clear in the mind of the reader. Fig. 19, Page 64, shows the lower part of the ascending colon in the right lower abdominal (hypogastric) region, and the place where the small intestine empties into the colon through the ileo caecal valve, which allows the passage of matter from the small intestine, but pre- vents its return, Fig. 40. This valve is a transverse Assure like a buttonhole, with Aaps like eyelids, the upper projecting most. From the starting point, three inches below the valve, the colon passes up eight inches to the under A. Ascending Colon. B. Transverse Colon. FIG. 36. THE BOWELS OR COLON. C. Descending Colon. D. Sigmoid-flexure. surface of the liver, then across twelve inches, then down eleven inches, then bends around twenty-two inches, and ends in the rectum eight inches, constituting a tube about five feet long, one and one-half to three inches in diameter, with an average capacity of about four quarts. See Fig. 34, Page 84. It should be observed that it comes in close contact with the under side of the liver, gall, bladder, stomach, spleen and pancreas, and the front of the kidneys, and borders the uterus and bladder. The struc- E. Bladder. SPECIAL TREATMENTS. 281 ture of these organs is such that they have the power of osmosis (transfer of liquids through their membranes). An important feature of the descending colon is the sigmoid flex- ure (Fig. 36), named from its shape, resembling the Greek letter sigma, and about twenty-two inches long. Possibly the design of that form may be to partly hold back the crowding feces, and somewhat relieve the pressure that otherwise might be too strong for the sphinc- ter muscle. However that may be, it is an obstruction that must be carefully provided for in the administration of the flush. The feces are probably stored a few hours above the sigmoid, in order to give opportunity for the absorption of their fluids. The Bowels Consist of Three Coats.-The external perito- neal, or serous; the middle, muscular; and the internal, mucus. The object of the serous is the same as the serous mem- brane of joints, protection from friction. That of the muscu- lar is to produce the peristaltic movements that carry the con- tents on toward the exit, and that of the mucus, to lubricate. x The colon readily absorbs watery solutions, although its ab- sorbents are not as numerous as those of the small intestine. When the feces reach the rectum, the desire for defecation is felt, and, if not gratified, it is thought that the feces reascend into the descending colon. The Small Intestine, fifteen to twenty feet long and one and one-half inches in diameter, is described on Pages 63-64. The inner membrane has a velvety appearance, from the great number of villi (small projections), each of which has an artery, a vein and capillary net work, as shown in Figs. 37 and 39. These villi are estimated to number 10,125,000 in the small intestine. The glands of Brunner lie under the mucus membrane of the duodenum (for their use see Page 85), while "Peyers patches" are collections of so-called solitary glands in the lower part of the intestine, whose purpose is to secrete intestinal fluid. The follicles of Lieberkuhn (Fig. 38) are scat- tered through both large and small intestines, and secrete most of the intestinal fluid or ferment. 2. The Natural Physiological Processes of the intestines have been briefly referred to, Pages 85-88, in considering diges- tion, but we must now repeat and amplify. FIG. 37. CAPILLA- RIES OF THE SMALL INTESTINE. 282 THE SECRET OF HEALTH. Some very recent discoveries of great importance have been made by Drs. Macfadgen, Mencki and Sieber, in a case of strangulated her- nia, in which it became necessary to remove about three inches of the small intestine, and one inch of the colon, in Prof. Kocher's clinic at Berne. An artificial fistula was formed by connecting the small intes- tine with the wall of the abdomen, by which means the contents could be collected and examined at pleasure, and it was learned that a given article of food requires from two to five and one-fourth hours to reach the valve; that its complete passage may take much longer time, as in the case of green peas which are from fourteen to twenty-three hours a. Lacteal vessel. b. Capillary blood-vessels. c. Small artery. d. Vein. FIG. 38. VERTICAL SECTION OF MEMBRANE OF RABBIT. e. Epithelium. /. Substance of a vilus. g. Tubular glands of Lieberkuhn. i. Submucus tissue. in being removed; that the matter is usually almost odorless; that it has an acid reaction equal to one-tenth of one per cent, of acetic acid; that there is no appreciable decomposition of proteids in the small intestine by bacterial organisms; that many forms of organized fer- ments exist there, but of such as act upon the force-foods with the formation of volatile fatty acids, only one of the six identified could act on protein; that the fiber-foods are subjected to putrefactive pro- cesses first in the colon; that 85 per cent, of them are digested and absorbed before reaching the colon, thus leaving only 15 per cent, sub- A. Cross-section of Lieberkuhn glands, highly magnified. SPECIAL TREATMENTS. 283 ject to the liability of putrefaction ; and that a much greater percent- age of the force-foods resist the action of the small intestine, and remain to be worked up in the colon (probably 20 to 30 per cent.). It was also found that the patient gained in weight on the percent- age of fiber-element absorbed by the small intestine, and was there- fore consuming more than was necessary for nutrition. She took food five times a day ami passed 19.3 ounces in 24 hours, of which 5.9 per cent, was solid matter. When the food was more concentrated, the quantity passing the fistula was only 8.1 ounces, of which 11.2 percent, was solid. Some of these facts are of great importance. 1. Eighty-five per cent, of the fiber-foods are digested in the stomach and absorbed by the small intestine. This is suf- ficient for nutriment, so that the remainder is waste; provided FIG. 39. A PORTION OF THE BOWEL TURNED INSIDE OUT, TO SHOW THE ABSORBENT VESSELS CLEARLY. that enough of the fiber element is digested so that 85 per cent, of it can meet the demand for tissue repair, but if that be not the case, then it is absolutely necessary for complete nutrition that the remaining 15 per cent, be appropriated from the colon. 2. Only 70 to 80 per cent, of the force foods are digested by the saliva and the pancreatic and intestinal ferments, leav- ing, say, 25 per cent, to pass on into the colon. 3. The colon, therefore, has a total of about 40 per cent, of the foods to dispose of, three-eighths of which is specially 284 THE SECRET OF HEALTH. liable to putrescent fermentation in the colon, which yields no ferment except that of the follicles of Lieberkuhn. 4. The selective power of the absorbing lacteals is there the only security for the integrity of the organism against the poisons that float therein, inter- mingled with the nutriment. Another fact of great import- ance is that nature designs that the whole of that 40 per cent, shall be either absorbed as nutrient ma- terial, or passed on to be expelled as waste every day. For the first of these purposes, the lacteals line the small intestine, as seen in Figs. 20 and 21, p. 65, and in Fig. 39, as so many hungry mouths Ion ing to be filled. For the second purpose, the muscular coat, by its vermicular action, passes on the residue into the rectum to be expelled. Constipation.-While this de- scribes nature's normal process, sedentary habits, inattention to the calls of the desire to stool, and unsuitable foods, have insti- tuted an abnormal physiological process known as constipa- tion. This is diminished peristaltic action of the intestines. All healthy physiological actions move downward from the head towards the feet, while all physic (soul) move upward from the feet to the head. The downward peristalsis travels the length of the body about once every minute, and manifests itself in the muscular fibers of the blood vessels, glands and digestive process. The peristalsis of the bowels is but a part of this general movement. The causes of its diminished action are: 1. General poverty of nerve force. 2. Enfeeblement of the bowel by over-distention or purgatives. 3. Diminished special sensibility of the bowel. 4. a, Deficiency of bile-stimulation; or b, of fluid from the glands of the large intestines. FIG. 40. 1. Small intestine. 2. Ascending colon. 3. Appendicitis arrow, valve. SPECIAL TREATMENTS. 285 5. a, Food susceptible of nearly complete absorption; b, change of habits. 6. Weakness of the abdominal muscles. 7. From mechanical obstruction, spasmodic contraction of the walls of the bowel, collections of worms, or indigested food, the pres- sure of tumors, or the flexed or pregnant uterus. To these seven causes Salisbury has shown conclusively that the fermentation of starchy food must be added as the chief. The process is this: As the stomach is not designed to digest starches and sugars, when they are too exclusively eaten, it does not feel stimulation enough from their presence to pass them along at once. Hence, they ferment and form carbonic acid gas, sugar, alcohol, and acid and alcoholic yeast plants. These soon begin to paralyze the follicles and muscular walls of tlie stomach, rendering it flabby and baggy, and distended with gas. Armand Gautier has shown that t he fermentation of organic products causes the formation of special toxines. From these come gastric disturbances and neurasthenia. The stomach has now become an apparatus for the manufacture of beer, alcohol, vinegar and carbonic acid gas. This gas soon paralyzes the gastric nerves, and the mucus follicles pour out quantities of stringy, viscid mucus. This partial paralysis dilates the blood vessels, and a sort of passive congestion supervenes. Then the epithelial sur- faces and connective tissue beneath begin to thicken, which may go on into gastric fibroid, or even scirrhus. If the person is active enough to shake the food along, or if the pyloric valve be so paralyzed as to remain open, so that the food quickly passes on, the danger of fibroid is lessened, but the disease is then transferred to the small intestine, where it may remain as intes- tinal dyspepsia (vegetable dyspepsia, flatulent dyspepsia, etc.), for many years, in which case the following results are to be expected: These foods excite abnormal actions in the parent epithelial cells of the mucus surfaces and glands, thus causing vitiated intestinal fluid which proves incapable of digesting t lie food. Thence comes fermentation, the production of carbonic acid gas, lactic acid, alcohol, and the yeast fungus. The peristaltic action is reversed, bringing tlie bile up into the stomach and back into the gall bladder, causing biliousness. The ileo-caecal valve may be so paralyzed by the carbonic acid gas that it allows the fermenting mass to pass oh into the colon. But before this results, the intestinal walls lose much of their normal sen- sibility and contractility, and furnish but a scant supply of digest- ing fluid. By reason of diminished sensibility the absorbents lose much of their selective power and suck up any pabulum t hat may be offered. This carries the poisons into the blood-current, where the acid yeasts aggregate in masses which, as tlie spores multiply, finally become too large to pass through the capillaries of the lungs, hence lodge, fasten and become the nuclei of future tubercles. The blood vessels of the intestinal walls dilate because of their state of semi-paralysis, causing stacis, and a hypernutrition that thickens them, by a great increase of connective "tissue, with a low grade of vitality. In some cases the thickening of the colon has elon- gated it a foot or more, and in others entirely closed up the passage. The system is now becoming saturated with yeast plants. The white blood corpuscles begin to get sticky, spongy and soft, and the fibrin filaments formed from them are soft and rotten. 286 THE SECRET OF HEALTH. These soft filaments are liable to fix themselves to the epithelial lining of the blood vessels in or near the heart, and become gradual accretions of fibrin, until thrombi results. These breaking loose and floating in the blood may become emboli. This is especially liable to occur with an excess of acetic acid fermentation. The absorption of these poisons from the intestines also affects the heart, giving it inadequate nutriment for its ceaseless work, and sometimes paralyzing it when the carbonic acid gas remains collected too long in the cardiac end of the stomach. The partial paralyses due to the carbonic acid gas causes the shrinking of the chest in the consumptive, while the breathing with elevation of the shoulders is the result of paralysis of the diaphragm from the same cause. Returning now to the colon deluged with the vile products of fer- mentation of the starches and sugars, we find frequent attacks of yeasty diarrhea, which is nature's effort to expel the enemy; and may really prevent consumption and prolong life for many years, by fur- nishing a sluice-way for the damaging compound to escape from the system. Should a healthier action take place, elongated folds from half an inch to twelve inches long, and from an eighth of an inch to an inch in diameter of the thickened intestine may die, loosen, and hang for weeks slowly rotting away, to the great danger of the patients life, or may be broken loose and appear in the stools. All this from the fermentation of starchy foods. On the other hand, if the fiber foods are not digested, they ferment and evolve enormous quantities of sulphides of hydrogen and ammo- nium, which taste like rotten eggs, and which are apt to paralyze the mucus surfaces, when they are at once absorbed, and produce paraly- sis of organs and tissues, which often resitlt fatally (Salisbury). All these systemic results are hastened by the preliminary semi- paralysis, which stops the peristaltic movements and packs the colon with the products of waste. It becomes, therefore, an all-important question how to extirpate this root of so many and such serious evils. In many cases the colon is loaded constantly with a nearly solid mass, three oj- four inches of which may be discharged in each occasional evacuation, but leaving sixty-seven to seventy inches remaining. The Remedy.-For ages the one remedy has been chemico- vital irritation of the bowel by drugs, causing an extra secre- tian of mucus, or an intensified action of peristalsis, with the uniform result of increased dryness, less sensitiveness to bile stimulation and diminished movements, unless the stimulus was kept up by increasing doses. Resort has also been had to mechanical irritation in the form of the silica coat of the wheat in flour, and of coarse fiber SPECIAL TREATMENTS. 287 in vegetables, with temporary success many times, but dis- heartening failures many more times. Bowel kneading, shak- ing and percussing have been tried, but have rarely proved satisfactory except under the direction of a massage operator. At last relief seemed to come when the Hall system burst like a noon-day sun upon the dark sky of man's bitter experi- ence. Hundreds of thousands rushed to it as the mecca of their hopes, and very many were benefited; but it has been found too inelastic to suit all conditions. To raise four quarts of water from 50° or 60° to 98° requires an expenditure of vitality that those who are poorly equipped with that indispen- sable product cannot afford. Hence, however good it may be for the vitally strong, the Hall system is positively dangerous to those who are vitally weak and in a cold, unfevered condition. Our Flush provides for this contingency. Its elements are: Water of any temperature required by the case; water holding in solution any benign drug or chemical; water as a decoction of any beneficial herb; water always, pure and sim- ple, unless something more is actually needed to afford relief. Our flushes together not merely wash out the end of the sewer, but cleanse the entire extent of it. As its position and construction are such that it cannot be flushed from end to end, the only practicable way is to pump it full and cleanse by emptying. This will require from four to eight pints of fluid, and cannot be done by the one-half pint or pint enemas that have been ordinarily used hitherto. A late authority upon the subject says: " There are formed in the intestines of a healthy adult in twenty-four hours a quantity of cadaveric alkaloids, which, if excretion were stopped and all were absorbed, would be sufficient to destroy life." Bacteriology, p. 1,348. These flushings effectually remove these deleterious alkaloids. The chief characteristics of these additions to the water will be summarized upon a future page, but it should be dis- tinctly understood that water alone, modified as to tempera- ture, quantity, and frequency of administration, constitutes a 288 THE SECRET OF HEALTH. very effective treatment for most ailing conditions, and ordi- narily should be the dependence of the people. Our flushes are divided into three classes, and named: 1, Rectal, comprising from one gill to one pint of fluid as the element; 2, sigmoid, from one to two pints of fluid ; 3, caecal, from one to four quarts of fluid. Modification.-These flushes are all modified by several circumstances. ♦ 1. The sensitiveness of the lining membrane of the bowel. This is sometimes so great that it will instantly reject even a small quantity of fluid, unless it contains some soothing potency. 2. The natural divisions of the bowel. To fill the rectum may be easy, while to fill the sigmoid may be hard, and to fill the colon exceed- ingly difficult. 3. The contents of the bowel are often a modifying agent of great importance. If fluid, the flushing may be easy; if thick and pasty, it maybe quite an undertaking; if hard and packed, it maybe simply impossible until they are removed. 4. The position occupied by the patient while taking the flush is of importance. An injudicious position may bring the force of gravita- tion to bear against the process, or may subject some portion of the membrane to needless friction, or may add muscular resistance that must be overcome. The Essentials are a good bulb or fountain (preferably both) syringe, with a tube not less than eighteen to twenty- four inches long between the bulb and the delivery pipe. Two delivery or injection pipes; one the ordinary vaginal pipe of a family syringe, about four inches long and nearly one-half inch in diameter at the end, and about one-fourth of an inch near the attached end ; the other pipe should be of such rub- ber as catheters are made, stiff yet flexible, eighteen to twenty- four inches long, and used only to carry the stream well up into the sigmoid. A rolled blanket for the hips, and a smaller one or a pillow for the head. Having provided these, the way to take the injections should be carefully observed. Position for Rectal Flush.-If rectum is empty, any that suits best. If packed, on back with hips on rolled blanket, SPECIAL TREATMENTS. 289 shoulders on bed or floor ; take very slowly so as to give time to soften the mass, and pass as soon as practicable. If very sensitive, same position, take very slowly, soothing flush; retain five to thirty minutes. If rectum is prolapsed, same position, astringent flush, retain five to twenty minutes, repeat as often as difficulty returns. If engorged, or hemorrhoidal (piles), same position; if painful, first relaxant flush until relieved, then absorbo- astringent flush retained. Position for Sigmoid Flush.-This should never be at- tempted until the rectum is empty ; then if the bowel is packed above sigmoid, on left side, hip on rolled blanket, left breast to bed or floor, thighs bent close to the pelvis; inject very slowly to soften; retain only until desire to stool is felt; repeat if necessary. If only moderately full and soft above sigmoid same position, or on back if preferred, and take as fast as may be comfortable; expel at pleasure. Position for Coecal Flush.-If packed and hard, then pro- ceed as in rectal packed, and follow as in sigmoid packed. Repeat at as frequent intervals as strength and circumstances allow, until the hardness and fullness are removed from the whole of the left side. Then, after injecting as for sigmoid packed, turn first on the back (hips still elevated), and take very slowly until full, rest a few minutes, turn on right side and very slowly fill again; retain ten minutes, if no desire to stool is felt, and fill again, and so on as long as there is room for more; but in all packed conditions the offending matter should be removed as quickly as possible without violence. Principles.-Flushes hot enough to excite free perspiration should never be given when the bowel contains a mass of foul matter, lest its poison be carried through the system. The sigmoid should never be attempted until the rectum is clear. The caecal should not be tried until the rectum and sig- moid are clear. 290 THE SECRET OF HEALTH. Congestion requires very little relaxation, and that always with stimulation. Inflammation requires pure relaxation. Collapse requires stimulation. Flaccidity requires astringents. Flaccidity with coldness requires astringents and stimulants. In cases of deficient nutrition, either flush should be fol- lowed by a retained nutrient enema containing not less than the fifteen per cent, of fiber-foods that are thrown from the colon. In fermenting conditions they should be given with suffi- cient frequency to prevent the absorption of the poisonous pro. ducts into the blood-stream. In such conditions the best time is in the evening, so as to prevent the all-night absorption of the deleterious matter. In simple constipation without special fermentation, the best time is on rising in the morning, to give time for the all-night absorption of the nutriment, and to give a healthy stimulus to the whole digestive tract. It is better to use the flush regularly, and not infrequently, as long as it is needed at all. Retained Enemas.-When a decided impression is desired from the medicine, the flush should be given as required and passed off, then, after a few minutes for rest, a retained enema consisting of not over one to four ounces of a suitable vehicle containing the medicament should be thrown into the rectum or sigmoid, and not allowed to be discharged. Should there be difficulty in retaining it, this can be done by lying on the face with hips elevated for a few minutes. Experiments have proved that medicines thus administered pro- duce the same effect, witli from one-fourth to one-half less quantity than is required when taken into the stomach. The rapidity of such absorption is seen in the fact that iodide of potash deposited in the rectum has actually been found in the urine twenty-one seconds after- ward, and in the saliva forty-six seconds afterward. Medicines taken by the mouth necessarily undergo the changes which result from mixture with the acid of the gastric fluid in the stomach, and further on with the alkali of the pancreatic secretion, besides whatever chemical action the bile may excite, so that it is impossible to tell whether they are unchanged when they reach the SPECIAL TREATMENTS. 291 absorbents or are something entirely different, and with totally die similar properties. The only exceptions to this necessity are those medicines that are absorbed directly through the membranes of the stomach into the blood. The stomach is designed as a receptacle for food, not drugs. The flushing fluid, properly medicated, plants the medicine in the precise place where it is needed in all bowel, stomach, liver, bladder, urinal, ovarian, kidney and seminal diseases, without the necessity of its first running the risk of loss and change in the digestive tract, or of being first dispersed through the entire circulation, because its imme- diate transfer through the membranes of the bowel brings it in direct contact with the diseased organs; while in such diseases as lung, heart, spine, head and nerves, the purification of the blood and the vitaliza- tion of all the lower organs of the frame by the flushing and medication often work wonders in their restoration after even many years of suffering. It follows that a well devised system of medicated injections is the most thorough, scientific, direct and effective treatment that can pos- sibly be used for the preservation of health, the invigoration of the digestive and generative systems and the radical purification of the blood, and consequent cure of all diseases dependent on a bad state of that fluid. Retained Nutriment Enemas, are retained enemas consist- ing of nutriment instead of medicines, and should be thrown as far up the sigmoid as practicable, and may be repeated every three to six hours, to sustain vitality when the stomach is incompetent to do its work. Life is often sustained for weeks upon such enemas alone, and they are invaluable aids even when not required as the sole dependence. The Effects of the different flushes are as various as the flushes themselves. Of course, in each case, when medicines are used, the nature of these will determine the physiological result. But when water alone is employed, the effect will vary with the temperature and quantity. If the full flush is given, then temperature is the main factor to be considered. For the first few times that copious injections are used, the patient is apt to be frightened at the mucous or slimy dis- charge that may come away later. This is nothing to be afraid of, it is simply cleansing the bowel of stuff that ought not to be there. 292 THE SECRET OF HEALTH. There are three points of fixed effects, from which all calculations of results should be made. a. Hot flushes stimulate, draw the blood to the viscera, increase vital heat and energy, open the pores, and, in some conditions, may cause prostration by excessive perspiration; and if in large quantities, may cause waste of nutriment from the colon. They also astringe locally. b. Cold flushes abstract vital heat rapidly, force the blood away from the viscera, and prove depressing, unless the power of reaction is very strong; in which case they are tonic. The shock is too great for per- sons of low vitality, as the chill may cause suspension of the circula- tion in the colon; or, if reaction does ensue, it is with an expenditure of vitality that cannot be afforded. Hence, if used at all by such per- sons, it should be in small quantities, with immediate expulsion, and with some stimulant taken into the stomach, like hot coffee, hot beef tea, etc. c. Tepid flushes simply relax the structures, soothe the nervous sys- tem, cool the surface, without reducing the temperature below the normal standard. They also promote perspiration. Midway between the tepid and hot, the warm flush partakes of the characteristics of the hot to a modified extent, when it is almost imme- diately expelled; but when it is retained a considerable time its effects more closely resemble those of the tepid. Cool flushes are midway between cold and tepid. When almost immediately expelled there is a quick reaction, and the effect is similar to that of the cold to persons of vigorous vitality. But when retained a half hour or more, the results are those of a modified oold bath. To those of low vitality, the cool flush may be equivalent to the cold with those of a good degree of vigor; while in fevered conditions, without much impairment of vitality, the cool may be as soothing as the tepid is to the healthy. It is clear, from the foregoing, that the indiscriminate use of any single temperature may be productive of harm instead of good. A clear conception of what is needed should be the groundwork of judgment in every case, and that need should be expressed as an answer to one of three questions: 1. Does the system need stimulation? 2. Does it need relaxation? 3. Does it need toning? Having settled the need, then how much stimulation, relaxation or toning, can the patient advan- tageously bear?. In these statements, the primary cleansing effect of the flushes has been purposely omitted, because such prominence SPECIAL TREATMENTS. 293 has been given to it in the preceding pages. But that effect should never be lost sight of in the use of flushes as a remedy for disease. . As the cold caecal and sigmoid flushes abstract such a large portion of heat from the liver, stomach, pancreas and pelvic organs, it is well to exercise freely as soon as it is taken, and until the proper balance of heat is restored. As the hot caecal and sigmoid flushes impart a large amount of heat to those organs, free perspiration should be favored, and after proper rest a cool sponge bath is desirable. As the caecal sometimes proves exhausting, the sigmoid should take its place. If that is too prostrating, the rectal only should be used. When the Flushes are Needed.-When the skin is blotched and unsightly. When the kidneys are disordered. When the liver is laggard. When suffering from dyspepsia, constipation, poor appetite, rush of blood to the head, piles, jaundice, blood poison, inflamed bladder, occasional sick headaches, diarrhoea, dysentery, consumption, fevers, rheumatism, cholera morbus, colic, leucorrhoea, uterine irritation, diseases of the prostate, seminal weakness and obesity; also in epilepsy reflex from the intestines, genitals or urinary organs. In insomnia from gastric derangement, paralysis from incomplete digestion, bil- iousness, muddy complexion, and in all " general-ailing-and- not-much-the-matter " conditions. In health, flushes are indicated in all cases where the feces are retained over twenty-four hours. How is this known? If the track of the colon is hard to the touch on external pres- sure, and if there is not a full and soft satisfying movement every day, it may be reasonably assumed that the peristaltic movement is too slow and the mischiefs of constipation resulting. General Rules for the temperature of the flushes: Cool or cold when used for inflammations, fevers without marked prostration, and as a tonic. Tepid when used for relaxation, to promote absorption, and in obese conditions. Warm to soothe. 294 THE SECRET OF HEALTH. Hot for antiseptic use if water only is employed, to relieve pain, promote perspiration, as a stimulant, and to recuperate in fatigue. Any temperature, as an ant-acid, and as antiseptic when chemicals are employed. What Medicaments to Use.-For convenience of prescrip- tion in the " Diseases and their Treatment" part of this work, the various articles recommended with which to medicate the flushes are named numerically below. 1. American Gentian, Yellow Gentian, Marsh Gentian, Sampson Snake Root (Gentiana Ochroleuca).-Roots; tonic, both relaxing ami stimulating, slow, but intense and permanent. Acts chiefly on stom- ach and gall ducts, but distinctly on the liver, bowels, and general glandular system. Useful in liver torpidity, skin affections, dropsy, scrofula. Ten to fifteen grains in retained enema twice a day. 2. Barberry (Berbens Vulgaris).-The bark is stimulating, slightly relaxing, tonic; acts specially on the gall ducts and liver. Five to ten grains in a retained enema twice a day. 3. "Bicarbonate of Potassa.-Ten to twenty grains in a caecal or sigmoid flush, as an ant-acid. 4. Black Cohosh, Rattle Root, Black Snake Root, Squaw Root (Cimicifuga Racemosa).-Root; moderately prompt, diffusive, relaxant, leaving a slight astringent impression. Its relaxation is peculiar to itself alone. Soothing to the nerves, relieves pain dependent on local irritation, calms body and mind, relieves the head, disposes to placid sleep, lowers and softens the pulse, and produces gentle perspiration; allays irritation of serous tissues. Especially useful in articular and neuralgic rheumatism, cerebro spinal meningitis, puerperal mania, painful menstruation, rigid os-uteri, vaginitis, congested kidneys, ovarian irritation, chorea, snake bites, and other poison wounds. Not to be used when the pulse is low, skin cold, tissues relaxed and gen- eral sensibilities reduced. Dose: powder five to ten grains in a re- tained enema. Sometimes called Bugbane. 5. Blood Root, Red Puccoon, Red Turmerick (Sanguinaria Cana- densis).-The dried root Is a slow relaxant and stimulant of the mucus membranes, gall ducts and secreting organs. Specially valuable in chronic torpid liver, in bilious temperaments and chronic jaundice. To be used only in sluggish conditions. As a tonic alterant, two to five grains twice a day in retained enema; as an expectorant, one to two grains in retained enema every three hours. 6. Blue Cohosh, Squaw-root, Papoose-root, Blueberry (Caulophyl- lum Thalictroides).-Root; a mild, diffusive, stimulating and relaxing anti-spasmodic. Especially valuable in nervous feebleness with irri- tability, twitching of the muscles in typhoid and child-bed, hysteria, painful menstruation, colic, neuralgic rheumatism, nervous restless- ness during pregnancy and in asthma. Infuse a half hour in covered vessel in a pint of boiling water; one to two ounces twice a day in retained enema. Much oftener in severe cases. 7. Boneset, Thoroughwort (Eupatorim Perfoliatum).-Eeaves and flowers almost a pure relaxant of the muscular structure of the stomach, gall ducts, bowels and uterus, but also affects the nervous peripheries and skin. One ounce of powder infused in a quart of water; one to three ounces of this fluid in retained enema. Given cold, it promotes the secretion of bile and the action of the bowels; given warm, it pro- motes slow, gentle perspiration. Gives relief to the aching of limbs in recent colds and rheumatism. Not good in relaxed conditions. 8. Boracic Acid.-A teaspoonful in a quart of water as an anti- septic. 9. Butternut, White Walnut, (Juglans Cinerea).-Tli& inner bark of tbe root is a slow relaxing and stimulating cathartic, affecting the SPECIAL TREATMENTS. 295 gall ducts and gall cyst, and muscular fibers and mucus membranes of the bowels. Good in jaundice, biliousness, chronic costiveness, chronic and sub-acute diarrhoea, camp diarrhoea, irritable piles; not good in dysentery. Digest two ounces of the crushed bark in a quart of hot water two hours; strain with strong pressure; evaporate to one-half pint, add one-half ounce tincture of ginger; dose, one ounce in a retained enema twice a day. 10. Catnip (Nepeta Cataria).-Herb; diffusive relaxant, diaphoretic and anti-spasmodic. Of special use in colic and restlessness of children, to relieve dysfhenorrhcea and difficult menstruation, nervous headache, hysteria and scanty urination. (a) Digest one-half ounce of herb ten minutes in a pint of water much below boiling point, and strain with pressure. Use the whole as a flush, or one-half as retained enema. Repeat at pleasure. (0) Cut up fresh herb, add under moderate pressure a small quan- tity of 30 per cent, alcohol, stand twenty-four hours, then put under powerful pressure. Preserve juice. A teaspoonful for nervous convul- sions of children. (c) The juice obtained by b, combined with equal quantities of essence of anise and fluid extract of valerian, makes a valuable anti- spasmodic nervine. One to two teaspoonfuls, as required. 11. Cleavers, Goose Grass, Bed Straw {Galium Aparine).-Herb; soothing relaxant to kidneys and bladder. Suited to scalding urine, oxalic acid gravel, irritation at the neck of the bladder. Digest two ounces in a quart of tepid water one-half hour, strain with pressure. Retained enema of one to three ounces three times a day. 12. Cinchona Bark, Peruvian Bark, Jesuits Bark {Cinchona).- Bark; slow and permanent astringing stimulant to the nervous struc- tures, acting first on the sympathetic nerves, then on the sensory nerves, and finally on spinal cord and brain, inducing a marked state of tension. Valuable in atony and laxative tissues, and consequent excesses of secretion. Not good when structures are tense, tongue and throat dry, secretions deficient, or in febrile or inflammatory excite- ments. For ague chills, a hot caecal flush three hours before the chill; two hours before chill a retained enema of seven or eight grains, repeated one hour before the chill. As a tonic, two to three grains in retained enema two or three times a day. 13. Coffee.-Half a cup, moderately strong, as a retained enema for a nervous stimulant, in fatigue and depression. 14. Corn Silk, fluid extract.-One teaspoonful in a retained enema two or three times a day for chronic cystitis. 15. Cream of Tartar {Bitartratc of Potassa).-Cooling, diuretic and cathartic. A dram in a ctecal or sigmoid flush. 16. Dandelion {Taraxacum Dens-Leonis).-The root is a mild relaxing tonic alterative, chiefly affecting liver, small intestines and kidneys. Should not be used when stomach or bowels are irritable. Digest four ounces of the bruised root an hour in one and one-half pints hot water, boil a few minutes and strain. One to three ounces in a retained enema twice a day. 17. Giant's Solomon's Seal (ConvaZaria Multiflora).-Mild, relax- ing and stimulating tonic; chief effect, diminishing excessive mucus discharges. Specially useful in all forms of female weakness, chronic coughs with excessive mucus discharges. Bruised root three ounces, boiling water twenty ounces; macerate an hour in covered vessel with gentle heat, add one dram each of caulophillum and grated orange peel, stand ten minutes, and strain; two ounces three times a day as retained enema. 18. Golden Seal, Yellow Puccoon, Ohio Kercuma, Ground Rasp- berry {Hydrastis Canadensis).-Root; pure stimulating tonic, but with relaxing properties. Acts slowly and for several hours, especially upon mucus membrane of the digestive tract and the female organs. Never excites the pulse, but sooths the irritation of congestive condi- tions of mucus membranes. Specially useful in leuchorrhoea, catarrh of the bladder, second stage of dysentery, chronic diarrhoea and dys- entery or chronic typhoid, ulceration of the bowels, gleet, second stages 296 THE SECRET OF HEALTH. of gonorrhoea, chronic prostatitis, chronic jaundice and cellular dropsy. Not to be used in acute irritations. Five to fifteen grains in a retained enema twice a day. Large doses for depressed conditions. (b) Hydrastine.-A. resoinoid or alkaloid tonic. Dose, one to five grains, used in same way. Ten to fifteen grains as an antiperiodic. 19. Hemlock, Hemlock Spruce (Abies Canadensis').-.A tea of the inner bark is a very drying astringent, useful in all hemorrhages when pure astringents will answer. To a pint of the tea add a teaspoonful of ginger and one-fourth teaspoonful of red pepper, three quarts of warm or hot water, and use as a caecal Hush for flooding and bleeding from the lungs. 20. Hops.-A tonic and mild hypnotic. Five to ten hops infused in four ounces of hot water. A retained enema, or a very weak hop tea as a caecal flush, warm. 21. Juniper (Juniperns Communis).-Berries; mild stimulant and relaxant, chiefly affecting kidneys and bladder. Not good in inflam- mation of kidneys or bladder. Especially good in retained uric acid. Crush one ounce of the berries and macerate in a pint of warm water one hour in covered vessel; two ounces in retained enema thrice a day. 22. Lady's Slipper, Nerve Root, Umbel, American Valerian, Moccasin Flower (Cypripedium Pubescens).-Roots; Pure relaxant, act- ing slowly and upon the nervous system only. Soothe and calm the entire system, ease pain, induce quiet and sleep. Of special use in hysteria, headache, sleeplessness from feebleness and irritability of nerves, chorea, neuralgia, neuralgic rheumatism, and the late stages of fevers. Too relaxing to be often used alone. Ten to thirty grains in retained enema, as needed. Use stimulants or tonics also. 23. Lobelia, Emetic Weed, Indian Tobacco, Eye Bright (Lobelia Inflata).-Herb; a pure relaxant. Transient, acting most upon the fauces, glands and mucous membranes of the mouth and respiratory organs, but reaching every part of the body. Small doses every thirty to fifteen minutes relax first the capillaries and nerve peripheries, then the general circulation, then the muscular and glandular system. Especially appropriate in phrenitis, meningitis, pneumonia, pleurisy, hepatitis, peritonitis, nephritis and periostitis, and all forms of fever; also to relieve nervous suffering, as acute hysteria, delirium tremens and the like. Should not be used in gangrene. Of peculiar advantage in spasmodic asthma and whooping cough, strangury, occlusion of the gall ducts and strangulated hernia. Not good in humid asthma nor the difficult breathing of heart disease. Very effective in rigidity of os during labor, in hour-glass contraction of the uterus, and in all inef- fectual forms of labor in which the uterine fibers are rigid. Not good in diphtheria, malignant scarlatina, typhus and typhoid fever after the first few days, nor in puerperal or pleuritic fevers when effusion is present. Excellent to aid in reducing dislocations. If carried to com- plete relaxation a free discharge of bile, perspiration, urine and faeces follow's. Not good in diseases in which relaxation is already present. As a mild relaxant, one to two grains an hour; as a medium relaxant, two to five grains an hour; as astrong relaxant, ten to fifteen grains an hour; as an emetic, forty to sixty grains. As a retained enema, one to three grains every two or three hours until the system begins to relax, then double or treble the dose for the effect desired. Infusion, a dram to a half pint of water considerably below the boiling point. 24. Mandrake, or May Apple (Podophyllum Peltatum).-Root; a slow', persistent stimulant to salivary glands, mucus membranes, gall ducts, liver and kidneys. Excites the uterus, ovaries and bladder. Not to be used with any irritability of any internal organs. Full dose as a cathartic fifteen grains. (a) Podophyllin is a resinoid from the root. Full dose one to two grains in a retained enema. 25. Marsh Mallows (Althea Officinalis), soothing to mucus mem- branes.-Root; simmer an ounce of root in a pint of water, add one- half dram of Lobelia herb. One to tw'o ounces as retained enema every four hours. 26. Mullein (Verbascus Thapsus).-The leaves; relaxant, soothing, moderately anti-spasmodic. Of special use in promoting absorption, in SPECIAL TREATMENTS. 297 cellular dropsy, chronic abscesses and pleuritic effusions. Make a strong decoction of the leaves; wilt other leaves in this and bind on tlie part. Also for synovial dropsy, scrofulous and other swellings, though not on carbuncles, buboes, cancers and the like. Mix the decoction with equal quantities of sassafras tea, and give two to four ounces as a retained enema. Boil an ounce of the leaves in a quart of milk, and give two to four ounces as a retained enema in diarrhoea and dysentery every two to four hours. 27. Baptisia Tinctoria, Wild Indigo, Indigo Broom, Rattle Bush Horsefly Weed, Indigofera.-For devitalized, foetid conditions, scrofu- lous, syphilitic and atonic rheumatic cases. One-half ounce of root- bark or leaves boiled a few minutes in a pint of water. A tablespoon- ful as a retained enema every three or four hours. Antiseptic, positive stimulant, mildly relaxant. 28. For Constipation.-Two quarts hot water, one teaspoonful of molasses, one teaspoonful of strong suds of castile or ivory soap. As a sigmoid or caecal flush. 29. Poke Berries, Scoke, Garget, Coakum, Pigeon Berry (Phyto- lacca Decandra).-Glandular relaxants. Especially useful in scrofula, salt rheum and similar affections, chronic and sub-acute rheumatism. Crush the berries, and to each pint add a half pint of whisky. A table- spoonful in three ounces of retained enema twice or thrice a day. 30. Quinine.-Like Cinchona bark but much more powerful. One grain represents thirty to fifty of bark.. As an antiseptic, ten grains to a quart of water as a flush. As a tonic, two or three grains in a retained enema. 31. Salt (Chloride of Sodium').-Stimulant and antiseptic. One to two teaspoonfuls in a rectal injection, lukewarm for pinworms. Tea- spoonful in retained enema every hour for four hours for ague chills. Two teaspoonfuls in caecal or sigmoid flush to hasten evacuation. 32. Sassafras.-The bark, an aromatic and relaxant stimulant, diaphoretic and nervine. Acts especially on the capillary tissues and the absorbants. Infuse in warm, not boiling water. 33. Scullcap, Blue Scullcap, Hood-Wort (Scutelaria Lacteriflora). -Herb; must not be boiled. Equally relaxant and stimulant, anti- spasmodic and tonic, acting upon and through the nerves. Specially suited to wakeful conditions and feebleness, such as typhoid, delirium tremens, abstention from opium, also in uterine sufferings, nervous headaches, neuralgia. Not good in inflammatory conditions. One- half ounce digested in a pint of warm water. One to two ounces in retained enema two to four times a day. 34. Smart-Weed, Water Pepper (PoZwonwm Hydropiper).-Herb; sharp, diffusive stimulant, moderately relaxing. Increases capillary action, free warm perspiration and expectoration and the flow of the menses when checked by exposure. Useful in all crampings, neural- gic pains, and congestive pains of the abdominal and pelvic organs. Half an ounce of dry herb digested in a quart of water not above 150°. One to three fluid ounces in sigmoid or caecal flush, warm or hot, often as needed. 35. Spikenard, Spignet, Pettymorrel (Arabia Racemosa).-Root; prompt, mild relaxant, slightly stimulating to the mucus membrane and skin. A soothing expectorant, and slightly tonic. Specially val- uable in bronchial and pulmonary congestions, measles and the like. Moderately strong tea used as a retained enema three or four times a day. 36. Sumach, Upland Sumach (Rhus Glabra).-The same general character as Witch Hazel but much stronger. One-half ounce of leaves to a quart of boiling water, simmered ten minutes (not in, an iron ves- sel). One to two ounces as retained enema two or three times a day. The bark of root is excellent for laxity (not acute) of bowels, chronic and camp diarrhcea, intestinal hemorrhage and foul leucorrhcea. 37. WAHOO, Spindle Tree, Indian Arrow Wood (Euonymus Atropur- pureus), E. Americana, Burning Bush, Strawberry Root.-Bark of the root; largely relaxant, moderately stimulant to the gall ducts, liver 298 THE SECRET OF HEALTH. and bowels, slightly influencing stomach and kidneys. Excellent for intermediate treatment for ague, and in dropsy with torpid liver. Also in biliousness, some skin eruptions, persistent constipation and chronic liver complaints. Crushed bark two ounces, boiling water one quart. Digest one hour, strain with pressure. Two ounces in retained enema two or three times a day. 38. White Ash, Grey Ash (Fraxinus Americana).-The bark; a slow but persistent stimulant, but especially relaxant to the gall ducts and the muscular fibers of the bowels. Also diuretic. Useful in jaun- dice, biliousness, costiveness from liver torpor, and skin affections arising from bile. Also for snake bites. Two ounces of the crushed bark digested an hour in a quart of hot water, strained, evaporated to half pint, and an ounce of tincture of orange peel added. One to two fluid ounces in retained enema two or three times a day. 39. White Root, Pleurisy Root, Butterfly Weed, Swallowwort, Wind Root (Asclepias 7'uderosa).-Root; diffusable, relaxing, diapho- retic. Specially valuable to relieve arterial and nervous excitements. Not suitable for depressed conditions, or when the pulse is small and feeble, or when perspiration is excessive. One ounce to a quart of boiling water, stand covered twenty minutes. Use with hot cajcal or sigmoid flush, or two to four ounces as retained enema. 40. White Snakeroot, Pool Root (Eupatorium Afjeratoides).-Root; relaxant; stimulant, prompt and diffusive. One-half ounce to a quart of warm water. Two ounces as retained enema every two hours, given cold, increases expectoration and urine. Given warm increases per- spiration and flow of blood to the surface, and thus given is very val- uable for the nervousness, restlessness and headache of ague, conges- tive chills and bilious intermittents. Not good in irritable or sensitive conditions. Good in hysteria, painful or suppressed menstruation, and in tardy labor, with coldness and depression. 41. Witch Hazel, Winter Bloom, Spotted Alder (Hamamelis Vir- ffiniana).-Leaves; mild, reliable astringent and gentle tonic, also a difusive relaxant. Specially useful in the second stages of dysentery and diarrhoea, hemorrhage from the bowels and bladder, catarrh of the bladder, nursing sore mouth, leucorrhoea, prolapsus, purulent ophthalmia. Two drams digested in a half pint of hot water. One to two ounces in retained enema every two to four hours. 42. Yellow Dock, Curly Dock (Rumex Crispus).-The root is a slowly relaxing and stimulating alterant, leaving a mild tonic effect on the system. Acts chiefly upon the skin, gall ducts, intestines and kidneys. Especially valuable in scrofulous affections of the skin, and scrofulous ulcers and scrofulous diarrhoea. Boil two ounces of dry, crushed root ten minutes in a pint of water, strain by pressure. One or two ounces three times a day as a retained enema. 43. Onions.-Four large onions simmered several hours in a pint of milk, and one-half the liquid used as a retained enema to promote urinary and perspiratory secretions and hasten absorption. Not to be used when there is acute irritation or inflammation. 44. Myrrh (Balsamodendron.Myrrha).-Must not be used in sensi- tiveness, irritation, deficient mucus secretions or febrile conditions. In phlegmatic temperaments, atonic conditions with excessive mucus secretions, and coldness, it is valuable as a retained enema. Antisep- tic; slow, mild stimulant, moderately astringent, with the effect of a stimulating tonic. Increases capillary circulation and the force of the pulse. Excellent in general debility of mucus membranes. Two to five grains two or three times a day in retained enema. 45. Absorbo-Astringent, Mullein and anyone of the astringent articles best suited to the case.-Repeated as a retained enema two or more times a day. 46. Camomile Flowers half an ounce, boiling water one pint. Macerate ten minutes. Good for scant and painful menstruation, used as caecal flush retained as long as practicable, and repeated if neces- sary, when the operation can be well borne; in other cases, first as a rectal flush, then three or four ounces as a retained enema. As a tonic one ounce Cold, as retained enema three times a day. SPECIAL TREATMENTS. 299 47. Camomile Flowers half an ounce, mallow leaves one ounce; steep in hot water ten minutes and use as a retained enema two or three times, then as sigmoid or csecal flush (small in quantity), plant- ing it at the seat of irritation if practicable, in irritation of the bowels. 48. Wintergreen, Durberry, Chicken Berry, Partridge Berry, Mountain Tea, Box Berry (Gaultlieria Procumbeus).-Leaves; relaxing, gently stimulating diffusive carminitive. The tea as a ctecal or sig- moid flush in flatulence, wind colic, etc. 49. Cayenne Pepper, Red Pepper (Capsicum Annuum).-The fruit is an intense, pure stimulant, spreading slowly but acting permanently, first upon the heart and large blood vessels, later the capillaries, increasing the power rather than the frequency of pulsations. Suit- able in all forms of depression and atony. A powerful antiseptic eit her externally or internally. Not good in inflammatory states with full, hard pulse. Average dose, one grain in elm, gum arable or starch water or molasses. 23. The New Method Cure of W. E. Forest. This is published as a prescription for patients. The doctor holds that the proper place for drugs is in acute diseases, but in chronic diseases other measures are more important. Drugs should be used, if at all, temporarily, and in a secondary place. It claims to be a system founded upon a number of principles, namely, diet, exercise, colon and stomach flushing, and mas- sage. For the last purpose he employs some mechanical expe- dients, as the muscle roller, muscle beater, and the like. His system of exercises is good, his forced respiration very com- mendable, and his directions for diet, in certain cases, of such value that we quote as follows : Anti-Ferment Diet.-On first awakening in the morning take a cup of hot, not warm, water, sipped slowly. Then rub and knead, or roll, the stomach for five minutes. Then rise and take a little non- fatigueing exercise, such as bending over and trying to touch the floor a few times, crawling around the room on hands and feet three times, and spend ten minutes in taking as deep breaths as possible. Then rest until breakfast time. Breakfast-Two to four broiled mutton chops, seasoned to taste, and eaten hot with plenty of toasted or stale bread and butter; food at all the meals to be well chewed, and cheerful conversation to be indulged in ad libitum. No drinks with the breakfast. At 11.30 a. m., another cup of hot water. At 12.30, noon, dinner of beefsteak chopped to a pulp, rolled into a cake and broiled over a hot fire, after having been salted and peppered to taste. Plenty of stale bread or toast, or zwieback, or Italian stick bread, any or all of these taken with butter as desired. No limit as to quantity; the appetite the guide. 300 THE SECRET OF HEALTH. At 5.30 p. m. the hot water; at 6.30, supper; cold roast beef or mut- ton, with salad or mustard dressing, and bread and butter; or the chopped beefsteak instead of the cold meat. If dinner has been hearty a light supper will do. At the end of the week, if all goes well, a-little change maybe made in the dinner. Roast tender beef or mutton, or the dark meat of chickens, may be substituted for the chopped steak at noon. During the second week a few cooked greens may be added to the dinner bill of fare. No sweets, no fruits, no tea, no potatoes, no indulgencics. Fourth week, a little mashed potatoes, with roast meat; juices mixed may be tried. Gradually one thing after another may be added, but sweets and vegetables must always be taken sparingly. In cases of fermentation of food, where the system has not yet become profoundly affected by the absorption of the yeast germs, the foregoing is an excellent diet. 24-. The Inhalation Cure.-The simplest idea of inha- lation is that of drawing in the breath, and is usually accom- plished automatically, i. e., machine like, without special thought concerning it, or will to secure it. It is one of the vegetative processes of animal life which goes on of itself as long as life lasts. However, when the word is used in medical relations it adds to the simple idea, that of voluntary inspira- tion, as in forced, deep breathing. Also, the inspiration of vapors and gases in either or both the methods named. Still further, inhalation, as a remedy, embraces the idea of being timed to secure a certain result, i. e., the inspirations contin- ued to a certain period, a definite number of times every hour, day or week. The means employed are various: By fluids heated and the steam conveyed to the mouth or nose; by fluids atomized and the air, loaded with the atoms, inhaled; by fluids saturat- ing fabrics, sponges, absorbent cotton, etc., and the air drawn through the saturated material into the lungs; by powders drawn or blown into the respiratory orifices; by solids loosely packed in tubes through which the air is inhaled; by gases mixed with air and inspired ; by gases breathed for a time in place of air; by gases passed through medicated solutions and inhaled. SPECIAL TREATMENTS. 301 The physiological effects of inhalation can be best under- stood by a brief resume of the process of inhalation. By a downward movement of the diaphragm (floor of the lungs) and an expansive movement of the walls of the chest, the air is drawn into the bronchial tubes down as far as the second or third bifurcation (forking) of the bronchi, with the rush of an unobstructed stream. Thence onward into the air cells, the stream is continued through the minute centers of the bronchi, while all around the centers the epi- thelial cells lining the tubes are armed with cilia (hair-like append- ages) which keep up a constant motion outwardly, thus surrounding the indriven outer air stream with an outward-carried inner air cur- rent. By this process a kind of suction pump effect is caused within the air cells, producing in the intervals between inspirations a partial vacuum in each cell, which removes, to some extent, the atmospheric pressure from its walls, when the carbon-dioxide (carbonic acid) that is in the blood passes at once into the cells, and is hurried outward by the ciliary action of the bronchi. Meantime an inspiration lias carried a fresh supply of pure air down through all the centers into the air cells, and a portion of its oxygen slips through the walls of the blood vessels into the blood, just as the carbon dioxide had slipped out of the blood into the air cells. By this interchange of gases the blood is relieved of its burden of impurities that has been gathered from the tissues ; the carbon dioxide expelled and water being two of the final compound products of all the chemical changes that the substance of the tissues have undergone, in their passage downward, from molecu- lar death in and by activity, into their original, inorganic, elemental condition; for, as we are made of gases, so to gases do we continually return. (The few mineral constituents of our bodies are excreted through the bowels, kidneys and skin, and need not to be considered in this connection.) The oxygen that has passed througli the walls of the air-cells into the blood, has a much more dignified work to do. The blood is filled with the fluid nutriment that has been poured into it as the product of digested food; but that food is yet dead matter. Oxygen thrills it into life-plasma fit for the myriad little workmen of the tissues to build into new tissue structures. The animal heat must be maintained; oxygen finds the iron-mole- cules of the blood and burns them as coal is consumed in the parlor grate. The nerves need a vital stimulant, and the chemical action of the oxygen upon the iron, in the burning process, generates electric exci- tations that quicken the nerve vitality from the largest nerve-centers to the outermost filaments of the extremities. 302 THE SECRET OE HEALTH. Thus oxygen performs the one vitalizing part in the whole round of life processes. It is the magic wand that life uses with which to hold in check the chemical forces that are incessantly seeking to disorganize the frame by decomposing the tissues, and so long as vitality can thus be sus. tallied, life will be triumphant. Inhalations of oxygen, or pure air, therefore mean constant rein- forcements of the blood-snpply that is incessantly battling against the forces of destruction. Hence nature has ordained that about eighteen times in every minute, every adult shall inspire sufficient oxygen to keep up the struggle until his allotted time is reached, when, like a "run-down machine," the weary wheels of life shall stand still, not because there is no more oxygen to be had, but because the balance of life- adjustment can no longer be upheld. But while it is sustained, there come frequent periods when forced inspirations must be resorted to, as in lifting heavy weights, leaping, etc., in order to keep up the equipoise between expenditure and income. So, in disease, it is sometimes instinctive, and often beneficial, to employ artificial means to deepen the breathing, and thus more fully oxygenate the blood. As air is a vehicle, it has naturally occurred to very many to use it as a means of transit for other substances which it has been deemed important should be brought into contact with the pulmonary tissues. Thus, inhalation has come to be a system of cure, as well as a nat- ural process. Inhalation carries the inhaled substance into the cells of the lungs and expands them. Were there no other benefit, in many cases this would be sufficient to warrant the method. The healthfulness of mountain-regions and mountain-climbing is owing largely to the forced expansion attending the inspira- tion of the rarified air, and to the muscular exertion that increases it. Inhalation also carries the inhaled substance, if a gas, directly into the blood by the law of diffusion of gases; and if a vapor, or an odor, it is absorbed to an extent, and with a rapidity depending upon the nature of the substance; in some cases permeating the general circulation much more quickly than it would if taken into the stomach. Inhalation also mod- SPECIAL TREATMENTS. 303 ifies the temperature of the air passages. This is sometimes extremely essential. When the lungs are congested, the breath is hot and dry, an atmosphere laden with moisture and tempered to the condition, is as grateful to the sufferer as water is to one who is scorching in the flame of a violent gen- eral fever. Further, inhalation affects the nerves locally, and through the blood, in all the nerve-centers of the frame. Every one of the millions of air cells is meshed all over with a delicate net work of nerves and blood vessels. Inhalation, with deft fingers, touches every one of these myriad of tiny nerve points, and thrills, or soothes, according to its nature. Inhalation is, therefore, very effective in blood and nerve diseases, and can often be employed to better advantage than drugs. In fact, one of the most valuable adaptations of inha- lation is to protect the stomach from the effects of drug medi- cation. By inhalation the patient is often saved from the depressing nervous dread that may attend the use of stomach remedies. The mechanical effect of inhalation is always ben- eficial-the operation is essentially one of health. Inhalations act locally, and the inhaled substance can act unmodified. Take a Case of Ordinary Spring Biliousness in a young lady who has been housed in all the winter, and whose pallid cheeks and listless air at once suggest "a course of spring medicine." What is better? Just this. Let her rise at 6 a. m., don a pair of good stout shoes, a loose dress without corset or stays, and with sufficient wraps to keep her from chills if she sits on a fence to rest, let her walk one-half a mile to the highest point she can find at that distance, and when there take ten deep, long, slow, way down inspirations in pairs, resting a few minutes between each two; then return and lie down if necessary, well covered, until thoroughly rested. Then drink one-half to one pint of hot water, and twenty minutes later take a breakfast of brown bread, beef steak and baked potatoes. For dinner give her brown bread, boiled meat or poultry, one kind of vegetables, and for dessert one kind of fruit. In the afternoon, attired for the same freedom of movement, she may walk or saunter to precisely the same spot as in the morning, repeat the ten inspirations, rest, then take a moderately deep breath and move swiftly as much further as she can comfortably before drawing another breath. That spot will be her goal the next morning, 304 THE SECRET OF HEALTH. and a like distance beyond it the next afternoon. Her supper should be brown bread with butter, one kind of fruit, a glass of hot lemonade, or a cup of very weak black tea and a speedy retirement from the table before the cake is passed. At 8.30 a sponge bath of strong sale water witli much friction of coarse towel in her own hand, and in bed by nine o'clock, with a window slightly open for free ventilation. Then six to ten very quiet, but deep inspirations; then the sleep of the just. The next morning away for the goal, and that afternoon plant it the prescribed distance beyond, and so on every day for four weeks, and our word for it, she will be better than if she had taken all the tonics and blood purifiers of the apothecary shops, and had eight visits of the family doctor thrown in. 25. The Biochemic Cure.-This was originated twenty years ago by Dr. Schussler, of Oldenburg, Germany, and has been regarded as a branch of homoeopathy, but this is a mistake. Its fundamental ideas are: (1) The structure and vitality of the organs of the body are dependent upon certain necessary quantities and appor- tionments of the mineral salts existing naturally in the blood. (2) Disease is some disturbance of either or both the quantity and apportionment of some one or more of those inorganic (called cell) salts. (3) The particular disturbance is indicated by the symptoms of the disease. (4) What is necessary to remove the disease is to restore the lost balance, by the admin- istration of the salt indicated by the symptoms. (5) The twelve tissue remedies are these salts, either singly or in dual combinations. These salts are potash, lime, silica, iron, magnesium, sodium, phosphorus, sulphur, fluorine and chlorine. This system has the advantage of being perfectly harmless, and, at the same time, efficient, but it requires a skill in diagnosis that places it beyond the successful use of any but very acute observers. 26. The Densmore Preliminary Treatment.- The general outline of this treatment is excellent, but may be advantageously modified in many cases, Its rules are thus briefly epitomized: SPECIAL TREATMENTS. 305 No food for forty-eight hours. After that continue the fast until the patient lias decided hunger. Administer frequent copious draughts of soft hot water; after the second day, substitute cold water if desired. Apply heat to the feet and cold to the head. If there be pain anywhere, apply hot fomentations. In severe pain of stomach or bowels, give one-half pint of hot (132°) water every five or eight minutes until relieved. Administer an herb tea cathartic once in twenty-four hours until there is a thorough movement. (He does not name any particular cathartic, hence we suggest mandrake, aloes, berberis or butternut.) Induce free perspiration by a hot bath. After the pain yields, give a bath of warm soft water to one part after another, rubbing each dry as the process goes on. If pain returns after the first relief, give another sweat before the bath. The first food should be beef, mutton or chicken. 2 7. The Kneipp Cure.-About thirty-six years ago Se- bastian Kneipp, now parish priest of Wbrishafen, Bavaria, then a student, broken down by excessive study in order to become a priest, read a little book on water cure and began to practice its instructions. He regained his health, and for several years devoted himself zealously to his parish work. Also, being benevolently disposed, and sympathizing with the suffering, especially of the poorer classes, he freely prescribed water treatment for them. His success was such that at length many sought to avail themselves of his skill, until now it is widely used in Europe by all classes. Numerous great institu- tions make a specialty of it, and the cures effected have been marvelous. Since he published, in 1886, his system of water healing, more than two hundred thousand copies in thirty-three editions have been issued in various languages. His system is unlike the practice of the ordinary water cure establishments, and the essence of his theory may be found in this statement. "According to my present convictions, now fixed for seventeen years, and tested by innumerable cures, he who knows how to apply the water in the plainest, easiest, most simple way, will produce the most profitable effects and the safest results. Three times I found myself induced to change my system, to loosen the strings, to descend from strictness to softness, from great to still greater softness." He holds that disease is disturbed circulation, or corrupted ingredi- ents of the blOOtb find that cure consists in correcting the irregularity 306 THE SECRET OF HEALTH. of the blood circulation, or evacuating the morbid matters from among its constituents. Water cures by (1) dissolving the morbid matters in the blood, (2) by evacuating what is dissolved, (3) making the cleansed blood cir- culate rightly again, and (4) hardening the enfeebled organism. The applications that Kneipp uses are wet sheets, baths, vapor baths, shower baths, ablutions, water bandages and water drinking. In general the dissolving is brought about by the vapors and by the hot baths of medicinal herbs. The evacuations are caused by the water bandages, and partly by the shower baths and wet sheets. Strengthening is induced by the cold baths, the shower baths, and partly by the ablu- tions, and finally by the entire system of hardening. His maxim is : " The gentler and more sparing, the better and more effective." Many will think that this maxim is for- gotten when his means of hardening are named: Walking barefooted in wet grass, on wet stones, in newly fallen snow, or in cold water, with Cold baths for arms and legs, and a knee shower with or without upper shower. But if proper atten- tion be given to his other directions, nothing but benefit may be expected. The application of ice has no place in his cure. To the water applications he adds about sixty simple herbs and oils, all of which are described and directions given for their use, with the exception of his "secretive oil," which is, undoubtedly, a mixture, of which croton oil is the efficient ingredient. To describe his treatments would be to copy a large part of the nearly 400 pages of his book,-which is well worth a study,-but the essential parts are incorporated (with modifications suggested by our own experience) in Our Doc- tor's Water Cure, in a following section. 28. The Tractor Cure.-Dr. Perkins, of Connecticut, introduced the use of discs of different kinds of metal, which were applied over the affected parts with almost marvelous results in the relief of pain and removal of disease. It has been proved that wooden tractors had the same effect. Mag- nets have also been used, but with no better results. Charcot, of Paris, member of a committee appointed by the Societie de SPECIAL TREATMENTS. 307 Biologie, attributed the effects to electricity, but Bennett, of England, disproved that, hence English physicians substituted the theory of " expectant attention." (Shoemaker and Aulde.) In reality it seems to be but a special application of mind cure, the chief field of its operation being hysteria and paraly- sis without organic lesion. 29. The Earth Cure.-Dr. Addinell Hewson, of Phil- adelphia, introduced earth dressings twenty years ago. The mud baths of Pistyan, in Hungary, are famed all over the world for the relief of chronic rheumatic and gouty affections. Sir Spencer Wells also recommends such baths for bone dis- eases and metallic poisoning. Ma'izel has used white modeling clay for uncomfortable fullness and inflammation of the breasts. For local swellings and inflammation, ordinary brick- yard clay is one of the best of remedies. Boils, carbuncles and felons should be treated early, the clay kept moist, and calcium sulphide given internally. 30. The Climate Cure consists in sending the patient to some climate not only different from his own, but which fur- nishes such qualities of moisture, temperature, elevation, and shelter or exposure, as will best fit his particular infirmities. Intelligent prescriptions in this direction presuppose a knowl- edge of the latitude, longitude and altitude of resorts in ques- tion, as well as their proximity to ocean, lake or river, and their situation in regard to mountain, plain or valley, and marsh or timber land. Knowledge of the temperature should embrace both extremes, because while the mean may be equa- ble, there may be 40° difference between night and day. At Fort Yokon, Alaska, the day extremes are from 100° above to 70° below zero. The effect of the climate upon the development of diseases and the longevity of its people should also be known. Whether it is a spring, summer, fall, winter, or all the year resort, is also important. The character of the soil and water supply should not be overlooked. What are the facts and principles upon which a change of climate should be predicated ? The facts have relation to five 308 THE SECRET OF HEALTH. supreme needs of the patient, namely: (1) More complete oxidation. (2) Greater healthful assimilation. (3) More thor- ough elimination. (4) More rest. (5) Increased activity. Some invalids may not have one or two of these needs, but in general they are absolute. The facts also have relation to various local conditions. 1. Humidity or Moisture.-Moisture and equability of tempera- ture always go together. The point of saturation, that is, when fogs and dews are produced as a natural condition, is often found on the sea coast, while on the eastern plains of the Rocky Mountains the sat- uration is little more than half as much. For example, New Orleans gives 5.6 grains of vapor per cubic foot of air, while Denver has only 1.91. 2. Temperature, which includes not only the mean for the year, but the absence of great extremes, and sudden violent variations. Low temperature is favorable because of the greater expansion of the inspired air, thus stretching open the air cells. Cold contracts; heat expands; hence when air at 20° above zero is inhaled, the heat of the body instantly expands it to a far greater degree than when inspired at 60°. Cold stimulates, while heat depresses. Cold also checks the for- mation of disease germs. According to Koch, the tubercular microbe thrives best at 98° to 100°, while its growth ceases entirely below 82° and above 107°. Heat lessens the number of respirations per minute from 16.5 in England to 12.7 in the .tropics, and lessened the amount of air respired from 239 cubic inches at 54° F., to 195 at 82°, a difference of over 38 cubic feet in twenty-four hours. Heat is opposed to stimulation, so far as the nervous system is con- cerned. "In experiments on frogs, when a temperature much above the natural amount is applied to nerves, the electrical currents through them are lessened and at last stop," says Eckhard Henle. Dr. Bodington affirms that cold, pure air, at the interior surface of the lungs does more to heal ulcers than any other means. Under cer- tain conditions cold is also sedative, producing the most refreshing sleep. 3. Altitude, or height above sea-level, the importance of the fact consisting in the rarefaction of the air and its increased purity. The superficial area of a man's body is reckoned at sixteen square feet. Atmospheric pressure is three pounds less per square inch at an eleva- tion of 6000 feet than at the sea-level. This relieves man of an outside pressure of 7000 pounds. Leibas Kuhn, endorsed by Dalton, computed SPECIAL TREATMENTS. 309 the area of the respiratory surface in both lungs to be 1,400 square feet, equal to 870 times as much as the surface area, hence at that elevation the lungs are relieved of a pressure of 612,500 pounds. The first effect is, respiration is more frequent. After a while it becomes much deeper. A corresponding increase of the circulation occurs throughout the lung tissue, thus removing the stasis of the blood, which is an early stage of inflammation, loosening up and throwing off both the morbid deposits which predispose to congestion and the products of inflammation. This improved respiration and cir- culation are followed by increased digestion and nutrition, more com- plete oxygenation of the tissues and more thorough elimination of effete material, with correspondingly improved general condition. Electric Tension in the atmosphere is increased with elevation. With a clear sky the electricity of the air is always positive. The con- tinued mediumship of the human body between the negative ground and the positive air, whether one is on foot or on horseback, is a con- stant renewal of vitality. Here is the secret of the great utility of camping out and roughing it in dry, elevated countries (Dr. T. W. Miles), and is one of the most important elements of cure for the invalid. Air is Ilarified one-fifth at an altitude of 6000 feet. The objection is made that this greater ratification diminishes the oxygen supply, but tills overlooks the difference in temperature. Lombard has shown that as much oxygen is had at an elevation of 3000 feet with a temper- ature at 32°, as at the sea level with a temperature of 65°, with the added benefit of the stimulated respiration by the cold. From an elevation of 8000 feet in the southwestern part of the United States, to about 4000 on our northern boundary, there is an approximate immunity from phthisis, testified to by Jourdanets, Weber, Jaccond, Denison, Lombard, Williams, Kuchenneister, Bremer, Archibald, Smith, Fuchs, Mobry, Spengler, Kirch and Guilbert. Until acclimated there is increase, both in frequency and depth of respiration. The increase in depth is permanent. Transpires More Water.-Dr. Dennison has shown that at Denver, Colo., an ordinary man transpires eight ounces more of water from his lungs in one day than at Jacksonville, while at Cheyenne, Wy., in winter the excess is thirteen ounces over Charlestown, S. C., in sum- mer; and if the modifying effects of exercise be added, the difference is over one pint a day. The value of this fact is seen in the diminished moisture of the lungs, that furnishes a convenient medium for the growth of the microbes of disease; and in the solvent and carrying power of the exhaled vapor transporting noxious matters out of the lungs. | 310 THE SECRET OF HEALTH. Dr. Boyd Corniek has ably controverted these views, affirming that dryness is the only quality that is really beneficial, whether at high or low altitudes; and that the good arises, not as Dr. Dennison claims, from the increased transpiration of aqueous vapor from the lungs, but from the rapid evaporation of serum transuding from the engorged superficial capillaries of inflamed pulmonary areas. In our view, both are right, and the processes are, perhaps, equally valuable. Higher altitudes also enjoy immunity f rom bacteria. In July, 1883, Miguel found no bacteria in the air of Switzerland at an elevation of from 6,500 to 3,000 feet, but in 35 cubic feet of air on the Lake of Thun he found eight bacteria, near a hotel on the lakeside 25, in a room of the hotel 600, in the park at Montsouris 7,600, and in the air of Paris 50,000. 4. Sunshine.-The number of days in a year in which the sun is not obscured by clouds is important. The variation of cloudiness ranges from above 60 per cent, of the time over the interior lake-region, to less than thirty over Colorado, New Mexico and Arizona. Dr. Miles asserts that the beneficial effects of sunshine increase with high altitudes. Lombard states that light stimulates and dark- ness impedes respiration, which is in accordance with the facts stated on Pages 8 and 9 of this treatise. 5. The Soil.-Remembering that for every inch of rainfall one hun- dred tons of water fall on every acre, the character of the soil becomes of great importance in determining the healthfulness of any locality. Heavy clay soils retain a large portion of the surface drainage, to return its d leterious contents in unhealthful exhalations, or in the solutions which constitute the drinking supply. On the other hand, light sandy soils, being more permeable by the sunbeams and gases, undergo a constant process of purification, by which the decayed pro- ducts of vegetation and surface drainage become decomposed and harmless. 6. The Water Supply stands closely related with the character of the soil, and from a hygienic standpoint is of no less consequence. Sandy soils allow the surface water to percolate long distances, becom- ing, thereby, natural filters which pour forth their purified products in sparkling streams of the purest water. If the reader will turn back to Page 11 he will find facts which strikingly illustrate the importance of this element in estimating the comparative advantages of different localities. 7. Shelter.-By this is meant not equability, but the proximity of mountain ranges protecting from cold and raw winds, also from the sudden and violent changes that come from being situated in ravines. Variability is desirable, violent changes the reverse. Variability and dryness go together, and often, from the damage that ensues, the change gets the blame that belongs to humidity, which is always SPECIAL TREATMENTS. 311 excessive when the change is injurious. A moderate degree of change is required, in order to properly tone the system, as no climates are so debilitating as those that are most warm and equable. 8. Ozone is nature's disinfectant, resolving all putrescent matter into its primitive and harmless forms. Dr. Shrieber, of Vienna, says that the turpentine exhaled from pine forests possesses, to a greater degree than all other bodies, the property of converting the oxygen of the air into ozone. The breaking of the water of falls into spray also produces ozone in large quantities. A stream of ozone passed through a mass of black, offensive and putrescent blood, effects a change in it as if by magic; immediately, as soon as the operation has commenced, all disagreeable odor is removed. If ozone be diffused through apartments or elsewhere, it not only disinfects by removing noxious vapors and poisonous germs, whatever their character may be, but being, itself, in the gaseous form, it is inhaled during respiration, and passing into the blood through the lungs, it oxidises the used-up and effete matters produced during assimilation and the renewal of various tissues, thus effecting a certain resistance to these pernicious influences if retained within the human body. (Dr. Day.) 9. Drainage is a very important factor, because when deficient, poisonous products are constantly exhaled in the air and taken into the system through the water supply, as already stated. Sandy and loamy soils, with mountainous configurations, furnish the best soil and advantages for complete drainage. 10. Clearness or Transparency of the Air.-This is a decided indication of its purity. As with water, the greater distance one can see through it the greater is its purity, so with air. Special Hints.-No climate should be regarded as curative, but simply palliative; yet changes can often be made that will restore health and prolong life many years. Patients should rarely seek a change of climate after dis- ease has reached such a stage as to render home comforts absolutely imperative. These comforts may seem necessary, but many a consumptive owes his life to having left his luxu- rious New England home for a life on the plains of Colorado or Arizona. Patients afflicted with a particular disease should not seek a locality where that disease abounds. For example, in Flor- ence, Malta, and Maderia, consumption is prevalent among the native inhabitants; therefore they are unfit refuges for consumptives from abroad. This reasoning has been abund- antly confirmed by experience. 312 THE SECRET OF HEALTH. At Nice, which has been a favorite resort of English invalids, espe- cially those afflicted with lung complaints, there are more native inhabitants that die of these maladies than in any English town of equal population. Naples (only mentioned here by way of contrast), the climate of which is the theme of so much praise, shows in her hos- pitals a mortality by consumption equal to one in two and one-third, whereas in Paris,-whose climate is so often pronounced villainous- the proportion is only one in three and one-fourth. In Madeira no local disease is more common than consumption. The principles deduced from the foregoing facts are as follows: 1. Concerning Humidity.-Consumption requires a dry air, because, as shown by Dr. Dennison, it has so much greater power to absorb the aqueous vapor from the lungs, and with it the germs of the disease. Thus, in 1883, with a mean tem- perature of 71.3° at Yuma, Arizona, and Jacksonville, Florida, a man at rest threw off 864 grains a day more at Yuma, which (on the basis of Dr. Edward Smith's calculation that a man walking three miles an hour at sea level consumes three times as much air as when at rest) gives about a gill more a day exhaled at Yuma than at Jacksonville. Dr. C. J. Williams, after a thorough analysis of 593 win- ters spent by 251 consumptive patients in foreign climates, says " the dry climates are the most likely to arrest the disease." All invalids should seek the dryest air procurable, the rule being qualified only by these exceptions: First-In acute irritation of the respiratory passages, with dry, irri- table coughs and scant viscid expectorations. Second-In irritable, nervous diseases, with not much debility. Third-In old age, attended with nervous irritability or febrile tendencies. In the above conditions an atmosphere loaded with mois- ture may be a temporary benefit. The most desirable mean humidity is 68. Other local conditions of importance will be referred to in the following brief general rules, for guidance in the selection of an appropriate climate. 1. Concerning Humidity.-Humidity and equability being always associated, there is an absence of the nervous stimula- SPECIAL TREATMENTS. 313 tion that characterizes dry and more elevated localities, and if the humidity be considerable it may have a sedative virtue. 2. Concerning Temperature.-In tuberculous diseases, the coldest temperature available should be sought, provided it possesses the other necessary conditions of the climate for such cases. Individual adaptability should always be consid- ered. This may be best learned, as to temperature, by one's own experience in health, i. e., he should seek a colder or warmer climate, according as he has felt best in winter or summer when in health. 3. Concerning Altitude.-When the usable area of the lungs barely supports respiration at low levels, it is unwise to seek higher, because the only compensation for the diminished oxygen (owing to the increased rarefaction of the air) is the added increase of the lung capacity. Only those invalids should seek high altitudes whose heart and blood vessels can bear the strain of the accelerated circu- lation, resulting from nature's effort to oxygenate the system with the diminished supply, excluding those who have serious heart weakness or existing pulmonary hemorrhage. Those of great nervous excitability should avoid high alti- tudes, because of their extra stimulation to the nervous system. 4. Concerning Sunshine.-As the chief value of the sun- shine to the invalid is outdoor life, if the case has become too critical for that, a change of climate seems scarcely desirable. The extent of the outdoor life should be measured only by the opportunities afforded by the sunshine and the physical capac- ity of the individual. A gradation may sometimes be of bene- fit, increasing the habits of outdoor life as the health improves, and corresponding climates may be sought. 5. Concerning the Soil.-A soil of sand or light loam should always be preferred to one of marsh or clay, for reasons already sufficiently detailed. An unfavorable soil may neu- tralize all the benefits accruing from other excellent climatic conditions. A favorable soil may secure benefits in the absence of other desirable conditions, that ordinarily would be attrib- uted to their operation. 314 THE SECRET OF HEALTH. 6. Concerning the Water Supply.-Pure spring water should be preferred to that of large lakes, rivers, or excavated wells. This is especially important in rheumatic and kidney diseases. Where the speckled trout is found, we may be sure that the streams are pure. 7. Concerning Shelter.-Localities situated where, by the topography of the country, they are liable to become channels, through which storms gathered upon adjacent mountains are poured upon the plains below, should be avoided. Localities directly in the path of winds gathered over wide areas of cold water or snow-covered territory, should be shunned; yet the shelter should not be so complete as to shut out the breezes necessary for invigoration. 8. Concerning the Ozone Supply.-Whatever may be the ailment, the larger the supply of ozone in the air, the better is that feature of the climate for the invalid. Hence, other things being equal, proximity to the long-leaf turpentine pine forests (not the white pine) affords the best attainable supply of health-giving air. 9. Concerning Drainage. - Where nature builds and flushes her own sewers independently of the effort of man, is where the invalid may be insured of immunity from the dele- terious effects of stagnation and accumulated decomposition. 10. Concerning Clearness of the Air.-An atmosphere so transparent and pure, that meat hung in the open air cures perfectly without putrefaction, must be more favorable for the perfect elimination of effete and poisonous material from the system, than one where sight and sound are both greatly cir- cumscribed, and nitrogenous material can only be preserved by use of antiseptics. In the Application of these Principles, we have not the material at hand for anything more than a casual comparison of some of the more noted places within our own borders. Aiken, S. C.-Six hundred feet above sea, surrounded by pine for- ests; pure, tonic air; loose soil; mean temperature of November, Jan- uary, 481/2° F. Pure water supply and excellent drainage. Ashville, N. C.-Altitude 2350 feet. An all-the-year resort. Aver- age rainfall, 40.2 inches per year; mean temperature, 55.3°. Sheltered SPECIAL TREATMENTS. 315 by mountain ranges on the east and west, soil sandy, excellent drain- age, and wind comparatively dry. Ratio of deaths for that vicinity, compared with New England, 30 to 250; compared with Minnesota and California, 30 to 150. California.- Valleys wet and malarious. Daily variations of tem- perature from 80° to 100° days, to40Jor 30° nights. A/ountains. High altitude and too great variation of temperature every twenty-four hours. Affects the nervous system and heart unfavorably. (Dr. Sam- uel Clark.) In the valleys of California the summer variations of temperature are from 100° in the day to 30° in the night, causing rheumatism, neural- gia, and inflammation of the lungs. The mountains have but two sea- sons, the rainy and the dry. The daily variation of temperature is so great, together with the altitude, that nervous and liver diseases, rheumatism and inflammation of the lungs are prevalent. Some places in Southern California are free from these objections as a winter resort, and hence much frequented at that season and with benefit. Colorado furnishes almost any altitude or climate desired. Few changes or extremes are so severe as to prevent outdoor exercises, in the more favored localities. Dry, sandy soil. Rains are short, and soon succeeded by bright sunshine. Winter temperat ure averages 29°. Drainage usually good; sheltered by the Rocky Mountains on the west. Altitude from 4,000 to 15,000. Little humidity and great clearness of the atmosphere. Water supply abundant and of the purest quality. Fogs and clouds are rare. El PASO, Texas.-Altitude 3,764 feet. Average of 53 days per annum when the temperature falls below 32°, the freezing point. Very dry; average cloudy days, 29.6 per year, or 2V2 per month. Annual rainfall is 12 inches. Least wind during winter months. An all-the-year cli- mate for invalids, and from Oct. 1 to May 1 almost perfect, with a mean temperature of 44J in January. Denver.-According to the records of the signal service office of Denver, Col., from Jan. 1, 1873, to Sept. 1, 1878, sixty-eight months, there were but seventeen days during which the sun was invisible during the whole day. Dr. Baldwin has shown that Denver has about one- third the moisture that New Orleans and Jacksonville have, and less than one-half that of Santa Barbara. Altitude over 5000 feet. Mean temperature, 49.2 ; moisture 51, rainfall 12 inches. Superb water sup- ply, sheltered from the cold winds of the Pacific by the Rocky moun- tains. Soil, drainage, and clearness of air as in other choice localities of Colorado. Florida.-Low altitude, raised comparatively but a few feet above the sea. Sunny, genial climate during the winter months, but oppres- sively hot and relaxing in the summer. Soil sandy. Water near the shore poor. Drainage imperfect. Humidity excessive. Las Vedas, New Mexico.-6767 feet above sea level. Dry climate. August is the cloudy month. Total rainfall 20 inches. In a region of pines, air clear and pure, water good, drainage excellent. The hot springs are celebrated for the relief of chronic rheumatism, syphilis, asthma, chronic malaria and consumption. The hot spring waters have the qualities of dilute Carlsbad. Population 6000. Minnesota.-Cold, dry. The pine woods of the Minnesota Lake Superior region are better for consumptives than tropical places, and constitute a good medium between the sea shore and the higher alti- tudes of Colorado. Average altitude 1000 feet. Over 8000 lakes within its borders. Soil moist, with cold winters and warm summers. Aver- age temperature, 44°; rainfall, 35 inches. Nassau, New Providence (one of the Bahama Islands). Most equa- ble climate of any of the American sanitaria, the temperature for a period of years not having risen above 88° F., nor fallen below 60° F., mean 78.3. During the winter months bright, clear weather, with little or no rain. Soil of coral formation, light, thin, low and flat. Southern New Mexico.-Moderate altitude, pure, dry air. Dr. A. Petin traveled all over the United States as commissioner of "The Societe Medicale" of Paris, in search of the best locality for a sanita- 316 THE SECRET OF HEALTH. rlum for consumptives, and reported the vicinity of Los Crucces, N. M., as the best," and Dr. Brown, of Victoria, N. M., affirms that the area two or three hundred miles up and down the Rio Grande possesses the same advantages. Heat is never oppressive, and the temperature seldom falls to 32°, averaging 50°. Sky usually cloudless. Rainfall from 10 to 30 inches. Air so pure that meat may be preserved without salt. No consumption among the natives nor among Americans born in the territory. The winds are chiefly in February and March, and are then dry and cool. Dr. Wrouth deems the climate bad for emphy- sema, bronchial dilatation, consumption in the aged or those too weak to take exercise, and when so much lung tissue is destroyed that the remainder is insufficient at lower levels. Rocky Mountains.-The western slope has a rainfall of 65 inches for the year, while in the same latitude and less than two degrees lon- gitude east, the average rainfall is but seven and one-half inches. Dry, sandy soil. Protection is afforded by the mountains on the east and northeast. Special resorts described under their proper names. Santa Fe, New Mexico.-It has been said, the most important ele- ments in any climate for treatment of disease are pure air, free from dust and organic particles; an abundance of sunshine, so that the invalid may spend much time in the open air; equability of tempera- ture, that the body, weakened by disease, may not suffer from extremes, and a sheltered position from hot or cold winds. Santa Fe possesses all these characteristics to a great degree. It has the pure mountain air of the regions, in view of perpetual snow; shut in from the north, northeast and the east by the adjacent mountains. It is never extremely hot; lowest winter cold 5° below zero, mean tempera- ture 49°. The valley has sunshine 360 days in the year. Southern Pines, North Carolina. - Protected from northwest winds by the Appalachian mountains. Mean annual temperature 58°, summer 77°, winter 44°; latitude 32° 12" north, and longitude 72° 21" west. Sandy soil of great depth, covered with long leaf pines ; 600 feet above sealevel; rainfall 45 inches; dry air; water abundant and fine; winter climate modified by Gulf stream. The drainage is perfect, forming the water shed between two streams. Ozone much greater in a coun- try covered with the long-leaf than one invested with the white pine. Tennessee.-The climate is mild both in summer and winter; temperature, winter, 38°; spring, 57°; summer, 75°; autumn, 571/2°. It might be termed the Eden of the South, if not of the whole country, owing to its altitude, character of soil, and mild temperature. Alti- tude 7000 feet on the east to 300 feet on the west. Soil in the east rocky, in the west rich. River loam. Our Doctor's Water Cure.-This contains nothing mysterious nor outside the domain of ordinary laws. (1) The Qualities of Water.-Water has four qualities only that need to be considered, namely, moisture, tempera- ture, impact, and as a solvent. The moisture loosens and is absorbed, i. e., poultices and evaporates. The temperature ranges from the freezing point to 120° F. The impact is graduated by the force of the stream, and the amount of protection, and the time of exposure. The solvent property takes up and removes obstructive matters with which it comes in contact on the surface, in the pores and in the blood vessels, SPECIAL TREATMENTS. 317 Ab remedies these properties stand related to (2) certain physiological phenomena, namely: Stimulation, reaction, relaxation, absorption, astringency, tonicity, secretion and elimination. The laws (that is, uniform sequence of facts) of their action are: (A) Concerning Moisture- 1. It poultices, that is, relaxes and absorbs, according to its temperature and the degree and time of its confinement upon a surface. The extent of the absorption is indicated by the fact that immersion of the whole body thirty minutes at 95° F., has increased the weight eight ounces. 2. Its evaporation cools or chills, in the ratio of the rapidity of the process, and the time of its continuance. 3. It loosens to the extent of its absorption by any tissue. (B) Concern ing Temperature. 1. Cold applications-33° to 55° F.-by the abstraction of the heat from the body drive the blood from the surface, hence constrict the blood vessels because cold contracts, and astringe the tissues to which they are applied; and if at all extensive, excite shivering, which is nature's effort to restore the balance of the circulation. Muscular contraction is the principle source of heat in the body. Billroth and Fisk noted more than 5° C. increase of heat in warm blooded animals from a spasmodic condition for ten minutes. 2. If the application be soon removed, a revulsive effort of the circulation returns the blood with such force as to expand the blood vessels to a greater extent than before the application, and increases the quantity of blood in the part, thus proving a tonic, because it increases the nutrition of the part, together with a slight molecular astringency. 3. If the cold application be continued, the abstraction of heat also goes on, prolonging the blood-expelling effect, and thus proves a vital depressent, because it robs of heat and nutrition necessary to vitality. 4. If the application be only cool-55° to 65° F.-and for a short time, and if the power of reaction be good, there is 318 THE SECRET OF HEALTH. first a gentle abstraction of heat from the surface, then a slight increase of the local circulation. Cold air (much less efficient than cold water) at 64° to 68° F. so constringes the superficial vessels and contracts the muscular fiber of the skin that arterial pressure is raised from 200 to 300 grams-i. e., from 7 to 10 ounces. (M. ch. Fere.) It is as a result of this increased pressure that the local circulation is elevated in the reaction which ensues. 5. If this be too long continued, or if there be deficient reactionary power, its effect will be the same as extended cold applications (3). 6. If the application be tepid only, 70°_to 85°, it relaxes the skin and extremities of the nerves, and thus becomes soothing, in accordance with the law of relaxation, namely: An impression made upon the nerves of a part by warmth, moisture or deficient vitality, temporarily abstracting the tonicity of the structures and thus loosening their fiber, is relaxation, which favors both secretion and excretion, but may vitiate the quality of the secretions. 7. If the application be hot, 95° to 100° F., it stimulates, because it brings an abnormal degree of heat in contact with the surface, and also accumulates internal heat that cannot escape. The heat production of the body is 1° C. every 30 min- utes, enough were there no loss to raise the body to the boiling point of water in 36 hours. Three to 6 per cent, is lost in the urine and feces, 9 to 20 in heating the air that is inspired and vaporizing the water eliminated by the lungs, while 77 to 85 per cent, is lost by radiation, conduction and the evaporation of perspiration, all of which are stopped by the hot bath. This bath is not advisable when the skin is cold and clammy, unless the water is used as a vehicle for the strongest stimulants. In other conditions it is an excellent general stimulant. 8. If the application be speedily removed, the effect is only that of a local stimulant generally applied. 9. If the application be continued it astringes, because the nervous stimulation of the abnormal heat and accumulat- SPECIAL TREATMENTS. 319 ing internal heat throws the circular fibers of the minute blood vessels into tonic spasm, thus reducing their caliber, condens- ing the tissues, and hindering both secretion and excretion. The Law of Astringency.- being the opposite of flaccid- ity or relaxation, is the compacting effect upon the fibers of the struc- tures of an impression made upon the nerves by cold, by extreme heat, or by the chemical effect of certain agents. It is, in its nature, the same as tonicity, only the latter indicates a permanent state, while the former is transient, and may also be excessive. 10. If continued over a large extent of surface, the water may induce faintness before the stimulation has given place to astringency, because the rush of blood to the capillaries of the skin partially empties the brain and large blood vessels. This unbalanced condition of the circulation continued beyond a brief period, becomes prostrating, because the reversal of the natural process of importation of heat by the vital organs interferes with the molecular relations of the nervous centers. Yet Dr. Baelz asserts that the hot bath of Japan (106° F.) raises the body temperature to 104-105. 8° F., increases the pulsations and dilates the blood vessels, but does not depress or weaken as does the bath at 98° F. No explanation is offered. He recommends pouring hot water on the head on entering a hot bath, to prevent cerebral anaema, and prescribes it three or four times a day in capillary bronchitis, lobular pneumonia, rheumatism, nephritis, and the uterine colic of menstruation. Air may be borne ten minutes at 269° F., while water at 124.9° can- not be endured a moment. A bath at 113.9° F. may be endured for eight minutes, but it is dangerous. 12. If the application be warm, 85° to 95°, it has, to a modified degree, the effect of the hot application; i. e., there is dilatation of the blood vessels of the skin, softening of integ- ument, copious perspiration, quickened pulse and respiration, but with a slight general decrease of temperature ; because, as the heat is retained it soon relaxes the cutaneous tissues, and increases its circulation and expends the heat. In flashes of heat and sweat, this bath gives steadiness to arterial circula- tion of the surface. 320 THE SECRET OF HEALTH. 13. This warm application, long continued, engorges the blood vessels of the surface, and by continuous distention ultimately weakens them, so that a state of passive congestion of the capillary circulation may supervene. 14. If the application be lukewarm, 65° to 70° F., its effect is the same as the tepid, to a modified degree (6). 15. The alternation of the hot and cold in quick succes- sion increases circulation, warmth and tonicity, provided the hot applications be as in No. 8, and the cold as in No. 2, and the cold end the series. 16. If the application be tepid, 70° to 85°, at 80° it is a mild yet efficient relaxant to the capillaries, nervous periph- eries and sebaceous glands. It reduces the temperature in fevers, cleanses the skin, produces capillary softness and dis- tention, obtains afflux of blood from any congested internal organ, and relieves the nervous system. This may be used three or four times a day in appropriate cases. Not suited to strong local or general congestion, to flaccidity of the struc- tures, a cool surface, a tendency to colliquative perspiration, threatening gangrene, or chronic reduction of vital energy. (C). Concerning Impact. 1. Impact arouses nervous action, and by it calls the blood to the impacted surface. 2. This effect is dependent in degree upon the force of the impact, the temperature of the water, and the reactionary power of the system. 3. This effect is governed by the law of stimulation, which is; We are organically constructed so that by reason of the alternate, molecular contraction and relaxation of the structures, an impression made upon the nerves of a part,-whether by concussion, temperature or chemical excitation, if above the normal average,-immediately calls an increase of circulation to that locality and temporarily exalts its vitality, that is, stimulates it. The distinction should be clearly made between stimulation and tonicity; the last is an increase of the fiber-density, as well as of the vitality of the part, and has a character of permanence instead of being a mere transient condition. SPECIAL TREATMENTS. 321 (D.) Concerning the Solvent Properties of Water. 1. Hot water possesses it to a greater degree than cold. 2. Pure water has more solvent power than impure. 3. Its solvent power may be increased by the addition of certain other things. 4. Within certain limitations of temperature, the solvent property of water is the index of its utility in the animal organism, i. e.: Pure water can take up and pass out of the system a much greater percentage of the wastes from the physiological processes, than water can that has its solvent capacity nearly satisfied before its ingestion. Hence pure rain water boiled, is preferable to many spring waters. The Physiological Functions of absorption, secretion and elimination are chiefly governed by the condition of their respective organs as to relaxation, stimulation and tonicity, hence it is easy to see that water applications may be full of potency for good or evil, since they so powerfully affect these conditions. The Proper Use of Water.-Upon the foregoing facts, and laws must be reared any superstructure of the rational use of water in the treatment of disease, always bearing in mind that all physiological processes are subject to the idiosyncrasies and physical conditions of individuals. Hence a prime factor of successful treatment always must be careful adaptation to the individual treated. 3. The Special Points About the Patient to be noted are: 1. Special idiosyncrasies, whether aversions, dreads, parti- cular susceptibilities, cravings, or particular unsusceptibilities. 2. Physical condition. A, Temperament-the sanguine can bear lower temperature than others. The bilious are hard to effect, hence need decided and even heroic treatment. The nervous temperament (not merely nervous people, for persons of all temperaments may become nervous) require short appli- cations with frequent changes. The lymphatic are slow to react and particularly liable to be injured by the injudicious use of water. 322 THE SECRET OF HEALTH. B, Special derangements. These may exist in the organs of circulation, respiration, nutrition, absorption, secretion or elimination, and may consist in a state of relaxation, astrin- gency, stimulation, congestion, inflammation, or suppuration; all of which should be carefully ascertained before the treat- ment is outlined, else it becomes the merest guess-work. C, Existing vitality. No point can be more important than this. A temperature that may be full of blessing to one, may be almost death to another. Two questions must be ever-pre- sent in the mind of the prescriber of water applications. Is there general vitality enough to secure quick and complete reaction from the cold ? Is there local vitality (especially of the brain, heart and blood vessels,) enough to secure against rupt- ures, faintness and prostration? 3. Intelligence-i. e., sufficient to apply the water treat- ment with good judgement. A gentleman was denouncing the system because he had tried it and it worked badly. "What did you do?" was asked. "Why, I held my head under the pump and let the ice-cold water pour on it for fifteen min- utes." Such stupidity deserves only bad results. Yet the lack of intelligence so often exhibited in the use of water as a curative agent is not altogether the fault of the people, for where can be found a clear statement of the laws governing this subject? Plenty of treatises there are, brimful of methods that by their very multiplicity confuse, but which fail to tell why. And without the knowledge of the why, how can any inexperienced man be expected to the requisite judgment ? 4. Disposition. If everything else is right, has the pati- ent the disposition to use these means? If not, his experiment may be foreseen to be a failure. Better let him dose with drugs that will work when once they are swallowed whether he be persistent or otherwise, and get what good he can from them, than to stigmatise this plan of healing by his failure. 5. Circumstances. These must always be consulted. To order a full-pack of an hour's duration for a poor mother SPECIAL TREATMENTS. 323 alone with her babes, obliged to work, 16 hours of every 24 for bread, might be just what she ought to have, but obviously impossible in her case. The efficiency of the system must often be sacrificed to the imperative of circumstances. 6. Diseased conditions. All acute congestions and inflam- mations show over-stimulation of the parts. Chronic con- gestions, ulcers, etc., show over-relaxation of the parts. Ordi- nary fevers are like acute congestions. Typhoid, typhus, malignant scarlatina, diphtheria, malignant dysentery, malig- nant erysipelas are like chronic congestions. Hence, the condition is the key to the needed treatment. To stimulate an over-stimulated part, or relax a tissue already flabby, is only to increase the difficulty. It will be well for the reader to study the preceding pages with great care before passing on to the enumeration of the various water applications which constitute our water treatment. 4. The Applications Used. Baths.-Time and tempera- ture as related to the patient are the most important elements in every bath. Therefore, they must be wisely adapted to the disease and the strength of the patient. Every bath may be neutralized by indiscretions immediately after it. Therefore, such should be avoided with the same care that the bath is taken. Every bath has an immediate local and general, and a remote constitutional effect. To gain one or more of these effects is the object sought by its use. Constitutional effects are indirect, working toward im- proved nutrition, equalized circulation, with normal tempera- ture, respiration, secretions, excretions, rest and recuperation, and physiological vim. These are the scale marks on the health-ometer of recovery. The immediate general effect is dependent upon the imme- diate local effect and corresponds with it. This local effect is in nervous impression, temperature, circulation, and special functions of the part, and its whole efficiency is measured by the character and degree of these modifications. 324 THE SECRET OF HEALTH. Always use pure water, and soft water when possible. Every bath may be pushed beyond the desired into an objectionable effect. Therefore the object should be kept con- tinually in view, and the bath discontinued as soon as the desired effect is realized. Too little effect is better than too great. Repetition should be governed by this law: In chronic cases, the second bath should be given before the constitu- tional effect of the first is lost; in acute cases, it should be given before the local effect of the first is lost. 1. Cold Baths. (See pages 19 & 21.)-From 33° to 55° F. Time, in- cluding undressing, bathing and redressing, five minutes. Always dress without drying, followed by smart exercise at least fifteen minutes and until warm. This is called undry bathing, what- ever the temperature or name of the bath may be, and was introduced by Trosseau in fevers. The body must be entirely warm before the cold plunge or swim, the warmer the better. One may even be perspiring, but must not be wet from rain. If perspiring, the time should not exceed one minute; if not, from one to three. Reaction. The glow should set in within five minutes after all cold baths, and should be maintained with no after-chill. In the cold bath, the recession of the circulation from the surface stimulates the heart and large arteries to a more vigorous effort to return it. This effort is an expenditure of just so much vitality. When the heart is feeble, or the large blood vessels weak, or the capillary circulation feeble, there is danger of congestion in thus driving the blood from the surface. Cold increases heat production, the consumption of oxygen, and the elimination of carbonic acid. Hence the cold bath is powerfully promotive of tissue change. The Whole Bath: The whole body is immersed at once, from J to 3 minutes. Purifies and strengthens the skin, invigorates the whole sys- tem, prevents colds. In winter, not more than two a week. Always as an undry. Avoid Cold Baths in the treatment of old people, very young chil- dren; in dilation of the heart or valvular disease; with the convales- cent, especially from acute nephritis and intermittent hematuria. Open wounds should not have cold dressings. 2. Cool Baths, 55° to 65° F.-Pure soft water. The cool bath is lower than the accustomed temperature of the skin surface, which is from 80° to 85°. SPECIAL TREATMENTS. 325 3. Luke Warm Baths, from 65° to 70° F.-Pure soft water may oper- ate as a cool or cold bath in cases of high fever and great debility. Frequency and duration governed by the condition of the patient. Also as a cold bath for feeble children and aged people. 4. Tepid Baths, from 70° to 85° F.-Neutral; neither stimulating nor depressant, have a slightly relaxing effect upon the skin. Not of special value, except when used in cases of great feebleness and high fever as a cooling agent. Time according to effect desired. 5. Warm Baths, 85° to 95° F., or solutions, infusions or vapor. Usual time, 20 to 30 minutes, always followed with cold sponge. Deple- tion by the skin is as prostrating as depletion by the bowels; hence care should be exercised not to crowd them too far. The Warm Bath is useful in dermatitis, ecthyma, eczema, hygroma, icthyosis, lupus vulgaris, syphilis, business anxiety and depression, spasm, strangulated hernia, uterine and ovarian diseases and gonor- rhea of females, melancholia and insanity, measles, scarlatina, small pox, croupus pneumonia, jaundice and chronic lead poisoning. One a month for aged people. Two a month for gout, podagra and the like. 6. Hot Baths, 95° to 100° F. Solutions, infusions or their vapors.- Full hot baths should be always followed by cold sponge. The impres- sion of heat transmitted to the brain from the surface, excites a reflex nervous influence from those centers which preside over the heart, lungs and the caliber of the blood vessels. Hence, increase of respira- tion and perspiration, and dilatation of the blood vessels. A hot bath should not be taken if the heart and circulation are weak. The hot and Turkish are dangerous where there is fatty or dilated heart or atheroma of the great vessels. In typhoid fever, when the temperature is high, but the surface cool, give warm, not cold baths. Hot baths are excellent in renal and biliary colic. Useful in hyper- idrasis, bromidrosis and chromodrosis. Also in dermertalgia and paraesthesia. Also in psoriasis, pityriasis, scabies and frost bites. Especially valuable in recovery from freezing. Avoid Heat in hemorrhage from vessels not accessible, and in great weakness of the blood vessels where added impulse to the heart might cause rupture of an artery. It should not be applied to the head in apoplexy. Aneurism should also avoid great heat. Old people should be treated with a high degree of heat very cautiously, lest apoplexy or heart failure be induced. Head Bath. The top of the head dipped in a basin of water one minute if cold, five to seven if warm. Hair to be thoroughly dried. Good for scalp diseases. Eye Bath. Forehead and eyes dipped in either cold or warm water one-half to one minute. Eyes open. Repeat four or five times. 326 THE SECRET OF HEALTH. If warm is used, follow with cold wash. A half spoonful of ground fennel should always be added to the water. The cold strengthens weak eyes, the warm extracts impurities. Part Baths are baths applied to any part of the body or limbs and maybe designated by the name of the part concerned, as head bath, foot bath, eye bath, etc. Hot immersion of wounded and contused parts favors healing. Cold Foot Bath-Duration one to three minutes, hardens the healthy, brings rest and sleep to the weary. Leads blood down from head and chest. Warm Foot Bath, 100° to 105° F. with a handful of salt and two of wood ashes. Duration twelve to fifteen minutes. Suitable for weak, nervous people, those who have poor blood, very weak and very old people. Relieves congestion and cramps of the neck and head. Cor- rects the circulation. Not good for sweating feet. Never to be fol- lowed with cold bath. Warm Foot Bath Medicated-Three to five handfuls of hay flower seeds, leaves and the like, with boiling water poured over them, and cooled to 105°. They dissolve, strengthen and eliminate. Good for sweating feet, tumors, wounds, gout in the feet, whitlow and the like. Hot Foot Bath breaks up cold, stops bleeding at the nose, gives relief in urticaria. Always of decoctions, or ashes and salt solution. he Spray Bath of Preyer and Flasher is a part bath. Covers laid aside, bed protected, and a finely divided spray directed against the body for thirty or forty minutes. Repeat as often as necessary. Is cooling to the surface, lowering the temperature, without the shock and revulsion of a cold bath. Excellent for feeble folks and timid children in fevered conditions. Packs (See Page 21). 3. Whole Packs.-Across the bed lay three or four woolen blankets, and on them spread a sheet wrung out of water. The patient lies on his back on the sheet, one end of which is carried over and tucked under him, then the other end is brought over in the same way, after which each blanket is separately treated in the same way, and over all other blankets or a light feather bed is piled. The feet must be snugly tucked in, and no crevice for air to enter should be left about the neck. Let him lie until perspiration is quite profuse upon the face, then remove wraps and give a quick, cold, undry sponge. The whole pack may be made a whole compress by sprinkling it frequently with cold water and reducing the wraps. In packs the temperature may range from warm to cold, but the envelopment must be perfect, and the temperature then left to be SPECIAL TREATMENTS. 327 regulated by the heat of the body within its wraps. It expels gas from the stomach, and the body must be warm when taken. The Wraps or Part Packs.-The same method as whole packs applied to a single limb or surface. The effect is dependent upon the gradual accumulation of body heat in the part, and its confinement at that locality, added to the normal effect of water at that temperature. Duration from one-half to two hours. The Spinal Pack, 45 minutes. Strengthens the spine, relieves lum- bago, reduces the heat of fever, and removes congestion. Abdominal Part Packs, forty-five to one-hundred and twenty min- utes. If over an hour, must be re-wetted. Useful in indigestion and cramps and to draw the blood away from the heart. Nightshirt Wrap, (see Fig. 41).-Wring a long nightshirt out of water, and put it on, and lie down upon two or more blan- kets, which must be closely wrapped around and tucked under. One to two hours. Promotes perspiration, removes congestions and spasms, soothes the nerves, imparts health to the skin; relieves Saint Vitus' dance; valuable in general catarrh, gout, articular rheumatism, small pox, typhus, and to prevent paralysis. To bring out eruptions, dip in salt water, or water and vinegar. The Three-fourths Pack (Fig. 42), is the same as the full pack except that the arms are not included. The Sitz Bath.-This is likewise indi- cated in the cut. Temperature and time are the main elements, as it should always come nearly to the navel. Cold Sitz.-For the healthy, strengthens the bowels, relieves hemorrhoids, chlorosis, wind colic, hypochondria, hysteria, dis- eases of the generative organs, and prevents colds. Time from two to three minutes. May be taken any hour of the night as undry bath, and will cure sleeplessness. Excellent for tired feeling in the morning. Only two or three times a week. Warm Sitz.-Duration from two to fifteen minutes. Two or three times a week. Should be made of hay flower decoction, oat straw, mullen or smartweed tea. May be medicated and allowed not more FIG. 41. NIGHTSHIRT WRAP. PART VII. CARE OF THE SICK. HINTS ON NURSING. 1. Hints on Nursing-2. The Sick Room-3. Bed and Clotl> ing - 4. Water Supply - 5. Giving Medicines - 6. Bed- sores- 7. Food - 8. Treatment of Patient - 9. Useful Facts-10. Medication-11. Respiration, Pulse and Weight -12. Landmarks of Diagnosis-13. Questions Concern- ing Remedies -14. States and Indications -15. Land- marks for Prescription -16. Diet as a Remedy -17. Walking as a Remedy. The Nurse.-One person only should have the care of the sick if practicable, receive directions from the physician, and report to him. That person should be collected, cheerful, sweet tempered, low voiced, not fussy, quiet but firm. Dr. Warren declares that many lives have been sacrificed to the peevishness of nurses. Should not permit the patient to help himself; should turn the pillows, and sponge the face and hands as often as may conduce to his comfort. Should see that his mouth is cleansed with a soft linen rag, and rinsed occasionally with water with a few drops, of tincture of myrrh in it. Hair should be gently brushed daily. Should walk quietly and talk in a low tone, but not whisper. Should speak so that the patient can hear it if he wishes to and not let him feel that there is conspiracy to keep him in ignorance. On entering the room, open the door quickly and firmly, but silently. If sleepy, should lie down at once in sight of the patient and have a nap, for his sake; a dozing nurse is neither Boothing nor reassuring to the sufferer, 328 HINTS ON NURSING. 329 The Sick Room.-Should be the pleasantest one in the house. Should never be disfigured by an array of medicine bot- tles, or the sight of bed pans, urinal or slop-jars. Should be thoroughly ventilated all the time, and especi- ally aired twice a day. Pure air must come from outside. Once a day cover patient with sheet and throw the window open several minutes, or fill an adjoining room with outside air, then admit it. Should be adequately disinfected during the progress of, and after all contagious diseases, and in all sicknesses should be clarified as follows: Pure oil of tur- pentine mixed with about one per cent, of oil of lavender flowers, used in the form of a spray from an atomizer. It is surprising how refreshing this is for the occupants, the action being due to the ozone formed, and at the same time perfumed with fragrant lavender. Should never be entered (except as patients) by long-faced sympathizers who have a story to tell about somebody "handled just like you are." Should be provided with a Japanese hot box for night use when it is inconvenient to procure hot water, and hot water bags, family syringe, medicine dropper,-a little vial with a bent strip of soft paper as seen in Fig. 53 if a bulb dropper is not at hand; and for invalids not confined to the bed, in homes where there are no sanitary closets, a corner commode as seen in Fig. 54, with homemade upholstery is desirable, of course with deodorizers and disinfectants. Should never be "spread up a bit" before the doctor can enter. If it is in too much disorder for him to see, it is for the patient. It should be kept at a temperature suitable to the disease, usually about 70° days and 60° nights. Should be quiet and restful. Should be beautified with flowers and pictures. FIG. 53. FOB DROPPINCI MEDICINK. 330 THE SECRET OF HEALTH. dipping or by the application of the hot water bag or bottle. They have the local effect of the hot bath. The wet cloth should be of four to six thicknesses of flannel cov- ered with six to eight more dry and warm, and extending three inches beyond the wet on all sides, the whole should be bound on. Should be continued until the desired effect is decidedly seen. A brief fomentation is a local stimulant; a long continued, very hot fomentation is a local astringent; a long continued, not very hot fomentation is a relaxant. In applying hot vinegar, flannel should be FIG. 45. SHAWL WRAP used but only two thicknesses of it, covering it the same as the water applications. Whenever the pad becomes cool it must be renewed or removed, but the covering must remain until perfectly dry. Hot water over the spine, contracts the peripheral blood vessels, checks hemorrhage from the nose and lungs when applied over the cervical and upper dorsal vertebrae, and of the uterus when applied over the lower dorsal and lumbar vertebrae. Dry Fomentations. When dry heat is desired, put a quantity of hot sand, hot salt, hot bran or hot corn meal into a flannel or a muslin bag. A hot plate wrapped in a cloth Is good, a rubber bag filled with hot water is perfect. Put acetate of soda into a tin can tightly closed, SPECIAL TREATMENTS. 331 set this in boiling water for thirty minutes, then remove it and wrap up in flannel and apply to the painful part. It will give out heat for many hours. Medicated Baths and Packs.-Hay Flowers, i. e., the seeds and flowers that scatter on the barn-floor, boiled fifteen minutes in a bag, and the decoction added to the bath. Opens the pores and favors elimination. Oat Straw, boiled half an hour and the decoction used for the bath or added to it, stronger than the hay flower, and good for kidney and bladder diseases and rheumatism. Mustard Bath.-Two teaspoonfuls to two tablespoons of mustard flour to hot water, two to four gallons. Stimulating to the skin and FIG. 46. HEAD VAPOR. capillary circulation. Draws the blood to the part to which it is applied. Mullein.-Relaxing, soothing, antispasmodic. Promotes absorption. Sassafras Tea.-Aromatic, relaxant, stimulant to capillary circula- tion and absorbents. Must not be boiled. Smartweed Tea.-A diffusible stimulant with some relaxant power. Excites cutaneous action, relieves internal congestion. Pine Needle and Cones.-Promote the action of the skin, thus pur- ify the blood and relieve deep-seated congestions. Fennel Seed.-Aromatic, antispasmodic, carminative, soothing. Catnip.-Diffusive relaxant, mildy diarphoretic and antispasmodic. Tansey.-Stimulating, diffusive and moderately relaxing. Extern- ally, stimulating, with a slight tonic after-effect. Wormwood.-Stimulating and relaxing tonic. Bed Pepper.-Pure stimulant, persistent and intense. Lobelia.-A pure relaxant. Relieves pain without narcotizing. Should not be used in putrid tendencies, as diphtheria, scarlet fever, 332 THE SECRET OF HEALTH. malignant scarlatina, etc. Not proper for extensive external use unless followed by cold stimulating tonic sponge. Bran Bath.-Four pounds of bran boiled in one gallon of water. Strain and add water enough for bath. Allays irritability of the skin and softens it. Salt.-Rock salt or sea salt, one pound to four gallons of water. Very invigorating. Taken hot, a quick and reliable stimulant. Soda.-One teaspoonful of soda bicarbonate, warm water four gal- lons. Useful chiefly as an ant-acid. Sulphur Bath.-Twenty grains of sulphuret of potassium, to a gallon of water. For skin diseases and rheumatism. Vapor, Both Clear and Medicated.-Head Vapor. A small tub or a water pail, is filled two-thirds full of boiling water, instantly tightly covered with a thick wet cloth, and placed upon a chair beside which is a higher chair. Patient stripped to the waist and clothing protected by a towel, sits upon the high chair leaning forward over the pail. An attendant throws a large blanket over his head and both chairs, so as to make a tight tent, then uncovers the pail. Eyes and mouth should be opened to take in the vapor. The water should be flavored with a teaspoonful of ground fennel, sage or mint. Duration twenty to twenty-five minutes. They open the pores, aid elimina- tion, relieve humming in the ears, rheumatic and spasmodic com- plaints of neck and shoulders, asthma and catarrh. Should patient not perspire freely in ten minutes drop a piece of brick or stone well heated into the pail. Cold sponge at close, and if weather is cold or raw, remain in warm room several hours. One or two a week. For inflammation of eyes, etc., the same evening a hot foot bath with wood ashes and salt for fifteen minutes. Foot Vapor.-A wide thick blanket is placed lengthwise across a chair upon which patient sits naked to the waist. A pail half full of boiling water, with a narrow board fastened across the top to prevent slipping, is placed before him. Feet rest on the cross board. Blanket then brought around so as to completely envelop the lower limbs of the patient. A hot stone or iron may be dropped in every ten minutes. Duration fifteen to thirty minutes, followed with quick cold sponge, as far as perspiration lias been abundant. Valuable for foul odor from the feet, swollen or cold feet, ingrowing nails, determination of blood to the head. One to three times a week. The latter but seldom. FIG. 47. FOOT VAPOR. SPECIAL TREATMENTS. 333 Stool Vapor.-An ordinary chamber vessel one-third full of boiling water or the desired decoction. Patient sits on the vessel fifteen to twenty minutes, followed with cold sponging as far as the perspiration has been abundant. Useful in diseases of the bladder. Bed Vapor Bath.-The bed clothing may be raised by chairs placed beside the patient or by barrel hoops, then proceed as for croup. Cover crib with a blanket, supported tent-like by the crib posts or by barrel hoops or chairs. Nurse sits with head under cover with the child. Then connect the spout of a teakettle by a pipe with the interior, the kettle resting on a gas or kerosene stove, or hot stones or pieces of brick are dropped into the kettle from time to time. Of course there should not be so much water in the kettle as to prevent the escape of the steam by the spout. Alcohol Vapor Bath.-Place patient with clothing removed in a large cane-seated chair, and surround both completely with blankets, FIG. 48. CROUP KETTLE. letting them extend to the floor and to be secured about the patient's neck; under the chair place a basin of hot water with an alcohol lamp beneath it, bring water to a boil, and patient will soon be brought into a state of perspiration which may be carried to any desired extent. Use in uraemia, Bright's disease, and whenever diaphoresis is required. Domestic Turkish Bath.-Pin two large woolen blankets closely together lengthwise. Fasten one corner to the top of a pole about eight feet long. With two screws fasten this to the base-board in one corner of the room. The corner of the blanket will then be the peak of a tent roof. Weight two chairs so that they will not slip and draw the blankets over them in such a way that they will constitute a tent covering. Close in the corner, set a basin of water in which stand a teacup one-third to one-half full of alcohol. Now heat the room from 95° to 100°. Patient drinks a cup of hot water and sits naked on a blanket- covered chair in the room from fifteen to twenty minutes, wetting the 334 THE SECRET OF HEALTH. head occasionally if desired, and drinking more water if thirsty. Then lighting a match in the room he steps inside the tent, drops the open curtain, leaving a very small space at the bottom for ventilation. Then drops the lighted match into the alcohol and seats himself upon a stool. If the heat becomes too oppressive, he should have at hand a towel wrung out of cold water with which to give himself a hasty ablution, and if necessary to avoid faintness, may stick his head outside the tent, but should keep his body in until perspiration is abundant. Then he should step out of the tent into a washtub, and hastily rub himself all over with some first-class soap; then with a flesh brush rub into a lather all over very thoroughly, rub it off with his hands and pour, at two or three dashes, six quarts of water over ins head and shoulders; then wipe lightly and rapidly, wrap in one or two woolen blankets and lie or sit down to cool off gradually, which should taka one-half to one hour. The temperature of the room meantime having been gradually reduced to about 75°, or an adjacent room at that tem- perature being used for cooling. Then dress and avoid immediate exposure to chills and cramps. One or two a week. Turkish baths are excellent in melancholia, insanity from lead, gout, alcohol, rheumatism or syphilis. Valuable in chronic rheumatism, rheumatic arthritis, lumbago, sciatica, eczema, psoriasis, Bright's disease, uraemia, constitutional syphilis, obesity, quinsy, bronchitis, winter cough, early state of phthisis and bronchial asthma. The Sprinkle.-Provide a garden watering pot that will hold six to twelve quarts, and if no bath tub is in the house, a large washtub. Shoulder Sprinkle.-Patient bare to waist; leans forward over tub; attendant pours one to five cans on and between the shoulders, and one FIG. 49. SHOULDER SPRINKLE. SPECIAL TREATMENTS. 335 on each arm. See Fig. 49. Strengthens the spine and aids the circula- tion of the blood. Follow with quick ablution of chest, and abdomen and dress quickly. Loin Sprinkle.-Patient stands in tub and attendant pours one to three cans on the hollow of the back and the hips. See Fig. 50. One to five cans on the lower back, each loin and abdomen, should fol- low the foot vapor unless the water tread be preferred. Strengthens the spine and aids the circulation of the blood. Knee Sprinkle. - Patient sits on stool, feet in tub and pours two to ten cans on knees, calves, ankles and feet, making the last can a pour by emptying it from the top. Begin with two cans and increase one or two cans each application. Useful for poor feet, poor blood, to harden in convalescence, and as a counter- poise to the shoulder sprinkle. Fig. 51. The Pour.-Pours are large streams as from the spout of a tea- kettle falling upon the patient. It powerfully arouses the capillary circulation and absorbent vessels. Also promotes innervation of the deeper parts, should never be long continued-one to three minutes. The Sponge.-The sponge is a large sponge filled with water, or a towel dripping and applied rapidly to the whole surface, beginning at the back of the neck unless specially directed otherwise. When cold, should be undry, and done within a minute or two. In sickness, may be given under the bed clothes as often as the fever becomes high. Hot sponge checks hemorrhage, relieves pain and swelling of sprain, diminishes sweating in phthisis, and good for acne indurata. Warm sponge relieves headache of acute catarrh, and aids the gran- ulation of ulcers. The Tread.-The method is sufficiently evident from Fig. 52 p. 336, but the temperature, time, and depth of water all graduate its effects. Feeble patients should begin with one inch of cool water one minute. The robust can have fifteen inches of cold water three to eighteen minutes. Hardening to the system and draws the blood to the extremities. The Dash.-Patient stands in nightshirt or sheet; a bucket of FIG. 50. LOIN SPRINKLE. 336 THE SECRET OF HEALTH. water is dashed over him downward, then he is vigorously rubbed until reaction sets in. The double dash repeats the dash as soon as reaction occurs. The triple dash adds the dash to the double dask. May be undry also. Powerfully arouses the energies of the whole system. The Plunge. - Patient dives into the water head first, or jumps in so that he is completely submerged. Body must be warm all over, may be perspiring to any extent. Cooling, refreshing. Out instantly. The Swim.-Patient is completely im- mersed except the head, and engaged in the vigorous exercise of swimming. Must not be protracted until chill is felt. Body must be warm but not perspiring. Should be fol- lowed by rest. The Alternating is quickly changing from one temperature to another, and is single, double or triple, and according to the number of changes made. For exam- ple, the alternating double is ten minutes in warm or hot, and one in cold. Ten min- utes more in warm or hot, and one in cold, always ending with cold. Injections.-These may be of any temperature needed and medi- cated or otherwise, and may be rectal, vaginal, urethral, bladder, nasal, ear or eye. See Our Colon Flush for particulars of application of bowel injections. Hot colon flush stimulates the small intestines, liver and pancreas, and is useful in extreme flatulence, strangury, prostatitis, phthisis, and urethral dis- eases; cold rectal flush, in the collapse of diarrhoea and enterocolitis of young children. Hot vaginal injections or bath excellent sedative in chronic pel- vic, uterine and ovarian ailments. Rules For Bathing.-Page 23-24 should be read carefully before 'beginning water treatment, to which we add this important fact: The power of vital reaction in a patient, is a changeable quantity and should always be determined at the FIG. 51. KNEE sprinkle. FIG. 52. WATER TREAD. SPECIAL TREATMENTS. 337 time of the treatment, otherwise that which is ordered for one condition will be applied at another, possibly to the serious detriment of the patient. Remember. - That temperature in its relation to water treatment is a relative thing, depending on the vitality of the patient; that is, a cool or even lukewarm application to a very feeble patient, may be fully equivalent to a cold one for a vigorous person. Remember, also, that both age and childhood may be like feebleness as related to temperature. Remember, further, that nervous dreads may disqualify for cold applications almost as much as feebleness. Also, that great weariness, especially if long continued, stands related to temperature as feebleness. Spare patients, with skin in good order, do not need much sweating. The Special Uses of the Several Applications will be noted in the part on treatment of diseases. Prof. Winternits declares that after cold-water applica- tions the leucocytes in the blood increase to two, or even three times their original number. Hence the great value of these applications, especially in all infectious diseases, because the leucocytes are the natural defenders of the blood against microbial assailants. ZPJLZRT VII CARE OF THE SICK. Hints On Nursing. 1. Hints on Nursing-2. The Sick Room-3. Bed and Cloth- ing- 4. Water Supply - 5. Giving Medicines - 6. Bed- sores- 7. Food - 8. Treatment of Patient - 9. Useful Facts-10. Medication-11. Respiration, Pulse and Weight -12. Landmarks of Diagnosis-13. Questions Concern- ing Remedies -14. States and Indications -15. Land- marks for Prescription -16. Diet as a Remedy -17- Walking as a Remedy. The Nurse.-One person only should have the care of the sick if practicable, receive directions from the physician, and report to him. That person should be collected, cheerful, sweet tempered, low voiced, not fussy, quiet but firm. Dr- Warren declares that many lives have been sacrificed to the peevishness of nurses. Should not permit the patient to help himself; should turn the pillows, and sponge the face and hands as often as may conduce to his comfort. Should see that his mouth is cleansed with a soft linen rag, and rinsed occasionally with water with a few drops of tincture of myrrh in it. Hair should be gently brushed daily. Should walk quietly and talk in a low tone, but not whisper. Should speak so that the patient can hear it if he wishes to and not let him feel that there is conspiracy to keep him in ignorance. On entering the room, open the door quickly and firmly, but silently. If sleepy, should lie down at once in sight of the patient and have a nap, for his sake; a dozing nurse is neither soothing nor reassuring to the sufferer, 338 HINTS ON NURSING. 339 The Sick Room.-Should be the pleasantest one in the house. Should never be disfigured by an array of medicine bot- tles, or the sight of bed pans, urinal or slop-jars. Should be thoroughly ventilated all the time, and especi- ally aired twice a day. Pure air must come from outside. Once a day cover patient with sheet and throw the window open several minutes, or fill an adjoining room with outside air, then admit it. Should be adequately disinfected during the progress of, and after all contagious diseases, and in all sicknesses should be clarified as follows: Pure oil of tur- pentine mixed with about one per cent, of oil of lavender flowers, used in the form of a spray from an atomizer. It is surprising how refreshing this is for the occupants, the action being due to the ozone formed, and at the same time perfumed with fragrant lavender. Should never be entered (except as patients) by long-faced sympathizers who have a story to tell about somebody "handled just like you are." Should be provided with a Japanese hot box for night use when it is inconvenient to procure hot water, and hot water bags, family syringe, medicine dropper,-a little vial with a bent strip of soft paper as seen in Fig. 53 if a bulb dropper is not at hand; and for invalids not confined to the bed, in homes where there are no sanitary closets, a corner commode as seen in Fig. 54, with homemade upholstery is desirable, of course with deodorizers and disinfectants. Should never be "spread up a bit" before the doctor can enter. If it is in too much disorder for him to see, it is for the patient. It should be kept at a temperature suitable to the disease, usually about 70° days and 60° nights. Should be quiet and restful. Should be beautified with flowers and pictures. FIG. 53. FOR DROPPING MEDICINE. 340 THE SECRET OF HEALTH. The colors of paint and paper (if there is any; better have whitewashed walls,) should be of a quiet, cheerful tone. Should be swept only when the patient can be taken to another room, or with a broom wrapped in a damp cloth to keep down dust, or with a quiet carpet sweeper. Should never be opened to general visitors except by the direction of the physician. Bed, Bedding and Clothing.-The bed-linen, change frequently. Hair or husk mattresses better than feather beds. Keep under-sheet smooth as possible. The covering warm, without being heavy. Light blan- kets and sheets. No sick person should sleep with the head under the bedclothes, for in doing so he will be constantly breathing air poisoned by exhalations from his body. Blankets allow these emana- tions from the body to pass through them, while heavy cotton counter- panes do not; besides, they distress the patient by their weight. If possible, the bed should be made once or twice daily. Keep the cov- ering evenly and smoothly placed over the patient. Soiled sheets and every offensive thing should at once be removed from the bed and room. Do not air clothing in the sick room. If the condition of the patient will permit, have two nightgowns,-one for day and the other for night. Hang the one not in use by an open window, and warm it before using it again. If possible, have two sets of blankets-one set in the open air, while the other is in use. The Water Supply.-The addition of one per one-thou- sand of hydrogen peroxide to ordinary drinking water, to drinking water containing sewage, or to water containing typhoid bacillus or cholera bacillus, is quite sufficient to destroy the various saprophytic and pathogenic organisms contained under these conditions, if it is obtained perfectly fresh and FIG. 54 HINTS ON NURSING. 341 kept in good condition, and if it is allowed to act for a period of twenty-four hours. It is specially valuable for the disinfec- tion of drinking water because it does not affect the taste, does not alter the color, and in the proportion mentioned is perfectly innocuous. Should always be used. Giving' Medicine.-Follow directions. Never guess at size of dose. Write directions on bottle label. Write down the hours of giving and cross them off each time. Wash spoons and glasses after use. Note down on paper every change, chill, bowel movement, etc., and report to the doctor. Disguise nauseous medicines as much as possible; if very bit- ter, rinse mouth before and after with Wintergreen water. If castor oil, thoroughly mix with four times as much hot milk by shaking in a bottle which they do not more than half fill. Bedsores.-Keep under-sheet smooth. Sponge spots where they are likely to occur, three or four times a day with alcohol, or witch hazel extract. If redness becomes constant, report it to the physician. Provide air cushions if necessary. Food.-Do not serve a large quantity; the amount may produce aversion. If more is desired, serve it on a clean plate and freshly warmed, and in the daintiest manner possi- ble. If any remains, remove it from the room immediately. Give as much variety as the dis- ease will allow. Give a little the last thing before sleep at night. Give something warm on waking in the morn- ing. Do not ask what he will have, but bring what is best. If able to help himself, provide a bed-tray as in Fig. 55. To feed insensible and delirious persons, attract the attention as much as possible, then glide the spoon back and forth upon the lip, and when they instinctively part, pass it well into the mouth and empty slowly. Never hurry the sick while eating. Consult special foods and how to make them for FIG. 55. 342 THE SECRET OF HEALTH. appropriate foods. If food must be given before there is any relish for it, do not try to make it appetizing with flavors, but as near neutral as possible, and give it as medicine. The Patient.-Should be protected from uncongenial visitors and nurses. Should receive food and medicines regularly, except when asleep, and never be aroused from sleep except by direction of physician. Should be humored in unimportant whims and fancies, and gently but firmly controlled in all essential matters. Should be made as comfortable as the circumstances admit, without fussiness and often being asked if he "will have any- thing," or disturbed by unnecessary arranging of bed cloth- ing, etc. Should have the physician of his choice, if practicable. Should not be deceived, either by physician, nurse, or friends. The whole case need not always be told, unless explicitly asked. Even then, it may be best sometimes to say, " It is not best to tell you all," but never misrepresent facts. There are higher interests than those of health, and they are often sacrificed by the deliberate prevarication of those who mean well, but make a fatal mistake. Should be gently and sweetly (not sanctimoniously) assured of God's interest in his individual case, and encouraged to trust in Him, not for the soul's welfare only, but for the sake of the healing influence of such sustaining confidence. If religious ministrations are desired they should be dis- creetly afforded, even though the case be so serious as to exclude all other calls. Mr. M. N. Adler read before the Oriental Congress, a paper illustrat- ing the power of religious habits by comparing the death rate of the Jews and of the general American population from phthisis, diabetes, and diseases of the spinal cord, and also of the number of the insane amongst people similarly classified. The figures are as follows: From phthisis the mortality amongst the Jews per 1000 was-males 36.57, females 34.02; while amongst the general population it reached- males 108.79, females 146.12. From diabetes-Jews per 1000-males 19.85, females 19.59; and the general population-males 2.74, females 1.21. From diseases of the spinal cord-Jews per 1000-males 9.40, females HINTS ON NURSING. 343 6.18; general population-males 3.73, females 3.32. Although these dis- eases, spinal complaints and diabetes, have such an important influence on the mortality of the Jews, and are supposed to arise principally from nervous and mental strain (to which the exhausting business pursuits and headwork of the Jews are supposed to subject them), the number of insane amongst them is only 44.5 per 100,000 of population, while amongst the general population of the United States it is 183. If such is the influence of special religious culture upon health, its effect in disease ought not to be overlooked. Useful Things Learned by Personal Sickness.- To Relieve a Hot Aching Back in Bed.-Lie on one side and lift the cover just at the back so as to give it a cool air bath. To Rise From Bed Easily.-When suffering from lame back or weakness, turn on side facing the front of bed. Extend the under arm so that the elbow will, be on the bed near the edge. Lift that fore-arm vertically with thumb and fingers forming a crotch. Now raise the other upper arm and, its hand crotched within the other crotch, pry down with the upper hand and roll the body forward at the same instant, and it will be gently but firmly lifted to almost the perpendi- cular with a very slight effort. To Walk up Stairs Without Needless Strain. - Keep the body perpendicular, and plant the heel as well as the ball of the foot upon the stair. To Relieve Uneasiness From Surface Heat.-Take the upper end of the bed clothes in both hands and shake them up and down so as to make a billow motion toward the foot. If that is not sufficient, wring a towel out of cold water and hastily nib over the surface under the underclothing, and lie down without drying. To Enjoy a Meal When Too Much Fatigued, or Stomach Too Feeble to Eat.-A glass of hot milk a few minutes before the meal; or,stale bread crumbled into a cup of weak black tea. Reconstruction Must Be Upon the Principle of Construction ; i. e., what will build a baby into a healthy man, will re-build an invalid into health. FIG. 56. 344 THE SECRET OF HEALTH. To Relieve the Monotony of Beginning Convalescence.-Have a reading stand something like that in Fig. 56, on which to have a book of pictures, some illustrated papers, etc. MEDICATION. Health consists in an exact equipoise between the chemi- cal forces which seek to dissolve the physical structure of animal life back to its primal gaseous and mineral constit- uents, and the vital force which perpetuates that complex existence. Our condition varies from that medium normal line of exact equipoise, up to the most robust and exuberant vitality on the one hand when vital force is in excess, and down through derangements of vital functions, degradation of molecular structure, disease in all its multiform aspects, and death when the chemical forces prevail. De-vitalization then, means-in the hands of the enemy-disintegration already begun. It is always serious, very often fatal in its conse- quence. The instinct of self-preservation, as well as the warn- ings of experience, prompt men to seek a remedy. Too often they attempt to find it in drug-medication, by which is meant, the employment of drugs of unknown properties, or in mis- taken ways by physicians, and the haphazard use of patent and proprietary nostrums by self-prescription of people who know neither their own condition nor the nature of the com- pound that they purchase. The people of the United States spend eighty million dollars annually for such nostrums, a very large proportion of which adds to the torrent of disease that rages through civilized life. Drug-properties misapplied are always injurious, and usually in direct ratio with their good effects when rightly applied. The Value of Medicines.-The microscope, the spec- troscope and chemical analysis give clearer information now concerning the true condition of a patient than wTas possible in former years, when they are applied by experts. But not one case in 10,000 is thus scientifically investigated, so that the vast majority of cases must still be exposed to all the mis- chances of their condition. We could add whole chapters similar to those on Pages 42-44 regarding the evils of drug HINTS ON NURSING. 345 dosing and the uncertainties of medicine. But we protest that these statements should only be regarded as expressing the disappointment that their authors (however eminent) met in their own practice, or the fact that they failed to get beneath the prescribed formulas of their times to the reasons why. Medicine is not an exact science; nor can the same cer- tainty reasonably be expected in its practice that is found in FIG. 57. REGIONS OF THE BODY OFTEN REFERRED TO IN TREATING OF DISEASE. the applied sciences, yet, notwithstanding this, there is enough of known cause and effect in it to entitle it to the confidence of the world in its time of direst need. Hence, in the follow- ing pages in addition to the treatment without drugs, for the 346 THE SECRET OF HEALTH. various diseases, in deference to the convenience of the many whose circumstances compel them to choose medicines, and our own conviction of the real value of correct medication, we shall add such prescriptions as may be required. Breathing, Pulse and Weight.-The weight of the body at birth is from 2 to 12 pounds, or an average of 7j- pounds, while the average weight of a grown man 5 feet 1 inch high is 120 pounds, increasing gradually to about 178 pounds, for 6 feet in stature. When the weight increases more than 7 per cent, above the average, respiration becomes diminished. Clothes average about 1-18 of the weight of the body in autumn and early spring. The pulse and respirations per minute vary as follows: The Pulse and Respirations Per Minute. Respirations. At birth130 33 At puberty90 to 80 22-20 From puberty to 45 or 5080 to 75 20-18 From 50 up to old age, a gradual decrease75 to 65 18-16 Some Landmarks of Diagnosis.-In the United States there are 18 deaths to every 1000 population, and 25 sicknesses to every death each year. This, at 60,000,000 population, gives 1,080,000 deaths, and 27,000,000 sicknesses each year. Counting 12,000,000 families, there are two and one-fourth disabling sicknesses in every family every year, that is, one sickness about every five months. If the periods of disability average two weeks, that will be about one week of every two and one-half months. Hence it is a matter of great importance to know how to shorten those sicknesses as much as possible. All sicknesses are either functional or organic derangements, or both. Puncfions, when not normal, are either excessive, dimin- ished or suppressed. Organs, when diseased, are in a condition of super-vitaliza- tion or de-vitalization. Functional: The functional states may be learned from their appropriate secretions, excretions and other products, such as sensibility in a nerve, thought in a brain, etc., which are excessive, diminished or suppressed according to the activ- ity of the function. HINTS ON NURSING. 347 Organic: Organic super-vitalization is indicated by aug- mented circulation and temperature, and corresponding increase of functional activity. Organic de-vitalization is known (1), by diminished circulation and temperature, with corresponding decrease of functional activity as in local paralysis, or (2), by increased temperature, with sluggish, plethoric circulation and partial or entire suspension of functional activity, as in abscesses, or (3), by reduced temperature, stasis of circulation, suspension of nutrition, and disposition to slough, as in old ulcers. Systemic: When there is excess in one region there is usually corresponding deficiency elsewhere. Remedies: Therefore remedies for any of these conditions should be-(1). At the point of the disturbance, in order to correct the excess or deficiency agents, the effect of which is opposite to the condition to be changed. (2). Remote from the locality, in order to reinforce the local agent, means that will tend to restore the balance of circulation and temperature, e. g. a congestion about the chest should not only have a local relaxant, but a foot stimulant to act together toward the same object. Questions to be Asked in Selecting a Remedy: 1. Does the disease exhibit over-stimulation? If so, seek a relaxant. 2. Does the disease exhibit over-relaxation? If so, seek a stimulant. 3. Does the disease exhibit deficient secretions? If so, seek a secernent. Secernents are remedies that excite the secretions, such as saliva, gastric juice, bile, intestinal fluid. * Excernents are remedies that increase the excretions, perspira- tion, faeces, urine. 4. Does the disease exhibit retained excretions? If so, seek an excernent. 5. Does the disease exhibit both over-relaxation and over-stimulation? Then combine relaxants and stimulants. 6. Does one exist in large measure and the other in small? Then adjust the combination accordingly. 348 THE SECRET OF HEALTH. Nature can only be helped by giving the opposite of any surplus condition. States and Indications Classified.-States of Func- tional Excess: (1). Excess of secretions, ear-wax, tears, saliva, gastric fluid, bile, intestinal fluids, pancreatic fluid, mucus, spermatozoa and ovules, known by comparison with normal average. (2). Excess of excretions. Perspiration, carbonic acid and water of expiration, urine, faeces, bile, and menses, known by comparison with the normal average. (3). Excess of sensibility and thought, unless extreme, difficult to ascertain. Indications in Such Excess: Rule. The average normal quantity per day of any secretion or excretion, corrected by the peculiarities of the individual as learned from his experi- ence, is a true guide as to his physical condition in those respects, e. g. the average secretion of urine is about forty ounces per day, but during a long period of health, Mr. A. has uniformly secreted but thirty-four ounces, therefore, the latter is his normal standard, and if at any time it be found to run for several days together at forty-four ounces while no change in diet or habits can account for it, he is justified in conclud- ing that an abnormal excess of action of the kidneys is present. So of any excretion or secretion that is open to observation. States of Deficient or Suppressed Secretions, etc., are the opposite of the foregoing, and of course require opposite treatment. Merely functional disturbances of whatever nature, are easily and safely curable by water applications alone, or rein- forced by simple teas, extracts, embrocations, etc. » States and Indications of Organic Diseases.- These, particularly the de-vitalized conditions, are far more serious than the functional, because the more complete the devitalization the more do they approximate death. The first stage of congestion is one of supervitalization; it is nature concentrating her energies for the expulsion of some foe or the repair of some lesion. Therefore, when the heat and pain are felt, they are nature's call for relaxants if there be obstruction or irritating foreign matters present, and for rest and invigora- HINTS ON NURSING. 349 tion if there be repair to carry forward. Hence the tepid bath, or the lobelia for relaxation, and the cool coinpress for the heal- ing. But when the foe has become too strong and is safely entrenched as in a chronic ulcer, relaxation will only extend the area of his conquest. Super-vitalization must be restored by antiseptics and stimulants until the subjugated tissue shall be sloughed off, and new be formed in its place. These illustrations are designed to convey to the common mind the fundamental principles that underlie all arts of cure by whatever means effected. Organic change from disease to health, when not accomplished in the manner named, is wrought by the analagous process of metamorphosis of tissue ; in both cases the principle is the same. Landmarks for Prescription.-The reader should not be troubled about names of diseases, but should seek to know the condition requiring treatment, and should con- stantly bear in mind the fact that treatment must be opposite to condition. As a guide to treatment, he may act upon the assurance that substances and power act upon the body in four general ways, namely: (1). Physically, as by blows, pressure, the expansion of heat, contraction by cold and the like; (2), chemically, as in the corrosion of acids and alkalies; (3), sup- portively, as in the nourishment of food, invigoration of air and sunlight, etc.; (4), depressively, as in the prostration of grief, narcosis, etc. Vitality is measured by the degree to which the life-power can appropriate the friendly and react against the hostile effects of all these operations. Remedies are instruments in the hands of vital force. Therefore the vitality of the patient should be as accurately estimated as his condition should be correctly observed, and the means of treatment carefully studied. These three vantage points being gained, any person can be a successful home doctor. And these not being assured, no man can be a successful physician, though his walls be adorned with medical diplomas, and medical societies make haste to do him honor. Dr. Cook gives three tests of true remedies, which it would be well for the non-professional 350 THE SECRET OF HEALTH. reader to heed: (1). Their action is definite, and the vital response is definite; (2), can be given persistently and indefi- nitely until they accomplish their work; (3), after their work is accomplished, the parts are stronger than they were before. Innervation is a word that expresses the degree of vitality of any part, because vitality is dependent upon the integrity of the nerve functions. Most remedies also act by direct impression upon the nervous system, although some neutralize morbific elements and others supply needed con- stituents. Diseases are marked by, even if they do not origi- nate in, derangements of innervation. These derangements affect the caliber of the blood vessels, thus modifying the cir- culation, temperature and functional activity of the organs and tissues. Normal innervation keeps up the alternate action which seems essential to life, as in the contraction and relaxa- tion of the muscles, the alternate contraction of the longitudi- nal and circular fibers as in peristalsis, etc., and likewise main- tains a similar alternate equipoise between the two systems of nerves, namely the cerebro-spinal and the sympathetic (or ganglionic). Important Facts: (1). Whenever a spinal nerve is excited, all the blood vessels supplied by that nerve will dilate, the blood pressure will increase, and the secretions augment. If the excitement be excessive, it overcomes the opposing action, and congestion results. Tn excessive spinal innervation, the flesh will be soft, full; pulse full, low and soft; secretions abundant and bland, tending to become alkaline and purulent, and predisposed to fevers, congestion, catarrhal affections, glandular enlargements, and sluggish capillary circulation. Such will not bear opiates or sedatives, but require ganglionic stimulants. Bitter medicines energize the whole nervous sys- tem but particularly the cerebro-spinal. (2). If a ganglionic nerve be excited, the circular fibers of the blood vessels connected with it will contract and anaemia set in. If the excitement be excessive, fainting will result. Contraction of the circular fiber produces flexion and tends to atrophy. Excessive ganglionic innervation gives quick, wiry pulse; hard, fine-grained tissues; activity of mind HINTS ON NURSING. 351 and body; great sensitiveness, inclining toward nervous affec- tions, neuralgia, anaemia of brain and cord, mental diseases, insufficient assimilation, scanty, acrid secretions and emaciar tion. Such bear sedatives and bitter tonics well; because sedatives relieve ganglionic tension and the tonics increase cerebro-spinal nerve energy. Acids, acrid vegetable remedies and many of the alteratives and tonics excite the ganglionic system. These illustrations show the extremes of antagonistic innervation. A careful observation of the patient will show whether functional disturbance is of the congestive or anaemic type, and indicate the appropriate treatment as above sug- gested. The foregoing facts should be borne in mind in the application of all remedial systems. Had Dr. A. B. Wood- ward had these in mind he -would not have written: The practice of giving alterative medicine is perfect guesswork. . . I have always been taught by my teachers that it (the word alterative) was a kind of dark horse to be drawn in occasionally, with- out having, perhaps, a very definite idea of its meaning." Diet as a Remedy for Disease.-Bouchard's dis- coveries of the poisonous properties of the excretions of the body, especially that the greater part of the toxic ptomaines, upon which those poisonous properties depend, are generated by microbes in the alimentary canal, the existence of which may be very largely regulated by the diet of the patient, shows the special importance of diet in sickness, and his term, " Intes- tinal Asepsis," presents the object to be aimed at, namely-to clear the alimentary canal of germs and thus rid it of their toxic ptomaines, which are the cause of many maladies remote from the digestive tract as well as those within it. A re-read- ing of pages 284-287 will sufficiently emphasize this point. W'aZitingr as a Remedy: "If we could persuade every person who sees this journal to make a firm and solemn resolution, and to adhere thereto, that he would hereafter, rain or shine, hot or cold, walk five miles per day, we would feel that we had accomplished a task that would entitle us to a place amongJthose individuals whom we would esteem as great. We would ask for no further epitaph than to have it truthfully engraved on our editorial tombstone : Here lies the body of the man who succeeded in persuading his fellow creatures to walk five miles every day." 352 THE SECRET OF HEALTH. Thus writes, the editor of "The Annals of Hygiene." Some get it in their daily work; multitudes die prematurely for lack of it. The heat-producing function in full play within, and sensible clothing without, may safely defy weather, and the invalid should be taught to avail himself of this means of help in clironic ailments. FART VIII. PARTICULAR METHODS AND SPECIAL DIETS. Fifteen Methods of Treating Various Forms of Disease With- out Too Much Drug Dosing Fully Described, and Direc- tions Given for the Application of these Methods-Num- erous Special Diets Prescribed for use Under Certain Circumstances. In harmony with the plan of this volume to teach the intelligent use of healing methods, rather than reliance upon a particular drug-formula, the following graded methods have been elaborated and are commended to the careful study of the reader. The selection embraces a wide variety in order to suit the convenience of readers scattered all over this, and perhaps some foreign lands. The outlines are drawn for adults only; therefore if chil- dren are to be treated, the same modifications are requisite as in drug dosing. (See Index). Particular reference should constantly be made to Our Water Treatment, Page 316, and Our Colon Flush, Pages 283-298. It is advisable never to employ strong methods when the average, mild, or very mild, will do as well. The brief notes that preface or are appended to the several methods, are of great importance, and should be attentively considered. In the succeeding part, the treatment of diseases, refer- ence will often be made to these methods, and should be always considered as an essential part of the prescriptions in which they occur. 353 354 THE SECRET OF HEALTH. 1. Rapid Blood-Making1 Method.-For exhaustion from hemorrhage, anaemic prostration, and similar cases, use the following treatment, graded as the case seems to require. Very Mild: Milk warm from the cow, every hour or two; Bovinine in small doses added to the milk. Mild: Bovinine added to the warm milk in larger doses, or Mosquera's beet cacao. Average: Rose's or Rudisches' beef peptonoids, with milk and dyspepsia crackers. Strong: Salted raw egg retained enema every four hours, Mosquera's beef meal every two to four hours. If stimulants be indicated, egg coffee by enema or stomach, also may be used. Secernent methods, No. 10, mild; excernent method, No. 8, very mild; calcium lacto phosphate three times a day, one and one-half grains, or Hensel's Tonicum one to two tea- spoonfuls a day. Very Strong: Nutritive retained enema, No. 3, page 224, every three or four hours, and Mosquera's beef meal every two hours. Oxygen inhalations, or Thermo-ozone battery. If stimulants be indicated, our milk punch, page 222, or wine whey, page 231, or liquid peptonoids. Inunctions of wrarm olive oil. Secernent method, No. 10, mild; excernent method, No. 8, mild; calcium lacto phosphate one and one-half grains six times a day, or Hensel's Tonicum two to four teaspoonfuls a day, or both the calc, lacto, and the Tonicum as in strong. 2. Nutritive Method.-In each case, colon flush as necessary to secure full regular movements of the bowels. See pages 284-286. Regular cool or cold baths adapted to the condition. See pages 19-20. Sun bath twice a week; page 8. Exercise in the open air according to strength. Expend less vitality each day than is gained. In particular diseases see Special Diets. Always remember that a merely mild nutri- tive diet in one condition may be a very strong or even a pro- hibited diet in another condition. Therefore study condition as well as nutrition. Very Mild: Selections from corn meal gruel, our toast, unleavened wafers, egg and milk, dyspepsia crackers, Boston crackers, bovinine in small doses, mutton chops or side, beef flank, gluten gems or gluten bread. METHODS AND DIETS. 355 Mild: Gluten gems or gluten bread; beef neck or sir- loin; goose, mutton leg or shoulder; tongue. Oatmeal with Our malt extract; sea bass, perch, porgy; canned salmon with our digestive salt; walnuts, hazelnuts; chicken, chicken panada; gluten cake. Average: Gluten bread, beef round; nut and fruit pud- ding; ox heart, smoked tongue, smoked herring, pigeon, wild duck, pike, beans, lentils; liver, roach, hare; sardines, almonds; dried peas; Mosquera's beef cacao, coffee, cream. Strong: Codfish creamed; Rose's, Rudisches' or the Arling- ton Co.'s beef peptonoids, small doses; cottage cheese, beef smoked; anti-anaemic diet; Spanish mackerel, sausage; peanuts, date pudding, peach pie deep, gluten gems. If stimulant is needed, eggnog, No.l. Our malt extract with sweets and starches, our digestant with meats, and our digestive salt with fish and nuts. Very Strong: Beef tea nutritive, Mosquera's beef meal, cottage cheese, No. 2, rapid blood-making method very strong, skimmed cheese, nut and fruit pudding, dyspepsia crackers, strawberry pudding, raspberry shortcake, fig pudding. If stimulant is needed, eggnog, No. 2. Digestants as in strong. 3. Tonic Method.-In order to be permanently bene- ficial, the following points are to be gained, namely: (a) There must be consumption of oxygen beyond the habitual measure, page 107. (6) The amount of food taken must be graduated to the intake of oxygen. Pages 104-111. (c) The various food elements must be adjusted to the need as deter- mined by the nature of the disease, the age and sex, the amount of exercise, the degree of exposure, and the activity of the secreting and excreting organs, pages 117-121. (d) Cool or cold baths must be adjusted to the reactionary power so as to secure a free and somewhat rapid metamorphosis of tissue, (e) If tonics are employed they must be such agents as will moderately constringe the tissues without depressing the nerves or over-stimulating the glands, and must contain the cell constituents that are most disturbed, e. g., phosphorus for depleted nerve-cells, iron for anaemic blood- eells, etc. 356 THE SECRET OF HEALTH. Very Mild: For the skin, partial cool ablution. For the nerves extra sleep and recreation. For the blood, nutritive method, No. 2, very mild. Secernent method, No. 10, very mild. For the muscles, extra outdoor exercise adapted to condition; or if confined to the house, massage. Mild: Skin, whole cold ablutions. Nerves, kali phos. three times a day, or mag. phos. three grains three times a day. Blood, nutritive method, No. 2, mild. Secernent method, No. 10, mild. Excernent method, No. 8, as needed. Muscles, gen- tle muscle beating. By stomach or retained enema, hops, a mild infusion three times a day, or dandelion two ounces to the pint; dose two to three ounces, three times a day. Average: Skin, partial cold showers. Nerves, scuteliarin resin one-half to two grains every three hours, or caffeine (alk). one grain three or more times a day. Blood, nutritive method, No. 2, average. Secernent method, No. 10, mild, excer nent method, No. 8, as needed. Muscles, massage. By stomach or retained enema fl. ext. gentian or berberine (alk.) one-sixth to three grains before meals, or cascarilla powder twenty to thirty grains, or hydrastine (alk.) one-sixth to one-half grain twice a day. Strong: Skin, whole cold showers. Nerves, cypripedin (con.) one-fourth to two grains every two hours; or assoffoe- tida ten to fifteen grains every four hours; or valerianate of zinc one grain three times a day; or oil of valerian four or five drops every four hours. Blood, nutritive method, No. 2, strong. Secernent method, No. 10, as needed. Excernent method, No. 8, as needed. Muscles, systematic exercises adapted to condition; outdoor athletic games; by stomach or retained enema, quassin (neut.) one-twelfth to one-sixth grain in water before meals; or cinchonine two grains three times a day; or quinine sulphate two grains twice a day. Very Strong: Skin, cold whole baths. Nerves, phosphorus one-one-hundred and thirty-fourth grain three times a day for one week only; or strychnine sulphate (alk.) one- sixty-seventh to one-twenty-fourth grain every four hours; Should be used but two or three weeks. Blood, nutritive method, No. 2, very strong; secernent method, No. 10, and excer- METHODS AND DIETS. 357 nent method, No. 8, as needed. Muscles, thorough gymnastic course for harmonious development; by stomach or retained enema-nitric acid five to fifteen drops in four ounces of water, the whole given in divided doses during the day when there is looseness of bowels; or nitro-hydrochloric acid three to six drops in plenty of water after meals, with teeth protected in both cases. 4. Blood-Cleansing Method.-The process is the same for both acute and chronic cases, except that it must be pushed so much more rapidly in the first that it is here given separate consideration, and is designed to meet conditions of acute blood poison, malignant erysipelas, cancer, diphtheria, etc. The outline only indicates what should be aimed at as far as the circumstances allow. Of course not the whole of all the treatments here suggested are to be used in any case, but such features of each as seem best adapted, or are at com- mand. Much discretion should be exercised. Average: Head or foot vapor alternated with shawl wrap or nightshirt wrap. Excernent method, No. 8, average. Rapid blood-making method, No. 1, mild to average. One to four quarts of pure soft water drank daily. Strong: Excernent method, No. 8, strong; if necessary aid with diaphoretic method, No. 9, strong, or with stimulating method, No. 6, strong, and nutritive method, No. 1, strong. Peroxide of hydrogen thirty drops three times a day in water, or calcium sulphide one-twelfth grain six to twelve times a day. Very Strong: Excernent method, No. 8, very strong, rein- forced if necessary by diaphoretic method, No. 9, very strong. Also stimulating method, No. 6, very strong if needed, and nutritive method, No. 1, very strong. Baptisin (glu.) one to three grains for typhoid, putrescent tendencies. Hensel's Iron Tonicum, large doses when the red blood corpuscles need to be increased; potass, permanganate to burn out the impurities, one to two grains after meals. Resorcin one-half to one and one- half grains every two to four hours till stools are odorless, when intestinal symptoms are grave. 5. Alterative Method.-This very vague word, as generally used, is considered in this treatment to embrace 358 THE SECRET OF HEALTH. excernent, secernent, and nutritive processes, and to be equiv- alent to a slow bloqd-cleansing. Very Mild: Excernent method, No. 8, very mild, except for the skin, which should be mild. Secernent method, No. 10, very mild. Nutritive method, No. 2, mild. Mild: Excernent method, No. 8, mild, except skin, average. Secernent method, No. 10, mild. Nutritive method, No. 2, mild. Average: Excernent method, No. 8, average. Secernent method, No. 10, average. Nutritive method, No. 2, average. Strong: Excernent method, No. 8, strong, modified to suit anaemia and neurasthenic conditions. Secernent method, No. 10, strong, modified to suit plethoric conditions. Nutritive method, No. 2, strong, modified to suit plethoric conditions. Very Strong: Excernent method, No. 8, very strong, modi- fied like strong. Secernent method, No. 10, very strong, modi- fied like strong. Nutritive method, No. 2, very strong, modified like strong. When substantially the same thing occurs in Nos. 8 and 10, as adopted in the above gradations, the one most appropriate should be employed-not both. G. Stimulating Method.-Designed to temporarily quicken the action of the vital force without any permanent augmentation of its power. Very Mild: Coffee weak, one-half strength of our coffee, No. 1, or beef tea, or mutton broth. Warm bath every other day. Mild: Wine whey, beef essence, ginger tea, our coffee, No. 1, warm bath every day. A verage: Coffee, double or treble our coffee, No. 1; hot bath every third day; retained enema every day of beef essence; Virginia snakeroot, three drams to one pint steeped in covered vessel an hour, much below boiling point, one tablespoonful an hour. Hot, dry applications often renewed. Strong: Milk punch, or eggnog, No. 1. Hot bath every day, very short, and only for a few days. Retained enema night and morning of black coffee or Virginia snakeroot, tincture one-half to one teaspoonful; or tea of smartweed, or myrrh ten to thirty grains every four hours. Extensive mustard plasters. Carbonate of ammonia, five grains every two hours; fomentations, poultices, etc. METHODS AND DIETS. 359 Very Strong: Whisky drink, or eggnog, No. 2. Hot salt or mustard bath two or three times a day, very short, only for two or three days, and retained enema every two to four hours of brandy or capsicum. Capsicum one to four grains often as necessary. This may alternate with prickly ash bark, ten to thirty grains three or four times a day. Hot and stimulating local applications-smartweed or pepper tea. Hypodermic injections of brandy. When the secretions are locked up, stimulants can be useful only to aid their ejection after relax- ants have opened the sluiceways. When the pulse is hard and fevered, stimulants will increase the difficulty. In these condi- tions, therefore, first use excernent and relaxing treatments until these symptoms disappear. 7. Relaxing Method.-Large quantities of relaxants should not be used in dropsy, peritoneal effusion, congestive chill, delirium tremens, or any congestion with decided pros- tration. Relaxants are only useful in states of tension, and are always injurious if used when the tissues are already lax. Tepid is practically a relative term, and while 80° may be such for the average, 85° will be no more than tepid to others. Very Mild: Tepid sponge 80° once a day, warm clothing, warm, moist atmosphere, and warm water as a drink; tepid rectal flush. Mild: Tepid sponge 80°, two to four times a day, or vapor bath 110° to 115°, once a day. Tepid shirt wrap once a day 15 to 25 minutes; catnip tea, balm tea. Tepid sigmoid flush. Average: Tepid full bath, or vapor 115° to 125° once a day; tea of black cohosh for irritable nerves, irritations of serous membranes, rheumatism, uterine congestions, etc. Tea of valerian for nervousness, restlessness, hysteria, etc. Tea of boneset for inward muscular structures, stomach, gall ducts, bowels, uterus, etc., given cold. Tepid caecal flush. Strong: Body pack-tepid, once a day. Tea of plurisy root for febrile and inflammatory conditions. Tea of lady's slipper for hysteria, headache, sleeplessness, and spasmodic action. Very Strong: Full tepid pack, forty to eighty minutes. 360 THE SECRET OF HEALTH. Tea of lobelia, or retained enema Nos. 7 and 23 mixed. If neces- sary, pack, tea and enema. 8. Excernent Method.-Increasing the products of excretion; i. e., the elimination of matter no longer needed in the constructive vital processes, and that must be expelled to prevent the deleterious effects of their chemical or mechanical action, if retained. The excernent remedy should be selected with particular reference to the need, not gbad all the functions for the relief of a single organ unless the danger be imminent. Sweet and starchy food should be avoided when uric acid is to be expelled to an unusual degree. When the formation of urea is to be hastened, alcohol, colchicum, opium, morphine, iodide of potas- sium and quinine are to be avoided. Very Mild: For the skin, catnip or balm tea; kidneys, tepid compress thirty to sixty minutes daily, cleavers tea; ureants, light exercise; uric acid, drink freely of soft water; for the liver and gall ducts, exercise 19 a. b., page 34; for the bowels, rectal flush, or figs, prunes, honey, olive oil or treacle. Mild: For the skin, extra clothing, very warm room, yel- low dock tea, warm sponge baths; kidneys, tea of agrimony, or tag alder, or princes pine, or pumpkin seeds, or dandelion root; ureants, average exercise; uric acid, drink freely of soft water and take a cold sponge bath daily; liver and gall ducts, chionanthus fl. ext. ten to thirty drops three times daily, exercise 11 a., page 32. Bowels, rectal flush and fruit diet, or barberry five to ten grains three times daily, or ten to fifteen grains of rhubarb, or thirty to sixty grains of magnesia, or one to two teaspoonfuls of sulphur, or thirty to sixty grains of cream of tartar. Average: Skin, sunflower seeds-boil one ounce of seeds and husks in a quart of water to a pint, drink freely; warm full bath, or quite warm sitz; sulphur one-half teaspoonful three times a day. Kidneys, peach leaf tea one dram to water four ounces, two ounces every three hours; or burdock root two ounces in one quart of water boiled to one pint. Dose one to four ounces three times a day. Or sweet birch leaves two ounces to one pint of water. Dose two ounces every two hours. METHODS AND DIETS. 361 Or juniper berries one ounce to one pint of water; steep an hour. Dose two ounces every two hours. Ureants, vigorous exercise and the mild diuretics named for kidneys; uric acid, soft water freely, cold sponge five times and cold plunge twice a week. Liver and gall ducts, beef gall three to five grains three times a day; or butternut ten to thirty drops of fl. ext. one to four times a day; or retained enema No. 37. Bowels, sig- moid flush; or thirty to sixty drops of butternut extract; or four to six grains of aloes; or phosphate of soda one teaspoon- ful every two hours; or sulphate of magnesia one teaspoonful every hour; or cascara sagrada ext. two to five grains; or fl. ext. ten to twenty drops. Strong: For the skin, whole pack or hot sitz; composi- tion tea one teaspoonful to three-fourths pint of hot milk and water. Kidneys, Virginia snakeroot fl. ext. one-fourth to one- eighth teaspoonful; or false bittersweet-digest at low heat two ounces in a quart of water two hours; strain. Dose two to three ounces three times a day; or fl. ext. gravel weed one to three teaspoonfuls; or corn silk fl. ext. one-half to one teaspoon- ful three times daily. Ureants, Hensel's Iron Tonicum two to three teaspoonfuls a day; or vigorous exercise and strong diu- retics ; or five to ten grains every two hours of ammonium chlo- ride. Uric acid, gravel root one-half to one teaspoonful fl. ext., and as much cold bathing as can be endured. Liver and gall ducts, leptandrin one-half to two grains; or phytolaccin, crushed berries one pint, whisky one-half pint. Dose one to two fl. ounces; or sanguinarine nit. (alk.) one-eighth to one- twelfth grain every two to four hours. For the bowels, lep- tandrin ; or euonymus thirty to forty drops three times a day; or caster oil one ounce; or iridin one-half to three grains; or colocynth fl. ext. fifteen to twenty-five drops; caecal flush plain but hot. Very Strong: For the skin, alcohol vapor bath; or domes- tic Turkish; or hot bath alternated with full packs; pilocar- pine hyd. (alk.) one-twentieth to one-sixth grain in hot water every hour. Kidneys, tea of dwarf elder, infusion of root three to four ounces three times a day; or queen of the meadow infusion four ounces three times a day; or citrate of 362 THE SECRET OF HEALTH. potash fifteen to sixty grains several times a day. Ureants, phosphoric acid five to ten drops three times a day, largely diluted; or phosphate of soda three-fourths to one teaspoonful in water three or four times a day, and vigorous exercise. Uric acid, gravel root tea of two to three teaspoonfuls fl. ext. in hot water; inhalations of oxygen and cold bathing as in strong. Liver and gall ducts, bitter root fl. ext. one-half to one tea- spoonful ; or euonymus forty to sixty drops; or iridin one to four grains; or podophyllin (resin) one-twelfth grain two to four times a day. Retained enema Nos. 5 and 2 mixed. Bowels, podjophyllin one-half grain; or blue flag two to four grains; or jalapin (con.) one-half grain or more; or gamboge one to two grains of the powder; or elaterine (alk.) one-sixty-seventh to one-twentieth grain, not for old or feeble; caecal flush, hot and salt, or with one-half cup of molasses. 9. Diaphoretic (Sweating) Method.-Use relaxing diaphoretics when the skin is warm and dry and the heart excited. Use stimulating diaphoretics when skin is cold and heart feeble. Use stimulating and astringent diaphoretics when skin is cold and tissues lax. Very Mild: Warm sponge bath in very warm room. Warm tea of catnip or balm, or hoarhound (stimulo-relaxant) infusion one ounce to one quart of warm water. Dose one to three ounces every hour or two. Mild: Warm vapor bath or warm shawl wrap. Warm tea of feverfew (wild chamomile)-one-half ounce to one quart water, covered-two ounces every hour (stimulo-relaxant); or warm infusion of rosemary (stimulo-relaxant); or bayberry (myrica cerifera) warm infusion, twenty grains of powder to one pint. Dose four ounces every four hours (stimulo- astringent). Average: Warm nightshirt wrap; hot foot bath; quite warm tea of garden chamomile, one-half ounce to one pint boiling water steeped ten minutes. Dose two to three ounces every one or two hours (relaxo-stimulant); or catnip one-half ounce in one pint of hot, much below boiling, water; use very freely (diffusive relaxant); or pennyroyal (relaxo-stimulant), two drams to the pint, two ounces every hour; or spearmint METHODS AND DIETS. 363 (relaxant), two drams to the pint, often; or boneset-warm infusion one ounce of powder to one quart of boiling water. Dose one to three ounces, frequently as needed; a nearly pure relaxant; or sassafras (stimulating), warm tea of bark used freely; or bayberry (stimulo-astringent), warm infusion twenty grains to pint, four to six ounces every two to four hours. Strong: Warm body pack. Hot tea of Virginia snake- root, two tablespoonfuls every forty minutes; steep crushed root three drams one hour covered in one pint of water (stim- ulo-relaxant); must not boil; or pleurisy root, (relaxing), an ounce to the quart of boiling water. Half a cupful every two hours. Very Strong: Quite warm full pack, with hot teas of Virginia snakeroot, three tablespoonfuls every twenty to thirty minutes; or pleurisy root six ounces every hour of warm infu- sion; or pilocarpus pinnatifolius (jaborandi), solid ext. three grains; or fl. ext. twenty to sixty drops. The jarborandi causes profuse perspiration and salivation. Sustain, if neces- sary, with stimulants. Do not give in low conditions of vital depression. Saliva should not be swallowed. A dose every two hours until effect is gained. 10. Secernent Method.-Increasing the secretions of the salivary, gastric and intestinal glands, liver and pancreas, i. e. those fluids that have some physiological function that is needed constructively in the vital processes. It is difficult to classify remedies with much accuracy as regards their excer- nent and secernent effect, for both properties are usually found in the same agent. Most secernents become excernents by increasing the dose. When a secernent effect is desired chloride of potassa, or atropine should not be given. Very Mild: For salivary and gastric glands, appetizing flavors; gentle exercise in open air while fasting or abstaining, dill, fennel, caraway; balmony five grains three times a day, For intestinal glands, beef gall three grains three times a day; liver, sour fruit, lemonade, barberry, three grains three times a day; pancreas, berberine (alk.) one-sixth grain before meals. Mild: For salivary and gastric glands, ginger, allspice, nutmeg, balmony seven grains three times a day; intestinal 364 THE SECRET OF HEALTH. glands, beef gall five grains three times a day; liver, retained enema No. 16 or 37; dandelion steep four ounces of bruised roots in one and one-half pints of hot water one hour, then boil five minutes. Strain, dose two ounces three times a day, or Wahoo fl. extract thirty drops three times a day, or Rochelle salts small doses. Pancreas, berberine (alk.) one-third grain before meals. Average: For salivary and gastric glands, pepper, cinna- mon, balmony ten grains three times a day (relaxant). Intes- tinal glands, ipecac (relaxant), one-fourth to one grain three times a day; or yellow parilia (stimulo-relaxant) fl. extract thirty drops three times a day. Liver, retained enema No. 1 or 7. Sanguinarin one to three grains every four hours, (stimulo- relaxant). Pancreas, berberine two-thirds grain before meals. Strong: For salivary and gastric glands, horseradish, Wor- cestershire sauce, Our Digestive Sauce (the best), Leicester- shire sauce. Intestinal glands, berberis aquifolium fl. extract ten to twenty drops three times a day; or capsicum (pure stimulant) one to three grains daily. Liver, retained enema No. 2 or 5; blue flag (stimulo-relaxant) two to three grains three times a day. Pancreas, berberine (alk.) one and one-half grains before meals. Very Strong: For salivary and gastric glands, horseradish and mustard. Intestinal glands, blue flag three to five grains three times a day; or pilocarpine hydrochlorate one-twentieth every hour; not to be given in fatty heart, impeded circulation in lungs from heart disease, emphysema and pleurisy. Liver, retained enema, podophyllum (acrid stimulant) one-tenth to one-half grain-not to be given in irritated conditions of stomach and bowels. Pancreas, berberine (alk.) one and one- half to three grains before meals. 11. Emetic Method.-Always indicated when the stomach contains poison, or indigestible food, and whenever, as in croup and bronchitis, the mechanical effects of vomiting are desirable. Give with caution in hernia; avoid in extreme age, and with tendency to hemorrhage of lungs. When emetics are called for, but arterial and nervous centers seem relaxed, known by cold skin, soft, sluggish pulse, and, if extreme, by METHODS AND DIETS. 365 sighing respiration, give stimulants by stomach and emetic by retained enema. See also head note to relaxant treatment. Mild: Mustard water, or table salt, four teaspoonfuls in two ounces of water. Average: Ipecac for hot, dry conditions. May need a stimulant afterward if it leaves skin cold and pallid, and with inability to throw off secretions. Bloodroot for very sluggish conditions, twenty-five to thirty grains aided with lukewarm water and tickling the throat. Strong: Lobelia forty to sixty grains in eight ounces of water; unless haste is essential, give in one to two ounce doses, five to ten minutes apart. Too rapid relaxation may cause crampy pains, which will disappear as soon as the relaxation becomes equally distributed. Very Strong: Lobelia sixty grains in four ounces of water. A large teaspoonful infused in covered vessel twenty minutes (not boiled). A teaspoonful of composition infused in six ounces of water covered twenty minutes, then add three ounces of milk. If patient is feverish give first one ounce of the lobelia, wait ten minutes and give two ounces of the com- position. Wait eight minutes and give another ounce of lobelia; wait eight minutes and give two ounces of composi- tion. Wait five minutes and give another ounce of lobelia, and five minutes later two ounces more composition. Five minutes later the rest of the lobelia, and in five minutes more two ounces composition. If still there is not full emesis, follow w'th copious draught of lukewarm water, and tickle the throat with a feather. But if at any stage vomiting has been suffici- ent, discontinue the teas. If the final effect desired is relax- ing, follow the emetic action by dessert or tablespoonful doses of lobelia tea as often as necessary. But if the final effect desired is stimulant or tonic, follow in the same way with com- position instead of lobelia. If the patient is relaxed at the outset, the emetic dosing should begin with the composition. Much better effect will be had by giving twenty to thirty grains of bicarbonate of soda in warm or tepid water before the emetic. 12. Cooling (Antiphlogistic) Method. - Very 366 THE SECRET OF HEALTH, Mild: Cool air baths, amount of exposure and degree of tem- perature suited to the case. Mild: Sponge baths, tepid to cool. Tepid or cool rectal flush. Quinine sulphate two grains every four hours; or cin- chonine two and one-half grains every four hours. Local applications of bay rum and borax, puff powders. Average: Diet deficient in fat and force elements; fre- quent sponging without drying; tepid sigmoid flush; aconite, seven drops tinct. in four ounces water, teaspoonful every thirty minutes; or salicin, two to eight grains every hour; or quinine, three grains every three hours. Strong: Diet exclusively of buttermilk; tepid caecel flush; nitrous ether. Ether spray, see index; salicin six to twelve grains every hour, or quinine four grains every two hours. Very Strong: Diet of cold water or lemon and water only; cold bath until the temperature is reduced; tepid caecel flush of cream of tartar water, one to two teaspoonfuls to the pint; pilocarpus hydrochlorate (alk.) one-sixth in hot water, hourly. 13. Revulsive Method.- Very Mild: Surface stimu- lation at a little distance from the affected point by hot fomen- tations, mustard, etc. Mild: Gentle rubbing away from the place affected, beginning at a distance and working closer until it is included, but always rubbing away from it as a center. While rubbing, dip the hands frequently in cold water. Average: Cool compress on part affected, heat at some distant extremity. Strong: Cold compress on part affected. Heat on all dis- tant extremities, with No. 7 relaxing method, strong if needed in tense fevered conditions; or No. 6 stimulating, strong in pros- trate conditions tending to gangrene or collapse. Very Strong: Cold dripping compress on part affected, heat on all distant extremities. Mustard on intervening sur- faces with very strong relaxing treatment, No. 7, if needed in tense fevered conditions; or very strong stimulating, No. 6, in prostrate conditions tending to gangrene or collapse. METHODS AND DIETS. 367 14. Hardening Method.-Very Mild: Barefoot in the house one-half hour to two hours daily. Exposure of the whole skin (naked) to the air of the room at 70° to 95° F. fifteen to thirty minutes. Cool sponge bath daily in room 70° to 80° F. A brisk walk in the open air in clothing insufficient for comfortable warmth without the exercise; must add more clothing instantly upon stopping; or sectional ablution in room 60° to 70° F. as follows: 1. Plunge one foot into cold water on rising from the bed, wipe and dress it quickly as possible. Shawl over shoulders. 2. The other foot the same. 3. Wash head and neck, and dry hair thoroughly. 4. One arm. 5. The other. 6. Stripped to waist, wash chest and abdomen. 7. Take towel stringway, one end in each hand, throw the mid- dle over one shoulder, one hand up, the other down, and saw the upper back into a glow, then saw across the back down to waist. Then, leaning forward, throw one handful of water over on the spine, having the towel around the body at the waist to protect the clothing, then saw it dry and dress. 8. Drop the clothing off one limb to the foot and wash and dry. 9. Then the other. 10. The whole process should not take over five minutes, unless the person is very feeble, in which case he should lie down a few minutes, well covered, as soon as he is dressed. Mild: Barefoot outdoors one-half minute to five min- utes. Air bath at 60° to 65° F. ten to twenty minutes, keep- ing in constant motion. Cold sponge bath daily in room at 60° to 65° F. Cold daily head ablution, drying thoroughly. Or, sectional ablution in room 50° to 60° F., same as very mild sectional, except both limbs are exposed at once, the water is dashed on with the hand, and no part is dried except the head, and three or more dashes are made on each place. Average: Cold water tread one to ten minutes daily. Cold arm plunge one-fourth to one minute twice a week. Cold ablution in cold room and dress without drying, and exercise till warm. Cold daily head ablution. Strong: The cold water tread, the arm plunge and head ablution as in average. Cold hip and thigh shower twice a week. Cold ablution on the days when the arm plunge and shower do not occur. 368 THE SECRET OF HEALTH. Very Strong: Water tread and head ablution as in strong. Shoulder and back shower twice a week, and cold ablution on all other days. None of these should be carried so far as to reduce vital heat, or cause congestions anywhere. If not sen- sibly improving every week, fall back to the less vigorous treatment. 15. Astringent Method.-Should not be employed when inflammation or acute irritation is present. Very Mild: Internally or externally. Tea of chestnut leaves, or eyebright herb, or strawberry, red raspberry, or huckleberry bark, false wintergreen, life everlasting, sweet fern, yellow dock, or stone root. Mild: Tea of either agrimony herb, beech bark, sweet birch, bark and leaves, cinchona, dogwood, witch hazel, bugle- weed, rhubarb three to five grains every three or four hours, white willow, golden rod, queen of the meadow, Solomon's seal, tag alder, water or white pond lily. Average: Tea of either horse-chestnut rind, ambrosia leaves, uva ursi, shagbark hickory,-middle bark three to eight grains three times a day,-cranesbill, sumac, fireweed, bayberry fl. ext., five to ten drops, or rose willow. Strong: Tea or solution of either yarrow, gallic acid five to fifteen grains, tannic acid two to five grains every six hours, alum five to fifteen grains every three or four hours, rhatany, hardback, myrrh two to five grains three or four times a day, marsh rosemary, or pomegranate rind. Externally, hemlock bark, white oak bark, catechu, or tannic acid (five grains per ounce). Very Strong: Monsel's solution, five to ten drops to ounce atomized, or three to six drops by stomach; or alum root, or Heuchera' Amer, (for external use), or kino five to fifteen grains every two to six hours, or stinging nettle five to ten grains. PARTICULAR DIETS. The whole medical world is aroused upon the subject of the proper feeding of the sick, so much so that the medical journals are teeming with articles discussing the theme. Not METHODS AND DIETS. 369 less than three medical journals have been named expressly to be regarded as exponents of the subject: The Journal of Bal- neology and Dietary; Food, a Journal of Hygiene and Nutrition, each in its fifth volume, and The Dietetic and Hygienic Gazette, now in its ninth volume, all give particular prominence to the question. Yet the author has searched in vain through many hundred pages of these journals, and thousands upon thousands of others, to find a single article of practical value as a stand- ard, scientific expression of the physiological and therapeutic results of modern research in this direction. Dr. W. H. Porter, editor of the American Medico- Surgical Bulletin (formerly Merck's Bulletin), has done very val- uable service in a series of articles running through seventeen numbers on the "food values" of different foods, each consid- ered as an entire dietary in itself; and Dr. James Wood, in the same journal, has emphasized the importance of avoiding the excessive use of sweets and starches in the feeding of the young. But beyond these contributions, the whole wilderness of matter published is the sheerest empiricism, as contradictory as can be imagined. Even the forty-seven large, double col- umn pages of Food's last issue contain but a single page (and that copied from "A Hand Book of Invalid Cooking") giving anything practical, and that is so unpractical that it merely enumerates certain articles as suggestive of what may be used on successive days-of precisely as much real value as the bill of fare of a restaurant. All writers express and reiterate the importance of correct feeding, but not one tells now to do it. How To Do It.-This universally felt need, the author proposes to meet in this section (in addition to Part III, on Diet) as far as in the nature of things it is possible for him to do this without personal investigation of each patient. Certain things must be premised. 1. The Standard of Construction in all the diet- aries is that of a man in full health, but doing no work. 2. For Women.-About one-fourth should be deducted for a woman in the same circumstances. 3. For Children.-Deduction must be made according to Prof. Atwater's table on page 371. 370 THE SECRET OF HEALTH. 4. For the Sick.-Further modification must be made according to the case. In brief sickness, embracing reduc- tions in fiber, fat and force foods at pleasure; but in lingering cases, holding the fiber foods up to the normal standard, while changing the fat and force elements to suit the exigencies as they arise. 5. The Quantities named in each dietary constitute the rations for twenty-four hours, to be divided into the three or more meals at the discretion of the nurse, or pleasure of the patient. 6. Changing the Dietary.-Should an article of an approved diet be distasteful or otherwise unsuited to the patient, another may be substituted of the same elemental constit- uents as found in the working table; but the necessary trans- position must be made from the pounds and grams of the table, into the ounces of the dietaries. 7. When a Reduction is Made in a dietary, it should not be by dropping out one or more of the articles entirely, but should be by a proportionate reduction of all the articles composing it, so as not to change the proportion of its elements. 8. Variety of Food.-In these dietaries, constant ref- erence is had to the importance of variety and of keeping the food value up to the full demands of the reparative processes, both of which are practically ignored in the ordinary provi- sions for the sick. 9. Avoiding Errors.-Should the objection be made that in the necessary adaptations of these dietaries to individ- ual cases, there is likely to be the same empiric guesswork that now dominates the whole field of invalid food-supply, the answer is: The difference is very great. In one case, there is no conception of what is needed, and no standard by which to rule the judgment. In the other, the exact need (in health) is specified in so many ounces of each food element, so many calories of energy and so many pints of oxygen, and that need is the standard of judgment with a sliding scale of adaptation equally exact for women and children, and capable of being applied to the sick w ith corresponding exactness whenever the METHODS AND DIETS. 371 observer is competent to detect in the condition of the sufferer nutritive states analogous to those of infancy, childhood, youth or womanhood. Mistakes unquestionably will occur, but the standard is an ever present corrective, and the chances of serious mishap from them are a thousand fold less than under the haphazard custom now prevailing. IO. The Standard Required.-A man of average height and weight, at no work, requires in each day of twenty- four hours, food that shall furnish in digestible form, of the fiber element 3.5 ounces, fat 3.5 ounces and of the force ele- ments (see definition on Page 100) 8.4 ounces, a total of 15.4 ounces of the actual nutritive elements of food. This fur- nishes 2,324 calories of energy, and for its proper assimilation requires capacity of inhalation sufficient to furnish 1312 pints of pure oxygen. Adding for women and children, we get this comparison: STANDARD OF ACTUAL FOOD ELEMENTS REQUIRED EVERY TWENTY- FOUR HOURS, STATED IN OUNCES. Fiber. Fat. Force. Calories. Oxygen. Man 3.5 3.5 8.4 2,324 1,312 Woman 2.8 2.8 6.3 1,743 1,036 Child 6 to 14 yrs 2.6 1.5 11.4 2,041 1,367 Child 2 to 6 yrs 1.9 1.4 7.0 1,418 871 Child IJr yrs 1.0 1.3 2.6 767 371 These standards for children are for normal play condi- tions. "No work" with them would be no play. No estimates have been made for that. 11. Oxygen Needed.-On pages 94,104-112, the neces- sity of lung capacity, including both size and use, to digest- ive possibilities, has been shown and is recalled here because in these particulars mainly sickness may bring the adult to the state of childhood or even infancy. For example, a man with pneumonia may have his lungs so occluded by the disease that his real respiratory capacity is no more than that of a three-year-old child. Aside from the debilitating effects of his disease, his digestive capacity, from the mere lack of oxygen, must be reduced in the same ratio. Now add the debility and the poisonous accumulations of a suboxidized blood current, and the digestive capacity may be 372 THE SECRET OF HEALTH. cut down to the assimilation of a very small amount of predi- gested liquid pabulum only. On the other hand, the patient sometimes needs nourish- ment far beyond his seeming ability to dispose of it. For example: In the third stage of consumption, the nervous restlessness, coughing and uncompensating rapid breathing are all work done requiring sustainment. The breathing is called uncompensating, because it yields no proportionate oxygen intake. Besides that work done, there may be the albuminous waste of a half-pint of pus matter from discharging abscesses, which calls for a corresponding supply of fiber element. Hence the food should be rich in predigested proteids and in those fat and force foods that require the least oxygen for their com- plete digestion. Hence the importance of a dietary exactly adjusted to the conditions of the case. 12. Interchange of Diets.-Except in diabetes, fevers, and some other extreme cases, the diets are largely interchangeable, thus materially multiplying the commissary resources of the sick; but when made, the change should con- sist in the substitution of one entire dietary for another, not parts of one for parts of another, except as noted in No. 6. 13. Digestants.-Pepsin to aid stomach digestion. Pancreatin to assist pancreatic digestion. Oxgall to aid bile digestion. Papoid to supplement all the digestive processes. Peptenzyme is also claimed to have the same effect. Our Digestant has the same effect as papoid, together with peculiar appetizing and stimulant properties. Our Digestive Salt is similar to Our Digestant, but in a dry form. 14. Rating of Foods.-Diets are rightly proportioned for no work when they contain of fiber one part, fat one part, and force 2.4 parts, but much latitude is allowable if the fiber and calories be sufficient. Diets are fiber when they consist of more than one part of proteids to 4.6 parts of fat and force elements combined. Diets are fat when they contain 1.5 parts of fat to one of fiber, and 3.6 of force constituents. Diets are force or starchy when their calories are more than 700 to each one part of fiber. METHODS AND DIETS. 373 Protein diet is appropriate whenever the fibrous tissues are wasted by disease or abstinence, or the system suiters an unusual drain of albuminous material, as in the third stage of consumption, in abscess, some of the catarrhs, or in the heal- ing of extensive wounds. Fat diet is needed in excessive emaciation, nervous pros- tration, when fat is needed for fuel without the intermediate process of digestion which the force foods must undergo, and when exposed to a low degree of temperature. Force diet should be resorted to when the energies of the system are greatly taxed by severe labor, great grief or anxiety, insufficient ferments to digest the fiber and fat elements, and states of prostration where the bodily heat must be maintained in the absence of ability to take other nourishment. Its extreme forms are only fit for emergencies when an extra strain is placed upon the vital powers. Liquid diets are designed for those conditions of inactivity and disease in which the digestive functions are too feeble to reduce solids, and in which the intake of oxygen is small. Useful in typhoid fever, dysentery, extreme nervous prostra- tion, collapse from shock, etc. Semi-fluid diets have the same purpose as liquid to a more limited degree. Solid diets are appropriate in those cases where liquids increase fermentation, and in those where bulk is to be avoided, or where an excess of hydrochloric acid is to be employed in the work of digestion. Mixed diets approximate the normal, and are to be used especially in convalescence. Consumption is the only disease in which sufficiently numerous measurements have been taken to afford a basis for a pretty accurate general average of respiratory capacity, and consequent digestive possibilities. The first stage has been found to have but 67 per cent., the second but 57, and the third but 46 per cent of the normal. Hence one who, in health with- out work, with 222 cubic inches of lung capacity, requires daily food in the proportions and quantity of fiber 3.5 ounces, fats 3.5, force 8.4 ounces, yielding 2324 calories of energy and 374 THE SECRET OF HEALTH. requiring 1312 pints of oxygen, would, in the several stages, need but the following. (These calculations assume that respi- ration and digestion are equal.) Fiber. Fat. Force. Calories. Oxygen. First stage 3.5 2.3 4.5 1559. 879. Second stage 3.5 2.0 3.3 1329. 748. Third stage. 3.5 1.6 1.9 1088. 603. Obviously, therefore, the patient's diet should be adjusted to these facts. The fiber constituent should be kept as near the normal requirement as possible, because the waste of nitrog- enous substance is so excessive, both from innutrition and pus-expectoration. The fats should be mainly animal because they are absorbed directly into the system, while the vegetable fats- combine with soda salts in the duodenum into hard soap and are thus chiefly lubricants of the intestines, and the fuel value of the first is vastly in excess of the lubricant value of the last. The force element should be selected so as to yield the greatest number of calories of energy with the least expendi- ture of oxygen. With these principles in mind we proceed to construct some illustrative dietaries as suggestive of what should always be done for these sufferers. [The Figures in all these diets represent ounces or decimal parts of ounces. They are not per cents, or parts in 100. The analyses of foods have all been calculated over into ounces, because common people can estimate food more readily by weight, and they have not the time to figure out the weight of each food necessary to furnish the required elements. In these diets for consumption, we give the details of the calculation, but only the summaries are given in succeeding diets.] The First Stage of Consumption requires a daily ration that will supply of fiber or nitrogenous elements 3.5 ounces, of fat 2.3 ounces, of force elements 4.5 ounces, yielding 1559 calories of energy and requiring only 879 pints of oxygen for its proper assimilation. Such a ration may be thus composed: METHODS AND DIETS. 375 Diet No. 1. Food. Fiber. Ounces. Fat. Ounces. Force. Ounces. Calories. Units. Oxygen. Pints. Beef 10 ozs. = 1.500 1.400 550. 230. Fish 10 ozs. = 1.310 .300 230. 100. Gl. Bread .. 3 ozs. = .204 .111 .738 162. 48. (p. 218) Fruit 12 ozs. = .046 1.548 186. 60. Milk 12 ozs. = .444 .408 .588 228. 84. Butter 1 oz. = .010 .850 .005 226. 87. Sugar 1 oz. = .003 .967 112. 36. Total 49 ozs. = 3.517 3.069 3.846 1694. 645. It will be seen that in this sample the fats are slightly in excess, while the force element seems deficient; but it should be remembered that the fat and force constituents are in their physiological results interchangeable ; thus the calories show an excess by reason of the surplus fats. But this overplus of the calories is all right, so long as there is a good margin of oxygen intake above its necessary expenditure in the trans- formation of these food elements. In this case 234 pints of oxygen are to spare. The Second Stage of the disease having been reached, call- ing for a daily supply of fiber 3.5 ounces, fat 2, and force elements 3.3, yielding 1329 calories, and requiring 748 pints of oxygen-the following w'ould be appropriate: Diet No. 2. Food. Fiber. Fats'. Force. Calories. Oxygen. Egg coffee 91 OZS. - 0.182 .170 .162 86. 34. (p. 214) P. barley 1 oz. = .116 .021 .655 95. 33. Bovinine 3 ozs. = .417 .042 48. 27. Mosq. B. meal.... 1 oz. = .772 .136 127. 27. Creamed codfish. 4 ozs. -- .252 .260 .104 112. 44. (p. 212) Chops 8 ozs. = 1.200 1.496 .387 536. 216. Fruit 3 ozs. = .011 46. 15. Gl. gems 2 ozs. .= .160 .228 .712 158. 58. (p. 218) Peach foam 4 ozs. - .006 1.500 180. 56. (p. 226) B'f tea, nutritive. 5 ozs = .375 .350 135. 57. (p. 208) Total J. . 40| ozs. = 3.501 2.703 3.520 1523. 567. In this illustration the fat and force elements and calories are all in excess, but as there are still 181 pints of sur- plus oxygen, it may be considered a safe ration, and is pur- posely constructed with these deviations in order to show' the latitude that may be allowed. The Third Stage is marked not only by greatly diminished respiratory capacity, but by a general breakup of all the vital forces. Hence the food must be adjusted, not only elementally and in quantity to the case, but in its form as well. The 376 THE SECRET OF HEALTH. following diet may be regarded as an example, to furnish the needed fiber 3.5 ounces, fats 1.6, force 1.9, calories 1088, oxygen 603: Diet No. 3. Food. Fiber. Fat. Force. Calo. Oxygen. Liquid peptonoids 2 ozs. = 1.400 .188 .206 236. 96. Mosquera's beef meal 1 oz. - .772 .136 127. 27. Oyster stew 4 ozs. - .252 .008 .025 8. 4. Eggs 2 ozs. - .236 .204 .008 82. 3(5 Fruit 6 ozs. - .023 .774 93. 30 Chicken panada 4 ozs. - .498 .048 .126 45. 18 (p 211) Dyspepsia crackers... 2 ozs. = .180 .060 1.180 226. 60. (p. 214) Butter \ oz. - .005 .470 .002 113. 43. Cream 2 ozs. = .054 .534 .056 153. 60. Total 23J ozs. = 3.420 1.648 2.377 1083. 374. The greater the prostration, the more should the food sup- ply fall within the oxygenating capacity in order to compensate for less vigorous elimination, and probable deficient ventila- tion. Hence 229 pints of oxygen are allowed in excess in this example. The greater the disturbance in the nutritive functions, the more carefully should both the average and the individual digestibility of the food be considered. See working table, page 133, for the average, and ascertain the experience of the patient for the individual, giving special emphasis to the fact that foods which are poorly'digestible in health, will be much less so in disease. This diet has a high average digestibility. Another Example-As it may be difficult in some parts of the country to obtain liquid peptonoids, Mosquera's beef meal and oysters, a substitute is added for the diet No. 3, as follows: Diet No. 4. Food. Fiber. Fats. Force. Calories. Oxygen Beef tea nutritive. 8 OZS. = .400 .376 144. 56. Whites of eggs.... 6 ozs. = .756 .012 84. 42. Fruit 6 ozs. = .023 .774 93. 30. Cream 2 ozs. = .054 .535 .056 153. 60. Butter i oz. = .002 .235 .001 56. 21. Chicken panada .. 4 ozs. = .498 .048 .126 45. 18. Dressed game 4 ozs. = 1.000 .040 116. 52. Dried beef stew... 6 ozs. = .696 .426 .282 222. 90. Whisky 2 ozs. = .492 217. 73. Total 38J ozs. = 3.429 1.672 1.731 1130. 442. Oxygen surplus in this case 203. It may be thought impossible for the patient to consume this quantity in twenty-four hours. So it has been thought impossible for any to recover from this stage, yet many have. METHODS AND DIETS. 377 It will doubtless require appetizers and perhaps digestants, with much outdoor air to enable one to digest this supply, but the nearer it can be approximated, the greater will be the chance of recovery. Having given these illustrations at length, the remaining diets will be formulated more briefly, but all are worked out with equal care. For the composition of the particular articles named in these diets, see index in each case. PARTICULAR DIETS GROUPED BY CONSISTENCY. Fluid Diets.-Of the following rations, Nos. 5 to 11 inclusive, are only fit for inactive conditions, because of their deficiency in energy, but their small oxygen requirement spec- ially adapts them to states of extreme sub-oxidation, and as their full fiber constituents amply sustains the constructive processes, they are the best for extreme cases. The two last diets of this group, Nos. 12 and 13, have the same general characteristics as their predecessors, with the advantage of being appropriate in more active conditions; hence may be relied upon sometimes in "about-the-house" ailments, instead of being confined to bed sicknesses. Five.-Kumys, 125 ozs. This furnishes of fiber 3.5 ozs or the correct amount, of fat 1.1 ozs and of force 8.8 ozs. It yields 1,750 calories of energy, a deficiency of 574, and requires for its assimilation sufficient air to furnish G25 pintsof oxygen. Our standard of respiration being 1,312 pints in the twenty-four hours, gives a surplus of C87 pints of oxygen. Six.-Kefir, 93 ozs: Fiber 3.5 ozs, fat 1.8, force 1.8, calories 1,162, oxygen 465. Fiber enough; energy deficient, 1,162 calories; oxygen surplus, 847 pints. Seven.-American Kumys, 127 ozs: Fiber 3.5 ozs, fat 1.1, force 8.8, calories 1,778, oxygen 635. Fiber sufficient; energy deficient 546 cal- ories; oxygen surplus 677 pints. Eight.-Milk, 95 ozs: Fiber 3.5 ozs, fat 3.2, force 4.6, calories 1,805, oxygen 665. Deficient in force 519 calories; oxygen surplus 647 pints; fiber sufficient. Nine.-Skimmed milk 88 ozs: Fiber 3.5 ozs, fat 1.5, force 4.7, calo- ries 1,232, oxygen 528. Deficient in force, 1,092 calories; oxygen surplus, 598 pints; fiber sufficient. For temporary use In bed when pancreatic and biliary functions are mostly suspended. 378 THE SECRET OF HEALTH. Ten.-Buttermilk 88 ozs: Fiber 3.5 ozs, fat 0.6, force 5.6, calories 1,232, oxygen 440. Fiber just enough; calories deficient, 1,092; surplus oxygen 872 pints. This has the same characteristic as No. 9, to a greater degree, and is preferable to that when fats cannot be tolerated and very little energy is required. Eleven.-Matzoon, 90 ozs: Fiber 3.5 ozs, fat 4.4, force 4.5, calories 1,620, oxygen 630. Fiber correct; energy deficient, 704 calories; oxygen surplus 692 pints. Twelve.-Homemade Kumys, 103 ozs: Fiber 3.5 ozs, fat 3.1, force 6.7, calories 2,060, oxygen 721. Fiber correct; deficiency in energy 264 calories; surplus oxygen 591 pints. Thirteen.-Homemade Kumys, 115 ozs. This supplies of fiber ele- ments 3.9 ozs, fat 3.6 and of force elements 7.8 ozs, yielding 2,300 calories of energy and requiring 805 pints of oxygen. The fiber is present to a slight excess, calories are about right, and the oxygen surplus is 507 pints. Semi-Fluid Diets.-The rations No. 14 and 15 are appropriate in early convalescence from acute gastritis, in chronic gastritis, some stomach derangements of pregnancy, some cases of ulcer or cancer in stomach, etc. Nutri- tive enemas or bowel injections are added, No. 17. In order to give their food value and show to what extent they may be depended upon to support life, assuming that they are entirely absorbed, while in reality only from one-fourth to three-fourths are assimilated. No. 4 D is absorbed to a greater extent than the others. Fourteen.-Clabbered milk 16 ozs, iced milk with limewater 16 ozs, whites of eggs 4 ozs, beef tea nutritive 24 ozs, pure ice cream 6 ozs, oatmeal mush 12 ozs, grape juice, No. 2, 5 ozs. This yields of fiber 3.5 ozs, fat 3.7, force 6.2, calories 2,338, oxygen 855. The fiber and calories are right, oxygen surplus 457. Fifteen.-Egg and milk 10 ozs, malt infusion 1 oz, cracker gruel 8 ozs, blanc-mange 8 ozs, Rudishe's beef peptones 2 ozs, rice milk, No. 2, 12 ozs, oatmeal mush 16 ozs, hot milk 8 ozs, corn meal gruel 8 ozs. This gives of fiber 3.5 ozs, fats 2.6, force 10.4, calories 2,341, oxygen 852. The fiber is correct, with a deficiency of only 17 calories and surplus of 460 pints of oxygen. Sixteen.-Boiled milk 32 ozs, beef scraped 8 ozs, blackberry cordial 5 ozs, thickened milk 10 ozs, astringent food 6 ozs, creamed codfish 8 ozs, butter J oz. This yields of fiber 3.6 ozs, fat 3.8, force 9.2, cal- ories 2,319, oxygen 821. The astringent food is thus made: Pure pow- METHODS AND DIETS. 379 fl e tert chocolate 8 ozs, rice flour 8 ozs, sugar 8 ozs, tannin 120 grains; cook 30 minutes. Seventeen. Nutritive Enemas.-A: Beef 6 ozs, papoid 1 grain, water 2 ozs; divide into three portions. Thirty-two ounces of this food would contain of fiber 3.5 ozs, fat 3.2, force 0.0, yielding 1,312 calories and requiring 544 pints of oxygen. B: Milk gruel 2 ozs, beef tea stimulating 2 ozs, pancreatin 5 grains. Fifty ounces of this would supply of fiber 3.5 ozs, fat 1, force 2, calories 1,500, oxygen 550. C: Beef pulp 2 ozs, coffee syrup 1 oz, pancreatin 5 grains. Thirty- five ounces would supply of fiber 3.5 ozs, fat 3.2, force 8.1, calories 2,240, oxygen 770. D: Whites of eggs 2 ozs, salt one-half teaspoonful, pancreatin 5 grains. Twenty-eight ounces of this would furnish of fiber 3.5 ozs, fat .05, force 0, calories 392, oxygen 196. E: Milk gruel 1 oz, beef tea nutritive 2 ozs, pancreatin 5 grains. Forty ounces of it would yield of fiber 3.5 ozs, fat 2.8, force 0.1, calories 1,260, oxygen 520. F : Grated oysters 3 ozs, cream 1 oz, papoid J grain : Twenty-four ozs; gives of fiber 1.2 oz, fat 1.8, force .7, calories 714, oxygen 288 pints. Nutrient Suppositories: Beef tea nutritive one pint evapor- ated in a double boiler to the consistence of molasses, add as much cacao butter as there is of the concentration, melt together, and cool in a shallow dish. Cut with a warm knife, and shape into cones. Use in place of nutritive enema. In all cases, the bowels should first be cleansed by an injection of warm water or castile soap water, then slowly inject two to four ounces as far up as possible at blood warmth, every two hours. After the first cleansing, if the bowels are empty of fcecal matter, it should not be repeated oftener than once in a day or two. Solid Diets.-An exclusive meat diet has been largely relied upon by Drs. Saulisbury and Cutter and their admirers, with gratifying results in many instances, but the almost irresistible craving for something else which this food causes, renders it extremely difficult to hold patients to it, and suggests the query whether there is not a sound physiological reason for that longing, aside from mere taste. Recent experiments have proved that a diet of nitrogenous substance exclusively is assimilated only to the extent of about one-fifth, while one 380 THE SECRET OF HEALTH. with carbohydrates added, is absorbed to the extent of sixty per cent. Assuming for the moment entire absorption, Diet No. 18-chopped steak 23% ozs, butter 1 oz-gives of fiber 3.5, fat 4, force 0, calories 1518, and requires 627 pints of oxygen. This is so defective in energy that it is unfit for active conditions, and may thus answer the above question. If the quantity be increased to the normal demand for force, still sup- posing complete absorption, it will become a strong protein diet as in No. 33. It is impossible to make both fiber and force elements right, when but one or two articles constitute the diet. Making due allow- ance for want of absorption, No. 18 should be raised to,-steak 280 ozs, which would yield nearly the right increment of force, but is obviously an impracticable amount to ingest. Nineteen.-Chopped steak 23 ozs, butter 1| ozs, fruit 26 ozs: Fiber 3.5, fat 4.4, force 3.3, calories 2006, oxygen 789. Deficient in force 300; oxygen surplus 523. Twenty.-Chopped steak 13 ozs, butter 1} ozs, mutton 7J ozs, bread 6 ozs, fruit 19 ozs : Fiber 3.6, fat 4.6, force 3.7, calories 2342, oxygen 895 pints. Calories right; oxygen surplus 417. . Twenty-one.-Chopped steak 7 ozs, butter 1J ozs, mutton 8 ozs, chicken 3J ozs, bread 4 ozs, grapes 27 ozs, Boston crackers 3 ozs : Fiber 3.7, fat 4.1, force 6.7, calories 2333, oxygen 882 pints. Fiber and force substantially correct; oxygen surplus 430 pints. Convalescent Diets.-When a person has sufficiently recovered to no longer require a sick-bed diet, a ration is needed that will please the appetite and strengthen the patient, without over-taxing the digestive functions. After a sickness in which an all-fluid diet has been used, employ a selection from Nos. 22 to 30. Where a meat diet has been used in sickness, the convalescent may be given No. 30, 31, or 32. When the patient has had no exclusive diet, any of the rations from Nos. 33 to 64 may be employed, except that No. 36 to 42 inclusive, 47, 55, 58, 61-2-3, are hardly appropriate for convalescent conditions, unless prescribed by the physician. Twenty-two.-No. 13,97 ozs, our toast 4 ozs. This yields of fiber 3.5 ozs, fat 3.7, force 6.5, 2372 calories, and 839 pints of oxygen. Fiber right, energy very slightly in excess; oxygen surplus 473. Twenty-three.-Our toast 6 ozs, fruit 4 ozs, bovinine 2 ozs, No. 13 81 ozs : Yields of fiber 3.5 ozs, fat 3.7, force 6.1, calories 2362, with oxygen requirement 845. Fiber right, calories very slightly in excess, oxygen surplus 479, This small excess of calories is an advantage In cases of METHODS AND DIETS. 381 recovery from sickness when there is no fever, so long as there is a surplus of oxygen. Twenty-four.-Entire wheat bread 6 ozs, chopped steak 4 ozs, fruit 6 ozs, butter 1 oz, No. 13, G5 ozs. Yields fiber 3.5, fats 3.5, force 8.3, calo- ries 2319, oxygen 832. Fiber and calories right; oxygen surplus 488 pints. Twenty-five.-Poultry 6 ozs, fruit 8 ozs, egg coffee ozs, creamed oysters 6 ozs, entire wheat bread 4 ozs, butter 1J ozs, No. 13,55 ozs: Gives of fiber 3.5, fat 4, force 7.3, calories 2338, oxygen 857. Fiber and calories right; oxygen excess 455 pints. Twenty-six.-Our toast 4 ozs, whisky drink 2 ozs, No. 12, 83 ozs: Yields of fiber 3.6, fat 1.3, force 6.4, calories 1810, oxygen 647. Fiber suffi- cient, calories short 514, oxygen surplus 665. Should there be much muscular emaciation, No. 34 may be better, if the digestive functions are competent. This is only for inactive conditions where stimula- tion is necessary, and is compatable with still further stimulation on account of its defective calories, although that defect may be a merit in some fevered conditions of short duration. Twenty-seven.-Our toast 6 ozs, fruit 8 i>zs, pure ice cream 4J ozs, sugar 1 oz, No. 12, 73 ozs: Yields of fiber 3.4, fat 2.5, force 8.3, calories 2330, oxygen 829. Fiber and calories right; oxygen surplus 483 pints. Twenty-eight.-Entire wheat bread 6 ozs, chopped steak 4 ozs, fruit 12, butter J oz, sugar 1J ozs, cream 4 ozs, No. 12,52 ozs : Gives of fiber 3.6, fat 2.5, force 10.6, calories 2344, oxygen 846. Energy and fiber correct; oxygen surplus 466 pints. Twenty-nine.-No. 12, 46 ozs, sherry wine 8 ozs, poultry 6 ozs, egg coffee 9J ozs, creamed oysters .6 ozs, fruit 15 ozs, butter 1 oz, wheat bread 4 ozs: Fiber 3.5, fat 3.7, force 7.8, calories 2324, oxygen 867. Fiber and energy right; oxygen surplus 445'pints. Thirty.-Convalescence; after meat diet during the sickness. For one or two weeks-lean meat 20ozs, our toast 2 ozs, milk 12 ozs: Yields of fiber 3.5, fat 3.5, force 6, calories 1444, oxygen 624. Fiber right, calo- ries too deficient for any active exertion, or for a long time; oxygen surplus 688 pints. Thirty-one.-For the next two weeks. Lean meat 16 ozs, our toast 4 ozs, milk 16 ozs, Boston crackers 3 ozs, chicken salad 2 ozs, butter 1J ozs: Fiber 3.7, fat 5, force 3, calories 2326, oxygen required 858. Very slight excess of fiber, calorics right; oxygen surplus 454 pints. Thirty-two.-Our toast 6 ozs, milk 16 ozs, chicken salad 2 ozs, garden vegetables 6 ozs, steak 8 ozs, chops 8 ozs : Yields of fiber 3.5, fats 5.7, force 1.2, calories 2386, requiring 876 pints of oxygen. Fiber right; calories properly in slight excess, and oxygen surplus 436. 382 THE SECRET OF HEALTH. GROUPED BY CONSTITUENTS. Fiber Diets.- Thirty-three.-Chopped steak 38 ozs, butter 1 oz: Yields of fiber 5.7 ozs, fats 6.1 ozs, force 0 ozs, 2316 calories and 911 pints of oxygen. The calories are about right, but the fiber is largely in excess. This with some fruits added to secure the absorption of the nitrogen, makes a suitable diet for great albuminous losses, as from abscesses, etc., with not much fever. Thirty-four.-Chopped steak 8 ozs, kumysgen 16 ozs, celery toast 3 ozs, creamed codfish 8 ozs, chicken 6 ozs, buttermilk 8 ozs, berries 6 ozs, canned tomatoes 4 ozs, butter 1 oz, sugar 1 oz, graham crackers 3 ozs, whole wheat crisps 2 ozs, creamed potatoes 3 ozs: This comprises of fiber 4.3, fat 2.7 and force 7.4 ozs, and 2346 calories, requiring 1035 pints of oxygen, which still leaves a surplus of 277 pints, with a slight excess of energy and fiber element. Thirty-five.-Buttermilk 8 ozs, beans 4 ozs, eggs 3 ozs, apples 14 ozs, wheat bread 6 ozs, butter 1 oz, beef 8 ozs, fish 6 ozs: This has of fiber 4.3 ozs, fat 2.7 ozs, force .8 ozs, 2336 calories, and requires 884 pints of oxygen. The fiber is mildly in excess, the calories are right, and the oxygen surplus 428 pints. Fat Diets.- Thirty-six.-Fat pork 4 ozs, potatoes 3 ozs, gluten gems 4 ozs, butter 1 oz, sugar 1 oz, pie 4 ozs, mutton chops fat 6 ozs, boiled ham 6 ozs, cheese 1 oz, our coffee 10 ozs, milk 12 ozs, bread 2 ozs : This gives 3.6 ozs of protein, 10.6 ozs of fat, 5.9 of carbohydrates, 3907 calories and 1493 pints of oxygen. The fiber is correct, energy 583 in excess, requiring 181 pints of oxygen more than our standard, for no work; therefore only fit to be used with considerable exertion temporarily, or to supply great waste of fat tissue. Thirty-seven.-Nuts 6 ozs, butter IVz ozs, cheese 1 oz, whole wheat crisps 6 ozs, pure ice cream 8 ozs, dressed game 6 ozs, and nutritive beef tea 5 ozs: This gives of fiber 3.5 ozs, fat 7.6, force 5.7, 3,114 calories and 1,235 pints of oxygen. The same characteristics as No. 36, except that the oxygen supply a little exceeds the demand. Thirty-eight.-Our toast 4 ozs, fat mutton chops 6 ozs, chicken milk creamed 8 ozs, oysters creamed 8 ozs, cheese creamed 1 oz, egg toast 3J ozs, fig pudding 4 ozs, game (dressed) 5 ozs: Fiber 3.5 ozs, fat 7, force 2.2, calories 2,756, oxygen 1,081. The fiber is right, the oxygen surplus 243 pints. Thirty-nine.-Egg toast 3% ozs, fat pork 4 ozs, lean veal 5 ozs, apples 4 ozs, coffee creamed 9% ozs, chicken salad 2 ozs, butter 1 oz, steak 8 ozs, dried peas 3 ozs; This gives of protein 3.6 ozs, fat 8.3, force METHODS AND DIETS. 383 2.7, calories 3,033, oxygen 1,143 pints. Oxygen surplus is 169 pints ; same characteristics as No. 36. Force-Foods.- Forty.-Bread and milk 16 ozs, fruit minute pudding 6 ozs, boiled rice 8 ozs, potatoes creamed 8 ozs, oatmeal mush 6 ozs, gluten bread 6 ozs, butter 1 oz, sugar Vis oz, cream 3 ozs, steak 7 ozs: This gives of fiber 3.4 ozs, fat 4.37, force 11, calories 2,877 and 1,033 pints of oxygen. The fiber is about right, calories 553 in excess, making a good force diet in view of the surplus of 279 pints of oxygen. Forty-one.-Stimulating.-Beef tea nutritive 24 ozs, oyster stew 8 ozs, bread and milk 16 ozs, egg and brandy 4 ozs, graham gems 4 ozs, butter 1 oz, coffee creamed 11 ozs, mutton chops 4 ozs: This gives of fiber 3.5 ozs, fat 5.7, force 7.9, and calories 2,890, requiring 1,075 pints of oxygen. The oxygen surplus is 249 pints, making not only a safe force ration, but adding a strong stimulating quality. Forty-two.-Hominy 4 ozs, dried beans 4 ozs, oatmeal mush 8 ozs, rye bread 4 ozs, fat pork two ozs, round steak 5 ozs, simple pudding 2 ozs, macaroni 2 ozs, snow drift sauce 1 oz, our coffee 8 ozs: This gives of fiber 3.6 ozs, fat 2.4, force 13.1 and calories 2,709, with oxygen demand of 984 pints. The fiber is practically correct, calories in excess 385, same characteristics as No. 38. Oxygen surplus 328 pints. Forty-three.-Mosquera's beef meal 2 ozs, pure ice cream 8 ozs, but- termilk 20 ozs, smoked beef broth 8 ozs, fruit 10 ozs, our toast 3 ozs, dys- pepsia crackers 4 ozs: The constituents of this are fiber 3.6 ozs, fat 2.7, force 7.7, calories 2,329, oxygen required 764 pints. The fiber and calo- ries are about right, the oxygen surplus 548 pints. Forty-four.-Egg milk 8 ozs, cracker gruel 8 ozs, blanc-mange 8 ozs, rice milk No. 2, 12 ozs, French custard with jam 4 ozs, baked potatoes 4$ ozs, dyspepsia crackers 4 ozs, dressed game 5 ozs, butter 1 oz: Tins yields of fiber 3.5 ozs, fat 3.2, force 8.3, calories 2,359, oxygen needed 827 pints : The fiber and calories are substantially correct, the oxygen 485 pints in excess. Forty-five.-Apples 6 ozs, bovinine 3 ozs, milk 60 ozs, bread 9% ozs, cream 2 ozs: This contains of fiber 3.6 ozs, fat 3.3, force 9, calories 2,349, oxygen required 863 pints. The fiber and calories are practically right, the oxygen surplus 449 pints. Forty-six.-Sweet potatoes 4 ozs, malt and milk 18 ozs, creamed codfish 8| ozs, beef steak 8 ozs, fruit 8 ozs, our coffee No. 2, 9 Vi ozs, scram- bled egg and our toast 9 ozs, oat meal porridge thick 6 ozs, cream 2 ozs, sugar Joz: This contains of fiber 3.5 ozs, fat 4.3, force 5.3, calories 2,372, oxygen required 908 pints. Calories a little high but amply provided for by the excess of 404 pints of oxygen. 384 THE SECRET OF HEALTH. Forty-seven.-Chopped steak 16 ozs, our toast 6 ozs, apples 12 ozs, simple pudding 8 ozs: This yields of fiber 3.4 ozs, fat 4.04, force 6.05 cal- ories 2,466, oxygen required 940. Same general characteristics as No. 45. Forty-eight.-Steak 10 ozs, milk 12 ozs, bread 6 ozs, fruit 12 ozs, oat- meal 2 ozs, butter V-j oz, fat mutton chops 6 ozs, sugar 1 oz: Compris- ing of fiber element 3.5 ozs, fat 3.7, force 4.7, calories 2,326. Oxygen required 704. Energy and fiber element are correct, oxygen surplus 608 pints. Forty-nine.-Bread 4 ozs, beef cacao J oz, cream 4 ozs, pears 3 ozs, eggs 2 ozs, green vegetables 4 ozs, steak 4 ozs, grapes 4, peaches 4 ozs, crackers 2 ozs, butter 1 oz, sugar J oz, milk 4 ozs, chops 6 ozs, dressed game 4 ozs: This gives of fiber 3.6 ozs, fat 4.3, force3.3, calories 2,339 and requires 903 pints of oxygen. Oxygen surplus 409 pints. Fifty.-Mosquera's beef meal It ozs, entire wheat bread 3 ozs, lamb chops 12 ozs, gluten gems 2 ozs, whole wheat crisps 2 ozs, French cus- tard 5 ozs, butter 1J ozs: This gives of fiber 3.5 ozs, fat 4.5, force 3.6, cal- ories 2,335, and requires 855 pints of oxygen. Surplus of oxygen 457 pints. Fifty-one.-Mosquera's beef meal 1J ozs, entire wheat bread 3 ozs, lamb chops 12 ozs, gluten gems 3 ozs, whole wheat crisps 3 ozs, French custard 2 ozs, butter 1 oz: The constituents of this are fiber 3.5 ozs, fat 5.4, force 4.2, calories 2,321. Oxygen required 847. Fiber and calories correct, oxygen surplus 465 pints. Fifty-two.-Oatmeal pudding 8 ozs, butter 1 oz, fish 7 ozs, fruit 12 ozs, eggs 4 ozs, fat mutton chops 6 ozs, sugar 1 oz, gluten bread 6 ozs, milk 12 ozs, cream sauce 2 ozs: This contains of fiber 3.4 ozs. fat 4,8, force 4.8, calories 2,347, and requires 705 pints of oxygen. Fiber and calories practically correct, oxygen surplus 607 pints. Fifty-three.-Porter's beef tea 16 ozs, smoked beef broth 8 ozs, eggs 4 ozs, cream 1 oz, butter 1 oz, oysters creamed 8 ozs, oatmeal and fruit 8 ozs, beef scraped 8 ozs, graham crackers 4 ozs: This gives of fiber 3.5 ozs, fat 5.1, force 4.9, calories 2,318, oxygen requirement 905 pints. Energy and fiber constituents correct, oxygen surplus 407 pints. Fifty-four.-Mutton chops 4 ozs, chopped steak 6 ozs, roast meat 4 ozs, unfermented bread 4 ozs, Boston crackers 3 ozs, limed milk 8 ozs, butter j oz, oatmeal mush 8 ozs, creamed codfish 5 ozs: This consists of fiber food 3.5 oz, fat 4.6, force 4.4, calories 2338, and demands 894 pints of oxygen. Oxygen surplus 418 pints, energy and fiber right. Fifty-five.-Hot lemonade 9| ozs, tomato soup 8 ozs, green vege- tables 16 ozs, apples 12 ozs, rye bread 6 ozs, graham crackers 2 ozs, stewed rhubarb 8 ozs, beans 4 ozs, scraped beef 8 ozs, butter } oz: This gives of fiber 3.5 ozs, fat 2.4, force 10.5, calories 2332, and requires 866 pints of oxygen. Right in fiber and calories, with an oxygen excess of 446 pints. METHODS AND DIETS. 385 Fifty-six.-Meat 8 ozs, fish 7 ozs, onions 2 ozs, butter 2 ozs, wheat bread 2 ozs, buttermilk 16 ozs, apples 12 ozs, hominy 4 ozs, graham crackers 2 ozs: This gives of fiber 3.5, fat 3.4, force 8.6, calories 2349, oxygen 872 pints. Fiber and energy correct, surplus of oxygen 440 pints. Fifty-seven.-Fish 12 ozs, eggs 4 ozs, peaches 8 ozs, green vegetables 8 ozs, unfermented wafers 4 ozs, butter 1J ozs, sugar 1} ozs, macaroni 2 ozs, entire wheat bread 4 ozs, baked Indian pudding 4 ozs: This gives of fiber 3.5 ozs, fat 2.8, force 10.3, calories 2326, oxygen 890 pints. Calor- ies and fiber are correct, oxygen excess 422 pints. Fifty-eight.-Bovinine 1J ozs, fruit 6 ozs, eggs 2 ozs, sugar 1 oz, butter 1 oz, Boston crackers 4 ozs, milk 12 ozs, Mosquera's beef meal 1 oz, dried beans or peas 4 ozs, hominy 4 ozs, cream 3 ozs: This contains of fiber food 3.4 ozs, fat 2.9, force 7.9, calories 2326, oxygen 828. Energy and fiber are right, oxygen surplus 484 pints. Fifty-nine.-Chops 3 ozs, eggs 4 ozs, milk 8 ozs, butter 1 oz, sugar 1 oz, baked apples and bread and milk 16 ozs, chicken 8 ozs, gluten gems 3 ozs, vegetables 4 ozs, cream 2 ozs: This yields of fiber 3.6 ozs, fat 3.3, force 8.9, calories 2344, and requires of oxygen 866 pints. Strong in energy and fiber and with an oxygen surplus of 446 pints. Sixty.-6 a. m.; our coffee 8 ozs, with 2 ozs raw white of eggs: breakfast; smoked beef broth 8 ozs, cream 1J ozs, Boston crackers 2 ozs: 11 a. m.; grape juice 2 ozs: Dinner; raw beef pulp 8 ozs, grape juice 2 ozs, rice milk 8 ozs: 3 p. m.; restorative jelly 5 ozs: Supper; Raw oysters grated 4 ozs, Boston crackers 2 ozs, cream 2 ozs; bedtime: Thickened milk 5 ozs. This is a diet for appropriate conditions in typhoid fever, and other exhausting diseases. It gives of fiber elements 3.5 ozs, fat 3.9, force 4.9, calories 2328, and requires 831 pints of oxygen. Energy and fiber are right, and oxygen surplus is 451 pints. This seems like a formidable ration for the conditions named, but when three-fourths have been deducted to adapt it to the digestive childhood state of 1 lie patientfas in many cases must be donejit leaves but 15 ounces for 24 hours. Slxty-one.-Gluten gems 6 ozs, beans 9 ozs, nuts 4 ozs, apple and Indian meal pudding 4 ozs: This gives of fiber 3.5 ozs, fat 3, force 9.5, calories 2439, oxygen required 866. The fiber is right, force 115 calories in excess, with oxygen surplus 446 pints, which renders the excess of force favorable for exposures, cold states, etc. Sixty-two.-Beans 4 ozs, peas 3 ozs, nuts 4 ozs, oatmeal 2 ozs, entire wheat bread 4 ozs, gluten gems, No. 1, 4 ozs : This gives of fiber 3.5 ozs, fat 3, force 9.4, calories 2366, oxygen required 871. The fiber is right, force only 42 calories in excess, with oxygen surplus 441 pints. Sixty-three.-Gluten gems 4 ozs, butter 1 oz, dates 2 ozs, beans (dried) 2 ozs, bread 2 ozs, hominy 3 ozs, rice 2 ozs, graham crackers 386 THE SECRET OF HEALTH. ozs, suger J oz, milk 8 ozs, fruit 6 ozs: This ration is inserted in order to show how defective is the nutrition ordinarily given to the feeble. Very many invalids would deem themselves Incompetent to ingest these 32J ounces, yet they afford but j the necessary amount of fiber food, and are defective nearly 1-7 in force. The only merit of the diet is the small oxygen requirement,-but little over one-half the normal supply, 1. e. 699 pints. Sixty-four.-Beef 8 ozs, mutton 4 ozs, skimmed milk 24 ozs, green vegetables 28 ozs, bread 4 ozs, apples 12 ozs, butter 1 oz, horse-radish freely: This gives of fiber 3.8 ozs, fat 3.7, force 6.5, calories 2316, oxygen 907. The oxygen surplus is 405 pints. Designed for rheumatic ten- dencies, and made strong in fiber element in order to sustain the tissues under the use of the baths that are often necessary. Mixed Diets will be found among all the foregoing classes, excepting the fluid. SPECIAL NOTE. On page 371 it is stated that 1312 pints of oxygen capacity, are required to effect the complete assimilation of the quantity of food adopted as the standard for a man at no work; yet the reader can not have failed to notice that most of the diets made require less than 900 pints, the average of the whole forty-seven, not including the four for consumption, nor the thirteen fluid and semi-fluid bed diets, being but 865, while the average of the first sixteen is only 629 pints. The explanation of this seeming incongruity, is that the oxygen capacity noted on page 106, reaching even to 1642 pints, is Nature's provision for the larger oxygen requirement of the increased rations which work, and hard work make necessary. Should the objection be urged that this excess of oxygenating capacity over the nutritive oxygen requirement practically nullifies the point so strenuously urged on pages 111-112 and 129, the answer is: (1) The rations in ordinary use require much more oxygen for their assimilation than do these specially prepared diets, as is practically illustrated in the rich dinner on page 125, which requires 568 pints, and that is often matched in the dinners of the middle class by reason of the large proportion of fat and sweet compounds which they consume; e. g. pud- METHODS AND DIETS. 387 dings with their sauces and pies demand from 36 to near 50 pints per oz, while beef needs but 23 and lean chicken but 9 per oz. (2) On page 121 it is stated that every 100 pints of oxygen required for the reduction of food, calls for 17| cubic inches of lung capacity. Of course it is assumed that this capacity is used. If, then, a man at no work uses 222 cubic inches in health, it is far from improbable that in diseased, bed conditions he will approach dangerously near to the 90 cubic inches absolutely necessary to prevent suboxidation of even these carefully prepared diets requiring only 629 pints. Therefore as wide a margin of oxygen surplus as practicable, is always to be sought in these circumstances, with due regard to the evolution of sufficient force to sustain animal heat and the various vital processes of the system. DISEASES AND THEIR TREAT- MENT. All the Principal Diseases and Most Common Ailments De- scribed so that They May be Recognized-The Cause Pointed Out-The Best Treatment in Each Case Given in Detail, Including Full Directions as to Diet, Hygiene, Exercise, Baths and Similar Common Sense Methods, as well as Proper Medicines when Physic is Needed. Important Notes.-In order to save space and avoid numerous duplications, the particular methods and special diets of Part 8, are often referred to in the treatment of dis- eases, and should always be carefully consulted in such cases. These methods and diets are a new departure of vast utility to all who would be guided by principles, instead of going blindly by mere directions; because the last always must have a certain combination of conditions to be appropriate, which in practice is found as often absent as present. In grading the remedies in these particular treatments, their position is not always fixed by their real relative potency, but often according to their appropriate use in different strengths. When homeopathic remedies are named, the usual strength as put up in family cases is indicated. Dosimetric remedies are occasionally prescribed and can be readily procured of any druggist. Biochemic remedies are often prescribed because perfectly safe, and can be procured of any wholesale homeopathic pharmacy; six x is the usual strength, and three tablets two or 388 DISEASES AND THEIR TREATMENT. 389 three times a day in chronic cases, and three to six times a day in acute cases is the ordinary dose, but may be given every half hour if necessary. Botanic agents are often prescribed, and can be gathered from the fields or procured of any good druggist. 0^=When a number of remedies are named for the same condition, it is not intended that all of them shall be used in one case, but the one most readily procurable or best adapted. When reference is made to any matter, as of diet, hygiene, etc., but no page named, see index for page on which that topic is treated. Remedies that are to be taken in alternation, or rotation are to be used one at one period, the other at the next, and so on. Two remedies may be alternated, three or more may be rotated. When remedies are named for stomach use, and others by retained enema for the same disease, either may be employed, but not both at the same hour unless one proves ineffective. Objections. Some may object that this arrangement requires too much careful study. Our answer is, no person is fit to use a home doctor book who is not willing to study it; for if he does, as much harm as good is likely to result. Diets for sickness can only be accurately constructed upon the basis of the average for a man in health at no work. Deduction can then be made for women and children as stated on page 371. Then, the further modifications of quantity necessary to adapt them to disease, must be left to the skill of the physicians or the common sense and experience of the nurse, because the same quantity of a given food that at one stage of a disease would be beneficial, at another might be very harmful. Abortion. - The loss of the foetus before the sixth month of pregnancy; most common between third and fourth months. Symptoms: Hemorrhage, labor pains. If in fourth month or later, chills, lassitude, paleness, palpitation, flaccid breasts, sinking abdomen, bloody discharge. Cause: Predis- position from weakness or chronic disease, acute diseases, accidents, mental excitement, over-fatigue, drugs such as ergot, savin, etc. Sometimes diseases of the foetus. 390 THE SECRET OF HEALTH. Treatment: Unload the bowels with an injection of starch water and ginger. If able to sit, take tepid hip bath fifteen minutes, and vaginal injection of tepid beth-root, geranium, or witch-hazel tea every three hours. Patient must keep in bed. If hemorrhage occurs, get the blood to the surface. Bathe limbs and feet in strong pepper tea; heated bricks at feet and hips. Internally a tea of black or red pepper, or strong, warm composition tea every one-half hour. If rest- less, add scullcap or ladies' slipper. If lips get blue, cheeks and fin- gers cold, inclination to faint,-strong or very strong stimulating method. If hemorrhage continues, give strong or very strong emetic method until nausea is decided, then continue the composition alone until free vomiting occurs. Repeat if necessary; the danger is in not using it. Or, three to five drops of fluid extract of false unicorn (helonias dioica), in water Repeat,, if necessary, once or twice. Or, tea- spoonful doses of black haw (viburnum prunefolium) fl. extract, or the same of high cranberry (viburnum opulis), every hour. Or a bowel injection of forty drops of laudanum in starch water. Abscess.-A cavity or tumor containing pus. Symptoms: Heat, swelling, pain, redness, pointing (i. e., special prominence on the swollen area where the pus seeks exit). Cause: Lymph that has been effused as the result of inflammation, into a natural or unnatural cavity, breaking down into pus. A product of microbial action, the streptoeocus pyogenes. Treatment: Abort by revulsive method, No. 13, average to very strong. Sigmoid or caecal flush every night. In severe cases, diet as for fever until suppuration, then nutritive, No. 2, mild, and change the water application to hot fomentations of hay or catnip tea, or poultices of carrots, flaxseed, bread and milk, etc. liiochemic-. Ferrum phos. every two hours. If swelling con- tinues, three grains kali mur every two or three hours. If suppura- tion is inevitable, three grains silicea, every two to four hours, and poultice. Germicide.-r When it points,open and inject with peroxideof hydro- gen, until the pus is destroyed; take twenty to thirty drops internally three or four times a day. Or sprinkle powdered papoid upon open surfaces and inject a solution of papoid into the cavity. Give three grains calcaria sulph. every three hours to promote healing. Allopathic: Twenty drops tincture of chloride of iron, every four hours. In chronic abscess, foment with tea of wild indigo. Massage.-Revulsive method, No. 13, mild. Acarus Follicularum.-See skin diseases. Acarus Hominis (itch).-See skin diseases. Acne (all forms).-See skin diseases. Actinomycosis. - Probably a micro-organic disease, consisting first of a tumor in the jaw. Later abscess and fis- tula. May occur in the respiratory tract or intestinal canal and in liver, spleen, and muscles; may be contracted from cat- tle or men. Treatment should be blood cleansing, No. 4, average to very strong, and blood making, No. 1, mild to strong. Perox- ide of hydrogen, No. 15, vol. solution, every three or four hours for the mouth, resorcin (pure) two to five grains for the intestines every three hours. Addison's Disease, - A disease of the supra-renal cap- DISEASES AND THEIR TREATMENT. 391 sides. Symptoms: Bronze skin, anaemia, general debility, breath- lessness on exercise, dim vision, dyspepsia, loss of memory, albuminous urine, convulsions, delirium or coma. Cause: The tubercular bacilli. Treatment: No cure. Alleviative- germicidal remedies and tonics, and generally as in consumption. Adenitis (bubo).-The function of the entire lymphatic system is to raise the blood from elementary molecules to leucocytes, thence to red discs. Leucocytes are protoplasmic units, whose function is to unite in forming structures with vital endowments in a particular direction. The cells from which all organic structures are made are leucocytes. Some- times this functional power is impaired and sometimes the cell structure may be inflamed. This is adenitis. Forms of the Disease: (1) Simple Adenitis, may result from a blow, walking or the absorption of some irritating poison. (2) Tubercular Adenitis consists of enlargement of the glands of the neck with inflam- mation and suppuration, or the mesentary may show a similar condi- tion. (3) Syphilitic Adenitis accompanies soft chancre and gonorrhea in the form of virulent bubo, indurated chancre of the lip, indurated sub- maxillary and axillary glands. (4) Cancerous Adenitis: As in enlarged sub-maxillary and axillary in cancer of the tongue, lip and breast. (5) Adenia or Hodgekin's disease (Leucocythernia): Enlargement of the lymphatic glands of the entire body; anaemia, greatly diminished red blood corpuscles, enlargement of the spleen and supra-renal capsules. No increase of white corpuscles. (6) Poison Adenitis: In plague, relaps- ing fever, anthrax, glanders, farcy, malignant erysipelas, dissection wounds, phlebitis, malaria, bites'of angry men, etc. There may be general enlargement of the lymphatic glands with hypertrophy of the spleen and an increase of white corpuscles. Treatment: Must be heroic in all forms. Alterative, No. 5, stronger very strong. Tonic, No. 3, strong. Special remedies to sterilize the microbes. Locally plantain leaves, iodoform, resorcin, peroxide of hydrogen. For syphilitic bubo, soft in the center, throbbing pain, poultices of slippery elm and bicarbonate of soda days, and linseed nights. If it does not open itself must be cut to the bottom in four directions so as to destroy its sac. If it does open, inject with solution of iodine two to four grains and iodine of potassa four to eight grains to the pint, to destroy its secreting power. A strong decoction of hem- lock. See ulcers, chronic. Aesthenia. - Exhaustion, the heart ceasing to beat while other organs may continue their functions. Cause: Prus- sic acid, stroke of lightning, violent effort or excessive fatigue, extreme terror or violent grief in those of weak hearts. Symp- toms: Face pallid, eyes dilate, gasping, pulse feeble or sus- pended, unconsciousness, falling. Treatment: Lay on back, head lower than heart. Loosen clothing about neck, chest and waist; dash cold water into the face. Ammonia to the nostrils, abundance of fresh air. Smartly slap the side of the chest over the heart. If persistent, four tablespoons of whisky or 392 THE SECRET OF HEALTH. brandy in water or milk thrown into the bowel; or hot enema containing one to four grains of capsicum. Ague (chills, chills and fever, intermittent fever, mala- rial fever).-Rigor, fever and sweat at certain times with inter- vals of apparently good health. The spore or germ of decaying vegetable matter acted upon by solar heat above about 78° enters the blood through the air breathed, or the water imbibed, and evolves the bacillus of malaria, which periodically emits spores, and the chills are at the time of the greatest activity of the bacilli just preceding the sporulation. If this occurs every other day with an interval of twenty-four hours it is quotidian; with forty-eight hours interval, tertian; with severity-two hours interval, quartian. The first occurs usually in the morning, the second at noon, the third in the afternoon. Any form may occur twice during its specified time. There are also forms that occur once a week, once a month, etc. When the bacilli enter the blood-stream they either coalesce with and destroy the red blood corpuscles, or cause their destructive metamor- phosis and change the blood clotty and dark colored, causing it to adhere to the walls of the arteries; from which comes embolism. Symptoms: The cold stage, dullness, lassitude, headache, sick- stomach, pain in back and limbs, a cold feeling though the skin may not be cold to the touch, shivering, skin shriveled, papillia prominent (goose skin), pale face, lips and finger ends blue, exhaustion, some- times urgent thirst, features contracted, eyes dull and sunken, pulse feeble, respiration hurried or oppressed. Irritability. May continue from a few minutes to several hours. Fever Stage-Skin warmer, Hushed face, headache severe, quick respiration, pulse hard and rapid, temperature hot, mouth dry, great restlessness, irritability and delir- ium. May last from two to twelve hours. Sweating Stage-Slight moist- ure on forehead, skin moist and cool, all the distress subsides, may be copious discharge of urine depositing a brick dust sediment, and the patient falls into a quiet sleep from which he may awake in his usual state of health until the next paroxysm occurs. Sometimes one or two of the three stages are absent. The Geographical Limits of the disease are 63° latitude north, and 57° south. Hertz says that even in an elevated and dry region, loose soil overlaying any impermeable soil that retains percolating vegetable matter may induce malaria. DISEASES AND THEIR TREATMENT. 393 Conditions tending to ague are anger, fear, sleeplessness, hunger, fatigue, exposure to night air, sleeping in damp beds, or on the lower floor of a house, or in rooms too densely shaded, sudden cooling and exposure to the direct rays of the sun. The morbid conditions result- ing from frequent attacks are irritation of the brain, morbid condi- tion of liver, kidneys and spleen, and finally leucocythema or white- cell state of the blood. Treatment: Diet nutritive, No. 2, mild to strong. In Cold Stage, hot caecal flush No. 40 (or No. 13, if not an habitual user of coffee), prepare blankets as for a pack, wring the upper blanket out of water as hot as can be borne and proceed as for pack. Give as much hot lemonade as patient desires. If there are no signs of faintness, keep the patient in until the hot stage comes ; but if it is over three-fourths of an hour, remove all wraps except wet one and apply as soon as possible another blanket wrung out of hot water and re-cover. Should there be faintness, remove quickly, wrap in a warm, dry blanket and give, stimulants freely. In Hot Stage-All the cold water or lemonade de. -cd, frequent sponging under the bedclothes with cold or tepid water. If this stage be protracted, a full tepid caecal flush of salt water. In Sweating Stage- Frequent gentle rubbings with a dry towel. Intermediate Treatment: Full pack every other day, caecal flush daily of No. 9, general ablution daily. Drink three to six quarts of water, hot or cold, or as lemonade every day. Wear flannels, have an open fire in the room night and morning, and avoid conditions predisposing to fresh attacks. Side exercise (a) page 32, three times a day. Just before the next chill is expected give an emetic of lobelia and capsi- cum ; or a spirit vapor bath with sweating teas so as to have it in full operation when the chill is expected. Abstain from milk diet, butter- milk, fats and fish. Forenoon chill, great thirst, violent headache- natrum mur., three grains every hour; with vomiting of food, ferrum phos., three grains every two hours; with vomiting acid, natrum phos., three grains every two hours; with cramps in calves, magnesium phos., three grains every hour. Dr. Hill's Homeopathic Treatment is, on first sign of chill, aconite and baptisia alternately, first three doses every ten minutes, next three every fifteen, then every thirty until patient sweats freely. Then substitute arsenicum and cimicifuga alternately every hour dur- ing intermission. If chill returns repeat aconite and baptisia as before and follow with arsenicum and mix vomica every two hours. Also cin- chona, one grain every one-half hour from lhe beginning of the chill until time for the next,. Pulsatilla and cimicifuga in alternation for chronic, much drugged cases. Arsenicum every hour to end of fever and every three hours of intermission in irregular cases with thirst during chill, face pale and bloated. French authorities claim that a decoction of green, unroasted coffee, taken freely a few hours before the chill, will prevent it. Whatever treatment may be selected the bowels should be freely opened with extract of butternut bark; or with ca:cal Hush. Dr. Chaliones names as a specific in dumb ague, a decoe- 394 THE SECRET OF HEALTH. tlon of the inner bark of the sugar maple, two ounces steeped in a quart of water twenty-four hours. Dose, a wineglassful, four or five times a day. Albuminuria.-The presence in the urine of an albu- minous body which is coagulated by heat or precipitated by neutralization. CVtuse: Acute congestion of the kidneys; acute or chronic inflammation of the kidneys; or degeneration of the kidneys. Treatment: Anti-albuminous diet and treat kidney diseases. Calc. phos. in alternation with kali phos. Strontium lactate, an ounce and a half; distilled water, eight ounces. Dose one teaspoonful morning and night, and diet of vegetables, milk and eggs, has been highly recommended. Alcoholism (delirium tremens), Mania a potu.-Delir- ium with trembling, sleeplessness, disagreeable hallucinations, profuse perspiration, loss of appetite, thirst and nausea. Cause : (1) Excessive use of alcoholic stimulants. (2) Sudden with- drawal of the stimulant, causing an attack in from two to seven days. The first is over-excitement. The second is prostration, to be treated by stimulants, tonics and restoratives. Diet: Vegetables and fruits give a distaste for alcoholics because they retard each other's combustion in the system. "Those who take much fat, butter, or oil, cannot take wine, and feel no desire for it."-Professor Gregory's Organic Chemistry. 1852. For acute cases, bovinine in hot milk every two or three hours; or Rose's Beef Peptones half to one dram, with hot milk every two hours. Baths: First day shoulder sprinkle and knee sprinkle; second, loin sprinkle and arm plunge ; third, body pack and water tread. So repeat every three days until cured, temperature carefully adapted so as not to give a depressing shock. Exercises: Very light and not continued to fatigue. Tranquilizing, page35. Vital Cleansing: Sigmoid flush, cap- sicum, one to four grains in elm or starch water as frequently as strength will bear, i. e. daily if practicable, and retained enema No. 18 every four to six hours, or No. 34 every two to three hours. Restand sleep all that is possible (see page 26). Ventilation free, temperature comfortable. J/eaicine.- Erythroxylon coca fl. ext. one to four teaspoon- fuls in water often enough to steady the nerves. Capsicum in full doses. For sleeplessness whenever exhausted, sulfonal in fifteen to thirty grain doses every one to two hours until sleep is induced. After four to six days, drop the coca and take tinct. of oats one-half to two teaspoonfuls in hot water every three hours, or oftener if the desire becomes vehement. For delirium tremens and as a substitute for alco- hol lupulin (con.) one to two and one-half grainsup, until the nerves are steadied. To rid the body quickly of alcohol, a Turkish bath, meat food with papayotin one to four grains after meals. Complications must be treated as they occur. Alcoholism, Chronic (dipsomania, methomania oinomia)Mor- bid, uncontrollable craving for intoxicating drinks. Cause: The great excess of hydrogen introduced into the system by the use of intoxi- cants. Treatment: Remedies that carry into the circulation an excess of oxygen-chest exercise. Depth, page 31. DISEASES AND THEIR TREATMENT. 395 The following medicine is said to have helped many to reform, as It did Captain John Vine Hall of the Great Eastern steamship: "Sni- phate of iron, twenty grains; magnesia, forty grains; peppermint, forty-four drams; spirits of nutmeg, four drams. Dose, one table- spoonful twice a day." Dr. S. R. Beckwith pronounces the following as the best remedy that chemistry has produced, and advises its use with the Thermo-Ozone battery: "Chloride of sodium and gold one dram, chloride of soda two drams, (liq.) sol. chloride of calcium mur. two drams, sol. chloride of barium one dram, sol. chloride of aq. pura. two ounces. Dose one-third teaspoonful in a teaspoonful of water, administered by the mouth, or twenty drops hypodermically, or fif- teen drops placed on the positive disc when the battery is used; to be used in either case twice a day." Alopecia (loss of hair).- Treatment: Head vapor once a week. Head ablution daily. Nutritive treatment, No. 2, aver- age. If one prefers the usual stimulant and unguent plan, the following germicide may be used: Bay rum, one pint; boroglyceride, one ounce; tinct. lobelia, one-half ounce; tinct. cantharides, one ounce. Wash the head daily with a lotion of boroglyceride, and dress the hair with the above. In scrofu- lous and syphilitic cases apply daily to the scalp an ointment as follows: Liquid vaseline, one ounce; boroglyceride, three drams; resorcin, one dram; chrysophanic acid, ten grains; mix. Amaurosis.-Blindness from disease of the retina, optic nerve or brain, the eye being in a normal condition. Symptoms: Impairment of vision, uncertain walk, unmeaning look. Cause: Use of tobacco (see pages 39-40) etc., straining the optic nerve and affections of the brain. Treatment.- If aenemic, nutritive treatment strong; if congestive, caecal flush, No. 7, bowel fomentation, foot vapor, eacli once a day. If reflex, treat the source of irritation. If poisonous, remove the poisons and give tonic treatment, No. 3, strong or very strong. If organic, stimu- lant treatment average or strong; massage one to two hours daily. Nutritive treatment strong, fomentation of neck daily. Amenorrhea. - Absent or defective menstruation. Cause: Congenital absence of the organs, lack of development of the organs, unnatural toughness of hymen, anaemic con- stitutional diseases, colds. Symptoms of acute cases are fever- ishness, pain, weight in lower back and pelvis, headache, diz- ziness, swelling of abdomen and breasts, nausea, palpitation, lassitude, flushed face, dry skin. Treatment: Hot caecal flush, No. 22, or No. 34. Hot mustard foot bath to knees one-half hour. Then in bed with heat to feet; drink freely of hot lemonade with one-half teaspoonful of essence of ginger to cup, every hour or two until perspiration. Mustard fomentations on lower abdomen and plasters of mustard on inside of thighs. A tea of thyme, summer savory, garden feverfew or garden angelica may also be used. Case obstinate: Sit fifteen minutes every two hours over a vessel con- taining steaming tansy or hemlock leaves, and drink tea of hemlock 396 THE SECRET OF HEALTH. leaves, smartweed and camomile every one-half hour. Hot fomenta- tion of tansy and smartweed on lower abdomen, preceded by hot colon flush containing ginger and lady's slipper. Chronic cases are usually attended with undeveloped breasts, nar- row chests and hips, and in cases of congenital deficiency by a mascu- line appearance. Be sure to distinguish from pregnancy. In serious cases, seek the removal of the disease causing it. In mild cases, bathe lower abdomen with smart weed or pepper tea night and morning; also the feet, if cold. Hot colon flush two to five times a week. A few days before time for menses, hot foot bath each night and warm pennyroyal or hemlock leaf tea. Tea of camomile and black-cohosh, cold, every two hours, or if patient is well nourished and has no other prostrating disease, thirty drops fl. ext. of polygonum punctatum (smartweed), in hot water four times a day for a week before the time of menses. If the case is obstinate, use stimulating emetic once or twice a week, the stimulating wash over spine and limbs as well as abdomen, and the emmenagogue tonic : Four ounces each of motherwort and camomile, one each of blue-cohosh and red flowering smartweed. Tincture a week in two quarts malaga wine, strain and add one pound of sugar. One- half to one tablespoonful three times a day. For lymphatic women, vapor bath once a week. When menses appear, suspend vigorous meas- ures. A few days before the next period, use the emmenagogue tonic and the warm foot baths and drinks as may be necessary. Schoolgirl's Amenorrhea: No study either at home or school. Open air several hours daily, warmly clad but with no chest protectors, witli deep breathing with mouth closed. Sponge batli on rising, water of the temperature of the room, with plenty of towel or hand friction. Strong nutritive diet. Homo: Aeon, and puls, every fifteen or twenty minutes, less fre- quent as pain diminishes, feet in hot water. If nausea, vomit with lukewarm water. Rub loinsand back downward with naked hands. Head hot and face red, bell, with puls., lungs oppressed, bryonia, much pain after flow begins, caulophyl. Suppression of weeks duration apis, inel. In young women-pod. at night, cim. in morning three weeks; then puls, also in rotation every six hours. Ainmonaemia.-Blood poisoning from the absorption of a fungus and carbonate of ammonia by the retention of the urine in the bladder. Cause: Stricture, enlarged prostate, atony or paralysis of bladder, cystitis, kidney disease, etc. Symptoms: Breath and skin ammoniacal. If not relieved, rigors, vomiting, fever, dry, brown, shining tongue, dingy brown skin, headache, insomnia, restlessness, lethargy, mutter- ing delirium. Treatment: For immediate relief, drain off urine with a catheter, then flush the bladder with hot water two or three times, then with a solution of six to ten drops of peroxide of hydrogen to a pint of water; thus empty and wash daily. About nine p. m. wash out rectum with one-half to three-fourths pint of tepid solution of boracic acid, thirty to forty grains to the pint. Pass off. Then inject one tablespoonful of the following: Distillation of hamamelis, four ounces; papoid, thirty- two grains; mix; retain. Average or strong nutritive and tonic meth- ods as far as they can be employed in connection with very strong blood-cleansing method. Amyloid Degeneration.-Cause: A disease germ, the bacillus pyocyaueus, which evolves starch molecules that are carried by the blood and deposited in weakened parts and increased by aggregation. The heart, liver, spleen and kidneys DISEASES AND THEIR TREATMENT. 397 most frequently affected. Symptoms: Progressive debility, waxy complexion, abundant urine, enlarged liver, spleen and kidneys. Treatment: Remove cause. General alterative and tonic treatment. Exercises, 3, p. 30 ; 9, p. 31; 9 d., p. 32 ; 12 b., p. 32; 13 g., p. 33; 24, p. 35 as needed. Calca. fluor, three grains four times a day. If the heart is affected fl. ext. of cactus grand five to twenty drops every four hours. If the liver be affected, vegetable tonics such as hydrastis, black wil- low or cinchona cal. Anaemia.-A deficiency of blood as a whole, or of some of its constituents, usually of red blood corpuscles, diminishing sometimes to 40 parts in 1,000, instead of the normal 130 parts. The symptoms are debility, bloodlessness, cold extremities, palpitation, spots before the eyes, noises in ears, vertigo. Treatment: Rapid blood-making treatment according to degree of debility; or nutritive treatment strong or very strong. Beef blood has bad much reputation, but Gheradini has shown that it is difficult of digestion, the haemoglobin being changed in the stomach into haematin, which is not absorbed but passes unchanged into the faeces, and therefore the peptonoids resulting from the digestion of blood contain but little iron. Baths: Head ablution daily and carefully dry the hair, which should be short. Water tread daily one-half to five minutes. Body wrap twice a week thirty to fifty minutes, must not chill; sun bath three times a week twenty to thirty minutes (see p. 8). Cold sponge daily. Exercises: Selected according to need from 3, p. 3(1, 9 depth, 9 breadth (a), p. 31; apex fulness, p. 32; e., p. 33; 18 a, p. 34; 19 a, p. 34; 24, p. 35. After considerable improvement substitute for above water applications, sitz bath three times a week, shoulder shower and knee shower each twice a week, and later once a week. Caecal flush No. 31, often enough to keep bowels free, with stimulating drinks if necessary. Retained enema of No. 22, as often as condition of nerves requires. 'Rest and sleep to be encouraged to the utmost; see pp. 25-28. Clothing, see pp. 24, 25. Diversion, very important, p. 28. Air and temperature, open and genial but bracing; see p. 5. Medicine: The following saline and chalybeate tonic may be used, as it supplies in about the relative proportion in which they exist in the blood, most of the important inorganic salts of the blood, with an excess of sodium chloride and a small quantity of reduced iron: SALINE AND CHALYBEATE TONIC. Il Sodii chloridi (C. P) iij; drams Potassii chloridi (C. P.) gr. ix ; Potassii sulph. (C. P.)gr. vj; Potassii carb. (Squibb) gr. iij; Sodii carb. (C. P.) gr. xxxvj; Magnes. carb gr. iij ; Calc. phos. praecip ss; % dram Calc, carb gr. iij; Ferri redacti (Merck) gr. xxvij; Ferri carb gr. iij; M. In capsules, No. 60. Sig.: Two capsules three times daily after eating. The animal, or beef extracts deserve careful consideration as spe- cially efficient remedies. The oxygen treatment may be used to awaken all the processes of life. Give thirty drops of tinct. of oats and a gen- erous diet, to furnish the material out of which new tissues are to be 398 THE SECRET OF HEALTH. made. Tlnct. of the chloride of iron fifteen drops in water three times a day is deemed a specific. A tablespoonful three or four times a day of liquor mangano-rerri peptonatus "Gude," is a recent but effective scientific treatment. Anaesthesia.-Loss of consciousness, or sensation, or both, by the inhalation or application, or subcutaneous injec- tion of various drugs. By chloroform, one death in 2413 cases, none by ether. Treatment for excessive narcoses, see accidents. Safe local anaesthetic-spray on rapidly for one minute, then slowly from two to six minutes, menthol one part, ether fifteen parts, chloroform ten parts. Dr. Sleich of Berlin, says that subcutaneous injections of distilled water render the parts insensible as long as the wheal remains. Anasarca.-See Dropsy. Anchylosis.-The union of ends of broken bones into a joint by the effusion of lymph and its organization into liga- ment or bone. Treatment: Ozonized clay applied daily as a poultice to cause the absorption of the lymph. Should not be kept on long enough to cause redness of skin. Nutritive method, No. 2, average to very strong. Liquor auri et arsenii five drops three times a day in water has cured some cases. Aneuria (or coma).-Extreme oppression of the brain or exhaustion of the energy of the great nerve centers, causing deep sleep from which patient can not be aroused. Treatment : Belladonna five to ten drops, water four ounces. One teaspoon- ful hourly. With signs of apoplexy, treat as for apoplexy. With indications of opium poisoning, treat for opium poison- ing. In fracture of the skull, treat as for shock and secure surgical aid. In dead drunkenness, full colon flush of hot starch or elm water containing one to four grains of capsicum. In uraemia, inhalations of oxygen, frequent and protracted, and such treatment for kidneys as the case requires. Aneurism.-The dilatation of the coats of an artery into a swelling or sack. Cau.se: Morbid state of the blood, weakness of organization, disease of the walls of the blood ves- sels. Symptoms: A swelling, pulsating with the action of the heart, and located over an artery. Treatment: If small, it may be obliterated by painting it with a camel's hair brush, with tlie best quality of collodion, adding coat to coat with finger pressure if necessary also. Paint one-fourth of an inch beyond it on all sides. As soon as the edges begin to loosen, DISEASES AND THEIR TREATMENT. 399 remove and repaint until it disappears. Calc, fluor, three grains in alternation with same of ferr. phos. every two hours. Pressure when it can be applied. Electricity by needles inserted into the aneurism when available. Angina Pectoris (neuralgia of the lieart)Cause: Diseases of the brain or blood, stimulants, passional excitement, loss of sleep, etc. Symptoms: Sudden, excruciating pain shooting through the heart, from breast to back, producing faintness, depressed pulsation, pale, anxious expression, and coldness or cold, clammy sweat. Treatment: If caused by wind in stomach, give hot pepper or anise seed tea, or ten to twenty drops of ether, or inhale a tablespoon- ful of ether from a handkerchief, or take a teaspoonful of whisky in a tablespoonful of hot water, repeated in ten minutes. If stomach is acid, a teaspoonful of soda in a glass of water. If full of undigested food, an emetic. During the attack, secure complete relaxation with caecal flush, No. 23, or with thirty to sixty drops of tincture of lobelia, repeated as often as necessary. Nitrite of amyl, three to eight drops in a hermetically sealed capsule, broken on a piece of lint or linen and inhaled, gives instant relief. Use cautiously; if not procurable, use nitro-glycerine, one drop of a one per cent solution in water; or inhale a few drops of chlorform, and, just as it begins to narcotize, hypodermically inject one quarter of a grain of sulphate of morphia. To prevent recurrence, R. tinct. lobelia, one ounce; tinct. macrotys, one-half ounce; tinct. gelsemium one-half ounce; aconite, ten drops; water four ounces; mix. Teaspoonful three or four times a day. Dur- ing the interval improve general health, avoid cold, damp, violent exercise, walking after meals, frequent sexual intercourse, and all mental excitement, and cure any condition predisposing to other attacks. Angina Tonsillario.-See quinsy. Angina Gangrenosa, malignant quinsy, putrid sore throat.-See quinsy. Anosmia (loss of the sense of smell).-May be from injury to the nerves leading from the brain to the nose; or from disease of the nasal membrane. Treat the cause. Anorexia (loss of appetite)-Common in all acute, and many chronic diseases. Treatment: Improve conditions of light, air, cheerfulness, and the like, and increase the secretion of the gastric fluid. Exercise 19, p. 34; 9, p. 33; 3, p. 30. Active exercise in the open air; if vigorous, cold sponge bath twice a day, or shower bath once a day; if weakly, cool or cold sponge once a day, half pint of hot water drank four times a day. In all cases, bowels kept active with caecal flush. If any cause is known, treat that. Camomile tea, gentian, wild cherry, or aromatic sulphuric acid, ten to thirty drops two or three times a day; or, before meals give quassin (neut.) one- thirty-third to one-sixth of a grain in water. First regulate the bowels, and cure gastric catarrh if present. 400 THE SECRET OF HEALTH. Anthrax (wool sorter's disease)A micro-organism peculiar to cattle. Both contagious and infectious. May attack man as malignant pustules, anthrax-oedema, or internal anthrax. Produces symptoms of a malignant poison, rigors, high fever, vomiting, nausea, prostration, sleeplessness, labored breathing, exhaustion and delirium. Treatment: Ten to thirty drops of peroxide of hydrogen, in alternation with fifteen grain doses of resorcin, one dose every three hours. Also rapid blood-cleansing method, No. 4. FIG. 58. POSITIONS OF THE WOMB. Antipyrinism.-Disease resulting from the poisonous effects of antipyrin. Symptoms: Face and lips red and swollen, scarlet rash, inflamed and ulcerous mucous membrane, extremities swollen and itching, tongue swollen and dirty. Stop giving the drug, and treat symptoms as they arise. Anteflexion.-The fundus of the womb drops down at an angle as in C or B, Fig. 58, and is rigid in that position. DISEASES AND THEIR TREATMENT. 401 Anteversion.-The fundus drops down upon the blad- der, while the os points directly back toward the sacrum. The different normal positions of the womb are shown in Fig. 58, but these differ from the normal in the rigidity of the struct- ures, causing feeling of weight, pelvic pain, and frequent, but vain desire to pass water. If not relieved, chronic inflamma- tion of bladder will result. See A, Fig. 58. Sleep on back, with foot of bed elevated eight to ten inches. Remove all weight and pressure from clothing, by supporting from the shoulders. Once a day for an hour, lie on the bed in the position repre- sented in Fig. 59, the chair being covered witli blankets, hips on the back of the chair, knees supported over the rounds. Breathe deeply, FIG. 59. CHAIR PELVIC TREATMENT. read or sew at pleasure; when tired turn a little on one side, and then on the other. This position loosens adhesions, and strengthens the natural supports of the pelvic organs. Csecal flush two or three times a week. Rest and sleep on back a few minutes at intervals of two hours all day. At every rest, take three deep, long inspirations. Be much in the open air, and live in a temperature as cool as possible, without chills. Medicine is of doubtful utility beyond a tonic like berberis or false unicorn (helonias dioica.), in non-irritative states. If irritation be present, remove with sitz baths, tri-weekly. In either case, the water tread daily, with arm plunge twice a week. Anns (Fissure of).-A painful crack at the edge of the anus. Symptoms: Smarting, and sometimes throbbing in the part, increased by coughing, sneezing and the like. Treatment: Colon flush three times a week, tepid sitz bath three times a week; shirt wrap once a week; bowel pack, thirty minutes, twice a week, of hayseed tea. Daily cold ablution; or, keep bowels soft with butternut, and wear on the fissure a soft sponge, saturated with equal parts of fl. extract of mullein and white pinus canadensis. Wash sponge and renew three times a day. Keep in place by a "T" bandage. Anus, Fistula.-A tubuler ulcer with an outer opening near the anus, and an inner opening into the rectum. Symptoms: Itching pain When bowels are moved; moisture, soiling the clothing, with offensive 402 THE SECRET OF HEALTH. odor sometimes. Treatment same as fissure of anus, or solid ext. Bugle weed trituated with lard, into a strong ointment, and applied constantly. Aphonia (loss of voice)Organic, when the vocal cords have been distroyed by diphtheria, cancer, etc. Functional, when the cords are stiff by inflammation, or lose their power of motion from paralysis, or from hysterical causes, syphilis or tubercle eating the tissue of larynx; or by lack of cohesion of nerve, or nerve distress, or cold. Most cases are reflex from teething, worms, masturbation, uterine or genital irritation. Treatment: If organic, local and constitutional to suit cause; if functional and reflex, treat the organ implicated; if nervous, antispas- modics and tonics; cold or heat to larynx externally, according to condition of congestion or relaxation, in each case. Electric faradic current, mild, positive at base of spine, negative on throat, ten to twenty minutes once or twice a day, for relaxed conditions. For same use exercise, No. 2; p. 30. General tonic, water method, or cinchonidia, three to ten grains, in twenty-four hours; and nutritive diet, average or strong. Be careful to have rooms well ventilated (see p. 2-4). Appendicitis (perityphlitis). - Inflammation of the caecum, may produce ulceration of the mucous membrane, or inflammation of the entire wall and surrounding tissues. Cause: Cold and wet; traumatism; irritation of faeces con- taining seeds, or other hard substances. Symptoms: When slow-constipation, pain in right groin, increased by pressure, then same as if sudden, namely-pain in the caecum, may be vomiting, loss of appetite, fever; abdomen swollen and tympanitic, and prominence over the seat of the attack. If then, masses of foul-smelling feces are discharged, recovery ensues. If the peritoneum becomes involved, tenderness and swelling increase, the right leg is drawn up, and later collapse. If abscess forms-septic fever, fluctuation; if it breaks into the colon-probable recovery; if into the peritoneum, peritonitis and death. Treatment: Caecal flush, No. 28, repeated if necessary, until the colon is entirely empty; only hot milk and bovinine for food. Com- press on right groin, renewed as often as it warms. Two tepid sitz. baths a day, up to the navel, if able. Hot foot bath with ashes and salt every day, or, if not able, heat to the feet. Fomentation of whole left arm; lie chiefly on left side, and with hips elevated. Crowd the treatment; if pain becomes severe, or abdomen tympanitic, give the elm flush, as directed for diarrhoea, dysentery, etc. If necessary, give retained enemas of No. 23, or of sweet oil, when the disease begins to yield, then treat less vigorously. Should ulceration have set in, or abscess formed before treatment is begun, and no surgical aid at hand, then fomentation on the part, of hay flower tea, the shirt wrap daily, whole ablutions as often as comfort requires. Should peritonitis supervene, treat as for that. Appetite, Unnatural.- Cause: Irritation of the mucous lining of the stomach or small intestines, diseases of the nervous system, chlorosis and pregnancy. Treat the cause. Apoplexy, (1) cerebral, (2) spinal, (3) pulmonary, etc. -An engorgement of blood, with or without extravasation DISEASES AND THEIR TREATMENT. 403 of blood, in or upon an organ. Symptoms: (1) unconscious- ness, pulse small and slow, respiration slow, embarrassed or stertorious, froth at mouth, clammy sweat, face livid and con- gested, or very pale, eyes dull, glassy, insensible, teeth clenched. (2) Sudden pain, convulsions, difficult breathing if high, depressed pulse, pale, cold skin; not high, spasms confined to limbs, paralysis in all parts supplied with nerves radiating FIG. 60. APOPLECTIC CLOT IN BRAIN. from below the point of disease. (3) Profound collapse, pro- fuse hemorrhage, extreme difficulty of breathing, lividity. Cause: Anything that exhausts the vitality of the organ. Treatment: In cases 1,2, and 3, avoid violent mental or physical exeitions, straining at stool, and strong emotions or passions; also, tea, coffee, tobacco, alcohol, stimulants or sexual indulgence, heavy meals, much animal food, stooping, tight bands about the neck, hot baths, and great extremes of temperature. Sleep with head high, and wear hair short. If anaemic, give anti-anaemic diet, and tonic treatment as required. (1) In Attacks; with face turgid-caecal flush, No. 22, head high, he on right side, fomentations of mustard to feet and limbs. Back, chest and abdomen, vigorously washed three or four times a day with vinegar and water, as quickly as possible. A warm foot bath every six hours, vigorous ablution of limbs and arms twice a day. (I) With pale face-caecal flush, capsicium one to four grains in elm tea; hot sponge bath, two or three times a day. Massage. (2) Absolute rest; cold compress to part, fomentations of mustard to the feet, abdomen and wrists. (3) Absolute rest; general applications as for hemorrhage of the lungs. Support the heart with cactus grand, and liquid nutritive diet. Apthe (small, white ulcers in the mouth; most fre- quently in young children. The oidium albicans. Coutagi- 404 THE SECRET OF HEALTH. ous and infectious).-Cause: Anything that can degrade the living matter of nutrition into microbial forms. Symptoms: Irritation, restlessness, fever, debility, cough, vomiting, diarrhoea innutrition. Blisters changing to ulcers. Treatment: One ounce each of Lloyd's Hydrastis and fl. extract pinus canadensis, applied locally with a earner's hair brush or swab, or wash with saturated solution of boroglyceride, or peroxide of hydro- gen, one-half teaspoonful to the ounce of water. For red and hot mouth-ferrum phos. White ulcers of nursing babes-kali mur; ashy grey ulcers, fetid breath, gums bleed easily, red line on edges, watery canker-kali phos., a dose every three hours. Attend to ven- tilation, disinfection of nursing bottles, if used, ami keep skin clean and warm, and improve the general health. Asthma.-A spasmodic, nervous disease,.consisting of an irritation of the nerves that supply the circular muscular fibers of the bronchi, causing spasmodic contraction, obstructing the passage of air both ways. Comes when electrical condition of the atmosphere is low. Symptoms: Lassitude, debility, head- ache, drowsiness, may be indigestion, smothering, difficult breathing, chest distended, pulse feeble, eyes protrude, lips purple, temperature falls to near 80° F., profuse sweat, cough, expectoration. Treatment: If patient is vigorous, first day, shoulder shower, knee shower and water tread. Second day, back and loin shower and water tread; third day, sitz bath, shoulder shower and water tread; fourth day, back and loin shower, arm plunge and water tread; fifth day, sitz bath, shoulder shower and water tread; sixth day, whole pack and wafer tread; seventh day, loin shower and water tread. The showers from one to three minutes, sitz baths from fifteen to twenty minutes, water treads from three to fifteen minutes, water cold. The second week, shoulder shower three times, back and loin shower three times, sitz once, and water tread seven times. If weakly, subslitute the shawl wrap for the shoulder shower, lower back and abdomen ablu- tion for the loin shower, tepid sitz in place of the cold sitz, and foot shower or very short water tread in place of the longer water tread. Water oidy as cool as can be reacted against within three minutes. Syrup or wine of ipeeac one-half teaspoonful, or tincture of lobelia one-fourth teaspoonful, every half hour, until relieved; same time hot mustard foot bath, and mustard between the shoulders. Strong, clear coffee sometimes gives relief; two or three cups before meals- If the paroxysm arises from indigestion or overloaded stomach, give a teaspoonful of mustard in a half pint of water; if from constipation, caecal Hush of hot water, and retained enema (flush), No. 6. Smoking paper dipped in a saturated solution of saltpeter, and dried until the fumes fill the room, is often efficacious. Caffeine in two grain doses every half hour is good. Smoking stramonium leaves sometimes relieves. Inhale the vapor of.a mixture, from a wide mouthed bottle, of ether one ounce, spirits of turpentine one-half ounce, benzoic acid one-half ounce, balsam of tolu two drams. To prevent paroxysms upon first symptoms, anemonine (alk.) one-sixty-seventh to one-twenty-seventh of a grain every ten minutes, less frequently in chronic cases, or hyoscyamine sulph. (alk.) one-two- hundred-tiftieth, increased if necessary to one-fifth of a grain every hour until the effect is gained, or sulphide of calcium, one-twelfth of a DISEASES AND THEIR TREATMENT. 405 grain three to twelve times a day. Fluid extracts of yerba santa and grindelia robusta, of each half a teaspoonful each hour, for three hours, then every two or three hours, has cured many cases. Homeopathic Method: Asthma from sudden cold-aconite and ipecac every hour for a day, then if not cured, copaiva, arsenicum, phosphoric acid and ipecac in rotation, one dose every hour. Asthma, chronic- the last four remedies, one every two hours, upon the occurrence of any symptom. "A mixture of oxygen and nitrogen monoxide gases invariably gives instant relief, and their continued use, variously modified, has never failed in my hands to work a perfect cure."-Dr. S. S. Wallian. Ascites (abdominal dropsy).-Effusion of serum into the cavity of the abdomen. Usually caused by peritonitis or liver disease. Symptoms: If from liver-sallow or yellow skin, con- gested conjunctiva, brown tongue, cough, dullness of upper lobe of right lung, pain in shoulder, drowsiness, urine loaded with bile. If from chronic peritonitis-none of the above, but upper body emaciated, features pinched, anxious, shining skin, veins dilated, abdomen enlarged. Treatment for the last is encouraging; the first will probably return unless persistent water treatment thoroughly changes the con- dition of the liver. Dwarf elder (Sambucus Ebulus L.) root tea three times a day. Cold hotly wrap daily one hour, for a week, then every second day for ten days, then every third day for two weeks. Nutri- tious diet, average or strong. The thermo-ozone battery one hour morning and night. Apocynum canadensis, one ounce, water four ounces; one teaspoonful every four hours; or sambucus, two to ten drops every three hours; or aralia hispida two drams, water four ounces; a teaspoonful every four hours. If this be not successful, strengthen the blood with tonic method, average or strong. Leave the dropsical accumulation as long as possi- ble so that its pressure may check further effusion and give calcium lacto phosphate. Then to remove the effusion jalapin (con.) one-half grain or more as required. To act on the kidneys, apocynum (cone.) one-twelfth of a grain every one-half hour for acute; every two hours for chronic cases. Atelectasis (pulmonary collapse).-Cause: Anything that weakens the power of inspiration. Symptoms: Difficult, quick, shallow breathing, pallor, face and ends of fingers bluish, prostration, rapid, feeble pulse, cold extremities, weak voice, feeble cough, slight expansion of chest. Treatment: Fomen- tations of mustard water on chast and limbs, stimulants, lobelia emetic if bad; later, tonic and alterative treatment. In the new-born, the hot bath followed by dashes of cold water on back of neck, roll in warm flannel, friction, repeat the bath, tonics, stimulants and generous feeding. Atheroma.-A degeneration of the inner and middle •oats of the arteries, usually in patches. Symptoms: Obscure; 406 THE SECRET OF HEALTH. heart failure, rigidity of affected parts, pulse indistinct, cold extremities, debility, dry gangrene; apoplexy, epilepsy, demen- tia, petrification. Cause: Violence, tension and any morbid matter in blood, as tubercles, syphilis, rheumatism, etc. Deemed incurable, but might be retarded in early stage by keeping blood charged with hydrogen peroxide, or try iodine one-sixty-seventh to one-twelfth grain three to five times a day, and calcium lacto phosphate one and one-half grains three to six times daily. Atrophy.-A wrant of nourishment and waste of sub- stance of any organ, gland or tissue. Atrophy of the Brain may be congenital or from old age, from cerebral hemorrhage, chronic inflammation, masturbation, sexual excesses, or the use of alcohol, opium or tobacco. Symptoms: General failure of mind and senses, tremor, incomplete paralysis, irritability, vertigo, thick speech, outbursts of rage, sleeps nearly all the time, complete imbecility. Treatment: Improve the general health. Gentle exercise, sponge bath daily, and warm sulphur baths. Massage and faradization of the whole body. General alterative and tonic treat- ment. Nutritive or blood-making diet, as strong as can be borne. Liquor auri et arsenii bromidi, five to fifteen drops three times a day. Compound oxygen as constitutional remedy to be long continued. Beef extracts. Atrophy of the Heart.-Cause: Impoverished brain, exhausting disease, defective nutrition, germs of syphilis, cancer and the like; old age, morbid growths, aneurisms. May be congenital. Symptoms: Decreased area of dullness over the heart, diminished heart action, lowered temperature. Treatment: Rapid blood-making, average or strong; physical exercise and mental excitement to be avoided. Cin- chona fluid extract, ten to thirty drops in water every three hours, or sparteine sulphate (common broom), one-half to one grain three times a day; or cactus granditlorus, ten to thirty drops of the fl. ext. three times a day. Atrophy of the Lungs.-Causes: Senile changes, emphyzema, marasmas, hydrothorax, tumors. Symptoms: Difficult breathing, dropsy of extremities, cyanosis, pigeon breast thorax. No treatment very promising, but try liquor auri et arsenii bromidi (Barclay) as for senile atrophy. Atrophy of the Muscles.-Cause: Non-use, injury of their nerves, the germs of disease, shocks, concussions, etc. Symptoms: Wasting, lowered temperature, impaired sensation, numbness. Treatment: Remove cause. Hot baths, pours or fomentations alternated with cold, one-sixth as long time, changing from hot to cold two or three times, the whole application to continue twenty-five to thirty minutes once daily. Massage. Exercise as can be borne. General tonic treatment, cinchona as for atrophy of heart, fomentations (stimulating) for five to ten minutes every three hours. Backache.-When symptomatic only of a want of tone, give tonic treatment, No. 3, suited to the case, or arnicin (glu.) one-sixth grain every one-half to two hours. When it is a symptom of disease, treat the disease which causes it. DISEASES AND THEIR TREATMENT. 407 Baldness.-See alopecia. Bedsores.-Caused by long continued lying in one posi- tion, excoriation of the skin from matter, bread-crumbs, wrin- kles in the sheet; occur on the back, heel, shoulders and elbow. Remove the pressure by a ring cushion stuffed with muslin, cotton, or curled hair, or better still a rubber water cushion. If actually open, cover with soap plaster spread on thick buck- skin, or with two layers of adhesive plaster very smoothly applied, which must be removed if suppuration sets in, and treat as for ulcers, which see. If not open, apply one part of alcohol to three parts of water as a wash two or three times a day, or a wash of tannic acid five to ten grains, and glycerine one to two drams, or anoint with lanolin and protect with wool. To prevent their formation, use alum and common salt, of each half an ounce, and water and alcohol of each one pint; for local use twice daily. Biliousness.-A word in general use, applied indiscrim- inately to five different conditions: 1. Deficient secretion of the liver, when the materials which ought to be removed from the blood are left in it. 2. Obstruction of the bile ducts, pre- venting the escape of the bile from the liver, and causing its re-absorption into the blood. 3. Abnormal condition of the bile itself. 4. The pouring back of the bile from the duode- num into the stomach. 5. Overproduction of bile. Causes. 1. Anything that will repress the functional activity of the organ. 2. Inflammation, viscid condition of the bile itself, colds, semi-paralysis from constipation, sedentary habits, etc. 3. Overwork of the liver by excess of sugar and starchy foods, excess of poisonous substances in the blood, deficient food elements. 4. May be sea-sick- ness, reverse peristaltic action in consequence of constipation. 5. Usually the same as No. 3. Symptoms: 1. Dullness, blotched skin, probably headache, some- times deranged appetite and digestion. May be overwork of the kid- neys, bowels or skin in the effort to throw off the noxious material; stools clay colored, or dark. 2. Sickness of stomach, headache, dizzi- ness, constipation, slate colored stools, yellow eyes, bitter taste, pain in right side or under right shoulder blade. 3. Much like No. 1. 4. Eructations of bile or vomiting of bilious matter. May be sickness at stomach and headache. 5. Morning dizziness, may be headache and fever, nausea, vomiting, tongue yellowish white, breath offensive, bit- 408 THE SECRET OF HEALTH. ter taste. The repetition of the acute attacks is apt to induce chronic biliousness with muddy skin, yellowish eyes, headache, etc., more or less constant. Treatments: Avoid thecause if practicable; if not, treat it. For No. 1, much exercise in the open air, exercise, Nos. 11 and 12 b; caecal flush three times a week with retained enema No. 37 and 7; daily com- press of one hour, of vinegar one part to water three parts; daily sponge bath, full pack twice a week; diet of meat, fish, green vegeta- bles and acid fruits. Avoid sugars, starches and alcoholic and malt liquors. Anti-bilious diet: Leptandrin extract two grains as often as necessary; or euonymus extract softened with essence of peppermint and stiffened into a pill mass witli equal parts of powdered bitter root and golden seal, and one-tenth part capsicum. No. 2: Full pack once a week; caecal flush with retained enema No. 2, or a fomentation daily for one hour over the gall bladder of No. 23 one day, and No. 26 every alternate day; exercise No. 12 b; daily sponge bath and one-half pint of hot water sipped slowly before meals andon retiring. Apoeynim (when piles, feverishness and hard pulse are absent) one-third to three grains as often as necessary. When these are present, treat fever and give ext. of butternut eight to twelve grains or 11. ext. thirty to sixty drops with a little ginger. No. 3: Treat as for No. 1 if abstinence from food for twenty-four hours and then a diet of skimmed milk, buttermilk, beef, poultry, and raw or stewed fruits is not effective. No. 4: Secure a normal peristaltic movement of the bowels by hot caecal flushes as often as needful. Knead the colon beginning low in the left groin by a downward, pushing movement of the knuckles, repeat three times; then two inches higher, carrying the downward movement as low as possible, three times; then two inches higher, and so follow the tract of the colon all the way round to the right groin, always making the motions in the direction of the space already passed over. Then from the right groin, with a digging, pushing, for- ward motion, retrace the steps to the left groin ; then knead and shake the central bowels for five minutes. Do this daily, but not until all impacted foeces are removed by flushing. No. 5: Tepid compress on liver one-half hour daily. Bowels kept active with colon flush, even if loose, but with baking soda one tea- spoonful to the pint in it. Much outdoor air. In chronic biliousness apply the same methods with a vigor proportioned to the severity of the disease and the strength of the patient. Bites.-See accidents, etc. Bladder, Inflammation of.-See cystitis. Bladder, Irritation of.-Caused by intense prolonged erotic excitement, especially if unrelieved. Contracted meatus, strictures, congestion of the deep urethra left by inflammation. Symptoms: Desire to urinate frequently, with smarting during the act, especially towards its close. Pain in the urethra and back. The expulsive power is generally weakened at first, later increased into spasmodic, painful, erampy action. Treatment: When due to phosphatic deposits in the urine-R. Acid benzoic, two drams; soda borate, three drams; water, 12 ounces. Mix; tablespoonful three times a day. In other cases treat as a mild chronic cystitis, which see. Bladder, Paralysis of.-In spinal disease with reten- tion of urine, cannabin (alk.) one-sixth to one grain every two hours. For sphincter-palsy, distention-palsy and paretic dysu- ria (impeded and painful urination), ergotine (Bonjean's), one- DISEASES AND THEIR TREATMENT. 409 half to two and one-half grains hypodermically. For palsy of detrusor (expulsive) muscular fibers, arnicin (gin.), one-sixth grain every one-half to two hours, or Brucine (alk.) one-sixty- seventh to one-twelfth grain as required. For atonic paresis (lack of power without paralysis), cantharidin one-five-hun- dredth of a grain every three hours. Blood Diseases need not to be enumerated, nor their symptoms given, since the following treatment is effective for all, except anaemic and poisoned conditions (for first see anaemia). For poisoned see blood poison. Treatment; Nutritive method average or strong, or blood-cleansing method as needed ; daily ablution the first week, head vapor once, foot vapor once, whole pack once, hot water one-half hour before each meal. Second week-Shirt wrap three times, sitz batli twice, whole shower twice. Third week and later-Shawl wrap once, loin shower twice, arm plunge twiee, whole ablution daily, caecal flush two to five times from the beginning. No. 42. Rest and sleep abundantly. Air and temperature should be fresh, abundant and comfortable, no chills ; diversion, as active as circumstances permit. Make free use of comp, oxygen or the Thermo-ozone battery; with sufflcient oxygen in the system the blood becomes so saturated that bacteria cannot propa- gate in it, which is called sterilizing it. Blood Poisoning'.-Wrap the injured part in a hot fomentation of hay flowers, to be renewed as often as the pain increases. If there are other than local symptoms, treat with wraps, packs, ablutions, etc., according to the symptoms. The usual general symptoms are chills or chilly sensations, fever which may run very high, sweating, face pale, pinched, delirium, diar- rhoea, vomiting, red spots over the skin. Treatment: Rapid blood- cleansing and tonic methods, control excessive exhausting sweating by quinine, one to two grains every hour or two, or hyoscyamus fl. ext. five to fifteen drops. Treat other complications as they arise. Boils, Furuncles and Carbuncles.-An oil gland of the skin filled with lymph interspersed with the straphylo- coccus or streptococcus pyogenus aureus. Cause: Anything that depresses the stomach and produces mal- nutrition. Change of habit. Too exclusive meat diet, diabetes, albu- minuria cachectic conditions. Exciting cause may be friction. Treatment: To abort boils before suppuration, camphor one part, chloroform two parts, applied with the tip of the finger hourly fora day and take calcium sulphide one-twelfth three to twelve times a day. Or, calcium sulph. three grains every two hours. If in crops silecia same dosage. Bowels kept open by caecal flush, No. 42; nutritive method average or strong. As a special tonic, comp, tinct. of cinchona and simple syrup each two ounces, nitro-muriatic acid two drams; mix. Dose one teaspoonful every four hours. One-half wineglass of fresh yeast taken night and morning is effective. Compound oxygen to vitalize the system and sterilize the blood; a good lobelia emetic followed by alcohol sweat and dose of salts, if the system is plethoric. Brain, Concussion of.-See brain shock. 410 THE SECRET OF HEALTH. Brain, Inflammation of.-May be of the fibrous dura mater membrane, or of the serous arachnoid membrane, or of the vascular pia mater membrane, or of one or more of these (cerebral meningitis), and of the substance of the brain (phre- nitis). Inflammation of the dura mater rarely occurs except from injuries or from otitis. The symptoms of congestion fol- lowing either, should be vigorously treated as for congestion. Arachnitis is inflammation of the arachnoid and pia mater mem- branes-almost always associated. 'Die irritation stage has the symp- toms of congestion of the brain. The inflammatory stage has transient pains in the head alternated with others in the bowels, quick, tense pulse, greater irritability, eyebrows knit and frowning, eyelids half closed, retching and vomiting, deep sighing and torpid bowels. The depressing stage is characterized by delirium, surprised yet stupid look, pupils contracted or dilated, red eyeballs, pupils rolled up during sleep, sleepiness, inattention, mental torpidity, coma. Encephalitis, phrenitis, inflammation of brain and membranes. The stage of excitement is marked by intense and deep-seated pain in the head, tightness across forehead, throbbing of temporal arteries, flushed face, wild, brilliant and injected eyes, with contraction of pupils, great shrinking from light and sound, violent delirium, want of sleep, general convulsions, parched and dry skin, hard pulse, white tongue, thirst, nausea, vomiting, constipation. The stage of collapse is marked by indistinct mutterings, dull and perverted hearing and vision, double vision, twitching of the muscles, tremors and palsy of some of the limbs, ghastly and cadaverous countenance, cold sweats, profound coma and death. The disease will not show all these symp- toms in any one case. It runs a rapid course, causing death sometimes in twelve or twenty-four hours; it may run two or three weeks. Treatment: First stage, treat as congestion. Second stage-Band- age feet and legs to the knees, and hands and arms to the elbows, in cloths dipped in hot water, one-fourth vinegar. Re-dip in cold water when the extremities become thoroughly warm, then renew every one- half hour to one hour. Put under the patient folded wet sheets, and a folded wet towel laid on abdomen (both to be re-wet in three-fourths of an hour). Bathe the head often with warm water; tie a wet cloth around the neck and renew every one-half hour; coverall wet applica- tions so as to give them a fomenting, not a cold-compress effect. The object is to draw the blood away from the brain. Give pure water to drink often, but in small quantities. To abort-Jalapin,(con.) one-half grain or more as required as a revulsive. Pilocarpine one-sixth grain in hot water every hour until free perspiration is induced. (Contra indicated in emphysema, plurisy and heart disease). Veratrine (alk.) one-twelfth grain every two to four hours in most, acute cases. Nickel bromide one grain three or more times a day for convulsions. Eregotin (Bonjean's) one to two and one-half grains hypodermically to lessen blood in brain and subdue excitement (Waugh). Homeopathic Treatment: Aconite for high fever, sleeplessness, etc. Bell.: For throbbing in head, boring head into pillow, furious delir- ium, aversion to light and noise, starting during sleep. Bry.: For pain as if skull were pressed asunder, night delirium, lips dry and parched, worse by least motion, sitting up in bed causes nausea and faintness, dry, hard stools, great irritability. Cicuta.: After concussion, pupils dilated, face bluish and puffed, grind- ing teeth, thirst with inability to swallow, spasmodic drawing of head backward. Glonoine: After sunstroke, throbbing in whole head, sore eyeballs. Verat. Vir.: Dim vision with dilated pupils, red streak down center of tongue, congestion from high living or abuse of stimulants. Opium: Lethargy, stertorious breathing, eyes half closed, delirious talking with eyes wide open, acuteness of hearing, stools round, hard, black balls; after grief, fright or violent mental emotions. DISEASES AND THEIR TREATMENT. 411 Hyoscyamus: Drowsiness and loss of consciousness, rolling the head, delirium with wild, staring look, jerking limbs and throbbing carotids, white Mongue, frothing mouth, muttering, picking bed clothes, involuntary stools and urine. Stramonium: Stupefaction of senses, loquacious delirium, shrinking look on waking, talks, sings, makes verses, teeth grind with shud- dering, lips sore and cracked, sordes on teeth, glistening, staring look. Helleborus: Face pale and puffed, soporous sleep, screams, starts, head rolls constantly, lower jaw sinks, chewing motion, squinting, pupils dilated, one arm and one leg move. "Keep room quiet; warm fomentations to head; keep feet warm, and for restlessness give warm baths and wrap in dry sheets without rubbing." (Johnson). Brain Fag.-Caused by overwork, the tire of worry and anxiety, sleeplessness, etc. Symptoms are morning tire, lack of ambition, easily wearied by mental work, may be head- ache. Treatment-. Nutritive diet, average or strong, rest from business, pleasant recreation, abundant sleep, general tonic method, outdoor life, kephaline. Brain, Congestion of (hyperaemia).-Symptoms: Con- stipation, feverishness, severe headache, shrinking from light, noise or sudden motion, face flushed, noises in ears, pressure behind eyeballs, irritability and restlessness. Cause, active: Caused by two great pressure of blood in capillaries of brain. Passive: Blood flows slowly, but in excess, poisons in blood, blows on head, excessive fatigue or excitement, teething, whooping cough paroxysms, mental over-exertion. Treatment: First week-Foot vapor twice, shawl wrap twice, water tread six times, shoulder shower once, hip and knee shower once, as equally distributed as practicable. Abstain from all mental work and excitement. Second week-if necessary, foot vapor once, shawl wrap once, water tread six times, knee shower once; cold ablu- tion once. After that, if chronic, the same, modified according to violence of symptoms; ca?cal Hush from the first, to keep bowels free. Or, aconite for the fever, belladonna for the congestion. Or vera- trum, five to twenty drops in water four ounces. Dose a teaspoonful every hour, if the pulse is full or aconite five to ten drops in water4ozs. Dose, a teaspoonful every hour, if the pulse is small. Warm bath. If complicated with irritation of bowels, give enema of elm mucilage as for diarrhoea. Sponge face and head with warm water. Tongue broad, pallid and dirty-sulphite of soda ten to thirty grains, every two or three hours. Broad, expressionless tongue, with fullness of veins and tissues-podophyIlin, one-tenth grain, two or three times a day, for one to three days. Pulse small and sharp, contraction about the eyes, sudden cry in sleep, or starting from sleep.-Rhus five drops in water four ounces. Dose one teaspoonful every hour or two. Should proper treatment not have cheeked the disease, there may be(l) a con- gestive apoplectic attack (see apoplexy); or (2) a maniacal attack (see mania); or (3) an epileptic seizure (see epilepsy). Brain Starvation.-A condition in which the vital elements of the brain are worked off or drained out by 412 THE SECRET OF HEALTH. excesses, and not adequately supplied by the foods. In such cases, chemistry has shown that the dificient substances are identical with the composition of testicular juice; hence that would seem to be the remedy, which has been abundantly proved by experience. Treatment the same as for brain fag, but more prolonged. Brain Shock.-With signs of congestion, see brain con- gestion ; with collapse, see collapse; with dilated pupils, depression-kali phos., fever, ferrum phos., optical illusions, magnesium phos., numb sensations, calcarea phos., chronic effects, natrum sulph. Brain Tubercular consists in a deposit of the bacilli tub- ercle, from the blood in or on the surface of the brain or its membrane, usually an affection of childhood; most prominent in summer months. Cause: Reflex irritation from teething, worms, diarrhoea, cholera infantum and the like. Symptoms: Great irritability and peevishness, crying, screaming, rolling the head, eyes partially open during sleep, emaciation, pale- ness, listlessness, cough, disorders of stomach and bowels, stools green or chopped spinach appearance, vom- iting, diarrhoea or constipation, head- ache, fever, pulse very rapid, high temperature. Later, the pulse slow, respiration irregular, stupor, delirium, pupils dilated, senses impaired, spasms or convulsions, clinching of the jaws, contortion of features, partial or com- plete paralysis. Treatment: Dry mustard to the feet and legs, placed in the socks. Open the bowels freely with caecal flush, No. 8 and 10, mixed, warm bath daily fifteen to twenty minutes, gen- eral' treatment as for fever. Diet should be nutritive. After the fever, tonic method as fast as can be borne. Watch symptoms and control them. Any spasm or convulsion lobe checked by the administration of lobelia, pas- siflora to control restlessness. Hydro- cephalus liable to follow if it contin- ues long. Breasts, Acute Inflammation of (mastitis).-Symp- toms are swelling, tenderness, rigors, fever. Caused by infection from fissures, exposure, too much milk, pressure of stays, irri- tation of sore nipples. Treatment: Remove the cause. Compress (cool) on breasts, hot foot bath, fomentation on bowels, hot caecal flush. If excessive milk secretion, the Columbia hospital prescription is-camphor one ounce, FIG. 61. SUPPORTING THE BREAST BY STRAP. DISEASES AND THEIR TREATMENT. 413 turpentine oil three ounces. Rub the breasts freely, or use rosin oint ment spread on piece of soft leather or kid, or oil of spearmint one dram, olive oil two ounces, apply a teaspoonful hot, three times a day with friction. Or keep bowels open with caecal or sigmoid flushes, foment the breast with fl. extract of phytolacca decandra four drams, and hot water four ounces. Dr. Waugh recommends as a specific, fl. extract of phytolacca five drops every hour and solid extract of phytolacca with an equal quantity of lanoline, applied as a plaster/ Keep the breasts well strapped up with strips of adhesive plaster or bandages as in Fig. No. Bl. If from cracked nipples, paint the nipple with compound tincture of benzoin or apply an ointment of icthyol four parts, almond or olive oil one part, lanoline and glycerine each five parts. If abscess forms, poultices of carrots, bread and milk or slippery elm; if it points, open in most depending part with edge of knife pointing toward nipple, and apply elm poultices. Breath, Fetid.-Zinc sulphocarbolate, potassa perman- ganate, menthol, thymol or eucalyptol a few granules of either dissolved in the mouth and swallowed as needed. Bronchitis, Acute.-Inflammation of the lining mem- brane of the bronchial tubes. Tubes shown in Fig. 62. Symptoms: Chilliness, pain in back and extremities, headache, coryza, sore throat, hoarseness, tightness of chest, soreness under sternum, furred tongue, constipation, harsh cough, frothy expectoration after one or two days, light fever, difiicult breathing. Cause: Early or old age, debili- tating diseases or habits, insufficient clothing, heart diseases, cold, damp climate; sudden cold, irritants inhaled, morbid growths, disappear- ance or suppression of skin diseases, various diseases such as measles, whooping cough, gout, rheumatism, syphilis, typhoid fever. Treatment: Full caecal flush No. 7. Shawl pack one hour, hot foot bath twenty minutes, dry heat between shoulders and on spine. Inhalation of comp, oxygen four to six times a day through warm water; or jug in- halation a few minutes every hour or two, as follows, using water made sweet with brown sugar or molasses, or the drugs named: A quart stone jug, heated and containing a pint of boiling water and a teaspoonful ot tar, creosote, oil of turpentine, carbolic acid, tincture of iodine, or oil of eucalyptus. Then the patient envelopes his head and the jug, with his mouth to the orifice, and inhales the escaping steam. FIG. 62. TRACHEA, LUNG, BRON- CHIAL TUBE AND SMALL BRONCHI. 414 THE SECRET OF HEALTH. Heat to feet and wrists. Retained enema, No. 35. Adapt the treat- ment to strength of patient and violence of disease. Diet, nutritive, mild; all foods and drinks warm; ferrum phos. in alternation with the remedy indicated by the expectoration. Kali mur in second stage with white, thick phlegm. Kali sulph. with yellow, watery, profuse, greenish or slimy phlegm, three tablets every two to four hours. Natrum mur. with frothy, clear, loose, rattling phlegm. Calcaria phos. with phlegm like the white of an egg in anaemic persons. Calcaria sulph. with yellowish or green phlegm, mixed with blood, third stage. Natrum sulph. Patient holds his chest in coughing. Silicea, cough worse from cold and better from warm drinks; pus-like expectoration. Or, warm bath at bed time followed by eight or ten grains Dovers' powders; next morning a dose of epsom salts, or castor oil. If there is cough with tightness of upper chest, give a sweat, apply mustard, follow with a saline cathartic, such as epsom or rochelle salts, or cit- rate of magnesia. For the cough-syrup of ipecac one-half teaspoonful every three or four hours; after first day syrup of wild cherry bark a teaspoonful with the ipecac. When the cough is soft and loose, reduce the ipecac; expectoration free, discontinue the ipecac and sub- stitute one-half teaspoonful syrup of squills three or four times daily. Or, make flannel jacket for the chest, back and front, saturate with turpentine, cover with wadding, re-wet two or three times a day; give aconite as for fever through the day and syrup of codeine at bedtime. For a child one or two years old-R. Tincture veratri viridi fifteen drops, syrup ipecacuanha and spirits of nitrous ether, each half an ounce; mix. Dose fifteen drops every three hours. Bronchitis, Acute Capillary.-The extension of the inflammation from the larger to the smaller bronchial tubes. Symptoms: Frequent and labored respiration, face flushed and anxious, pulse 130 to 140 a minute; temperature may rise to 103 F. Short, hacking cough at the beginning, with scanty, then thick expectoration, with rattling sound in severe cases. Later, lips and tips of the fingers blue, veins of neck turgid, breathing more labored, signs of exhaustion, often a profuse frothy expectoration, clammy sweat, pulse small, respiration more and more feeble, cough and expectoration cease, suffoca- tion. In some cases at the beginning, temperature may be below normal, pulse very rapid and feeble. Extremely dangerous. Treatment must be sustaining, temperature of room at 70°, air kept moist by steam, wrap in a flannel blanket wet in hot water covered with dry until face sweats if there be no indication of faintness. If face be blue and pulse feeble, give stimulants freely, both by stomach and retained enaema. Call physician as soon as possible. Chloride of ammonium as an expectorant. If a stimulating expectorant be needed, carbonate of ammonia in wild cherry syrup. Quinine as a tonic. Cactus grand to sustain the heart. Bronchitis, Chronic.-Catarrhal inflammation of bron- chical tubes. Cough, with expectoration of viscid muco- purulent matter, often greenish, great tightness of chest, ema- ciation, debility, lungs clear from top to bottom, whistling rhonci over chest, walls of bronchi thicken and caliber decreases. DISEASES AND THEIR TREATMENT. 415 Cause: Repeated acute attacks, rheumatic and gouty diath- esis, old age, heart disease. Treatment: Climate warm with dry air, moderately high altitude protected from cold winds. Drinks warm and nourishing: cup of hot tea or milk before rising; germicidal ointment on chest; even temper- ature, sleeping and living room the same; alkaline poultice over chest at night; inhalations of steam medicated with terebene, or tincture of iodine. Daily baths, inunction daily of three ounces of warm olive oil. Anti-dyspepsie diet, No. 50, or 48, or 46. Inhale for ten minutes every four hours, eucalyptus five drops in boiling water one-half ounce; or one teaspoonful comp, tinct. of ben- zoin in a pint of hot water; keep in same atmosphere thirty minutes after inhaling. If the expectoration is tough and cough hard, use tinct. of lobelia one-half ounce in one-half pint simple syrup; one teaspoonful often enough to loosen. If cough is loose and expectora- tion profuse, use capsicum or red pepper freely internally and oil of turpentine inhalation one teaspoonful to a pint of hot water; calcium lacto phosphate as a tissue builder. For profuse, purulent sputa aris- tol seven to ten grains with phosphite of sodium. For sticky mucus hard to raise. Scillitoxin (glu.) one-sixty-seventh grain several times a day. Bronchitis, Membranous.-A membranous exuda- tion on the lining membrane of the bronchial tubes. Cause, uncertain. Symptoms: Those of ordinary bronchitis and the expectoration of the exudation. Treatment: During the attack, same as for acute bronchitis. In the intervals avoid all sources of bronchial irritation and build up the- general health. Bronchitis, Old Folks'.-Half an hour before rising drink a cup of equal parts of hot milk and seltzers water. Inhalations of menthol twenty per cent, in olive oil. Anti- septic atmosphere. Pulverized ipecac six grains, pulv. myrrh twelve grains, potassa nitrate thirty grains; mix and make into six powders. One every fourth hour. Nutritive and tonic methods as needed. Chest compress in aggravations. Bronchocele (goitre, enlargement of the thyroid gland).-May occur as a simple, puffy swelling, or crystic degeneration, or effusion of fibrous tissue, or the colonization of the bacillus of tubercle and cancer and infiltration of the entire gland with calcareous particles. One or both lobes may be affected. Causes: Irritation reflected from the genito- urinary organs, masturbation, perversion of the sexual act, testicular and ovarian irritation, drinking snow or ice water, water impregnated with lime or magnesia, or anaemia. Treat- 416 THE SECHET OF HEALTH. merit: Remove cause. Alterative treatment, mild; tonic treat- ment, mild. The thermo-galvanic battery, or general galvan- ism. Tinct. of iris versicolor, ten to sixty drops in four ounces water. Dose a teaspoonful every three hours; or phytolacca tincture five to twenty drops in water four ounces. Dose, a teaspoonful every three or four hours. Bronchorrluea.-An excessive discharge of mucus from the bronchi. Treatment: Secernent method, mild to strong. Astringent inhalations of hemlock. Myrtol four grains repeated as needed. Chest compress thirty minutes twice a week. Cold ablution and water tread daily. Bruises.-See accidents. Burns.-See accidents. Bunions.-Irritation of the bursae sack, and the over- lying skin; caused by pressure of the shoe deflecting the toes from their normal position. Treatment: Protect by mechan- ical means and treat as corns. Cachexias.-Bad conditions of the body indicating the presence of certain diseases, as the cancer cachexia, etc. In all, tonic, alterative (excernent) and nutritive methods, to be patiently continued for a long time; also calcium lacto phosphate. One to one and one-half grains three to six times a day. In cancerous, malarial, splenic, and phthisical cachexias-for the anaemia, give iron valerianate one grain before eacli meal, and manga- nese phosphate one to three grains before meals, on alternate days. In the mercurial, saturnine, arsenical, scrofulous and syphilitic, give iodine one-sixty-seventh to one-twelfth grain, three or four times a day. For scorbutic, give citric acid one and one-half to seven and one-half grains as needed. Calculi, Biliary.-Symptoms: Paroxysmal pain over gall duct, vertigo, nausea, bilious, coated tongue, constipation. Surface cold, clammy sweat, pulsation feeble. Cause: Gall- stones from deranged bile in consequence of deficient oxygena- tion of the blood, producing a diminished proportion of soda and an increased amount of lime. Treatment: During attack, empty stomach by emetic of lobelia, then take six or eight ounces of olive oil, and after twenty minutes recline on left side with hips elevated higher than the shoulders. Fomentations of lobelia tea to the side, hot colon flush, No. 23, as a strong relaxant. If available, electricity, faradic current, positive pole on seat of pain, negative on opposite side, with slight inhalations of chloroform or ether, followed by warm bath. Dioscorea villosa ten to sixty drops in four ounces of water. Dose, one teaspoonful every twenty minutes to three hours is useful. Drink one to two gallons of filtered rain water every twenty-four hours. DISEASES AND THEIR TREATMENT. 417 To prevent: Avoid sugars, fats, fried foods, pastry, potatoes, spices, sweet fruits, malt liquors, wines and alcoholic spirits. Caecal flush three times a week, No. 16, shirt pack twice a week, half pint of hot water four times a day, sodium phosphate, one dram before meals for several weeks may be taken by those who object to the flush. Trituration of podophyllin, one to a hundred, three grains every bed- time as a substitute for the sodium plios.; or fl. ext. of fringe tree and peroxide of h"drogen, ten to thirty drops of each three times a day. l)iet No. 52. Calculi, Renal.-Concretions formed by the precipita- tion of substances from the urine. Cause: Heredity, seden- tary habits, highly nitrogenous food. Calculi, Phosphatic (Phosphate of magnesia) Remedy: Csecal flush, No. 23, warm bath, fomentations after- ward, lobelia emetic; all to be repeated, if necessary. Between the attacks, outdoor exercise. Calculi, Oxalic.-Oxalate if lime mixed with brown or mahogany colored granules. Inhalations of oxygen. Give ammonium benzoate one-sixth to three grains every two hours, for many months. Treat the attacks as for phosphatic, and in the intervals, anti-oxalic diet and alterative and tonic methods. Calculi, Uric Acid.-Deposits of reddish sediment or crystals of uric acid. Cause, the gouty or rheumatic diathesis ; nineteen-twentieths of the cases are of this kind. Treatment of the attacks as for phosphatic; or internally ten to thirty drops of chloroform, every hour or half hour in glycerine, with some preparation of opium; if necessary, althaea or hair cap moss with potash for a drink. In the intervals diet, No. 01, and oil of sassafras on sugar four times a day. Or, half to one teaspoonful of hydrangea, two or three times a day. Cancer (Carcinoma Lupus'). (Malignant tumor).-Symp- toms : Debility, indigestion, clay colored stools, dry, husky, sallow skin; peculiar fetor of breath, pearly conjunctiva, great impoverishment of nerve force, enlargement of glands near the seat of the disease. Cause. This malignant blood disease is caused by the microbe carcinoma locating at some point of irritation, or of special devitaliza- tion, and assuming some particular form which gives a name to the disease-as scirrhous (stone), medullary (brain), melanotic (brown or black), etc. Both imfectious and contagious; but the germs may 418 THE SECRET OF HEALTH. remain in the system latent for many years, until some state of low vitality gives an opportunity to localize and multiply. Treatment: Fortify existing vitality by all possible conditions of health. Increase the store by studiously expending less nervous energy than is made day by day by a most generous diet of beef, game, milk, cream, raw eggs, etc. Nutritive diet, strong or very strong; and such regulated exercise and baths as will secure the utmost possi- ble assimilation. See blood-making treatment strong. Much outdoor air, deep breathing, the hot colon flush three times a week, full pack once or twice a week, avoidance of all causes of depression, and all unnecessary drains upon the vital force. Try to kill the germs in the blood by the use of ozonized chian turpentine, one teaspoonful before meals, gradually increased to three for two weeks, then change to phytolcca berries, ozoned fluid extract five to ten drops in water before meals, three times a day, for two weeks more, and in urgent cases after meals also, then the turpentine again, and so on. If the tumor is very small, apply an ointment of stramonium during the day, and an ointment of phytolaeca at night. These failing to arrest the growth, services of a competent physician must be secured without delay. Particular care should be taken to protect the growth from all irritation, as there is reason to believe that many benign tumors have been made malignant by injudicious irritation. Too much importance cannot be attached to a strictly animal diet, which should be reinforced by the other hygienic agents named witli heroic persistence. When- ever there is discharge, an ounce of listerine to a quart of water, as a dressing to kill the odor, or Platt's chlorides diluted witli an equal part of water on absorbent cotton as near 1he sore as possible, and towels wet with the chlorides (one to four of water) wafted about the room ; solution of eucalyptus is also good. Cancer, Gastric.-Cause unknown. Rare under forty, tumor in three-fourths of cases, duration two years and under. Symptoms: Hemorrhage frequent, vomiting, free hydrochloric acid absent, secondary cancer in liver, peritoneum or lymphatic glands, loss of blood and strength, cancer cachexia marked, pain anterior and posterior and more continuous, less depend- ent upon food, less localized and less relieved by vomiting than in ulcer. Cancer germs in vomit. Only temporary improve- ment if any generally, but it is claimed that it is sometimes cured by recent methods. Treatment: Liquid animal diet, ozonized clay applied locally to the stomach, and removed as often as it reddens the surface, ami re-applied as soon as it disappears. Europhen one-half grain, three or four times a day. Papoid two to five grains, or papoyotin one to four grains, after meals. Carbuncle.-A hard and circumscribed inflammatory tubercle, like a boil, on the cheek, neck or back, and in a few days becomes highly gangrenous. The anthrax of medical books, not anthrax the sheep disease. Treatment: A poultice of rye flour and old fashioned soft soap; or electricity positive on the sore, negative at a distant point, one-half to one hour twice a day, galvanic current; and take internally ferrum DISEASES AND THEIR TREATMENT. 419 phos. and kali mur in alternation, one dose every hour; or, calcium sulphide one-twelfth grain three to six times a day. This for the early stage. If pus forms, inject the cavities with per oxygen of hydrogen, take silicea three grains every two hours internally, and apply to the sore a cloth wet in a fifty per cent, solution of carbolic acid, diminish- ing the strength after the first three to six applications. Renew as often as it dries. For the fever, quinine in one to two grain doses three to six times a day; or, cooling method, No. 12, as needed. Cardialgra.-Pain in the stomach existing independent of any group of symptoms. Treatment: For a hard, painful pressure after a meal - bella- donna, pulsatilla. For contractive pains-bryonia. For violent spasms or cramps of the stomach witli frequent eructations, and tast- ing the food-calc. carb, or mag. phos. For spasm in the stomach with a sense of pressure-carbo, veg. or mag. phos. For painful dis- tension of the stomach, or a bloatedness in region of stomach,-eham. or thus tox. For fine, stinging pain in the stomach-ignatia; intense pain in stomach, lycopidium; aching, drawing pain increased by motion, pulsatilla; cramping, burning pain in stomach, sepia; violent pressure in pit of stomach with severe sharp, cutting, piercing pain, veratrum. Carditis (Inflammation of the heart).-Does not fre- quently occur; very dangerous; runs a rapid course. Cause: Taking cold; cold applications to the chest when heated and perspiring freely; large potations of ice water when the body is heated by exercise, or exposed to extreme heat; falls, con- tusions, and metastasis of rheumatism. Symptoms: Fever; pains around the heart, with palpitation, at times most violent and irregular, anxious and oppressive breathing; pulse small, tense, irregular and tremulous; difficulty in swallowing, fainting, and sudden starting in sleep. Treatment:-Ferrum phos. three tablets every hour, or aconite tinct. ten drops in four ozs of water, one teaspoonful every one-half hour or hour until some relief; then once in two, four or six hours, revulsive methods, average to very strong. Diet as in other serious inflammations of the trunk. Caries (Fever sores) and Necrosis.-The former con- sists of ulceration of bone tissues, characterized by molecular death and loss of substance; the latter of the death en masse of bone and tissue-like gangrene in soft tissues. The bacillus of saprogenes is the microbe. Cause. Of caries - injury, debilitated condition of the system, but most commonly from tubercle, struma or syphilis; of necrosis-cutting off of blood supply by injury or inflammation, certain poisons as from specific fevers, scarlet lever, and mercurial and phosphorous poison. Treatment: Remove the cause. Diet: An exclusive meat diet. Colon flush often enough to secure complete emptying of the colon, two or three times a week. Full pack once a week. Wrap the diseased part several times a day in bandages dipped in oat straw decoction; syringe out all openings with peroxide of hydrogen once a day, ana 420 THE SECRET OF HEALTH. apply constantly to their outlets absorbent cotton saturated with glycozone. Build up vital force in every possible way, especially by the nutritive and tonic methods, average to very strong. Catalepsy.-Symptoms: Peculiar rigidity of muscles, often taken for death; partial or complete loss of conscious- ness. Attacks are usually preceded by premonitory symptoms as yawning, eructations, palpitation of the heart, sense of pres- sure in head, vertigo and change in disposition. One limb or whole body may be affected. Patient can swallow. Sensitive- ness of skin'is diminished. Attacks vary from several hours to two to four days. Cause: Mental depressions, exhausting intellectual labor, violent passions, domestic afflictions, preg- nancy, hysteria, chorea, fevers, suppressed menses, etc. Cases of trance are usually cataleptic. Treatment: Remove the cause if practicable; mild, alterative and tonic treatment to correct the tendency; hot colon flush, No. 4G, repeated if necessary until the colon is emptied, then retained sigmoid flush, No. 23. Soldier Martin in hospital in Havana, after fifteen days' treatment in vain, was cured almost immediately by a bagpipe played near his bed. -Dr. J. R. Buchanan. In a young, nervous, irritable, plethoric girl-aconite ; cold extrem- ities, eyes half closed, pupils dilated and lusterless-chamomile. Patient lies as if dead, countenance sunken, after depression, yawning and drowsiness-laurocerasus. Preceded by jerking of fingers, witli deadly paleness-cicutae. Diet must be suited to the condition, and nutritive, tonic, secernent or excernent methods as required. Cataract.-Opacity of the crystalline lens or its capsule, from defective nutrition. Cause: Injuries, strains, deep- seated inflammations of the eyes, heredity, more frequently without any assignable cause. Treatment: Calc. phos. and kali, sulph. 3 tablets of each once a day. Massage of forehead, head and eye, with building up of general health. With dry coryza, itching nose, a web or mist before the eye- eausticum, silex, baryta carb. Sight obscured in open air, or clouds, motes or specks before eye-pulsatilla, conium-mac. lachesis. Eyes sore and scrofulous, sight imperfect with black spots or luminous vibra- tions-phosphorus. Vision indistinct, black spots, itching lids, dry, burning sensation-hepar-sulph, sulphur, calc. carb. From injury, 1st, arnica, 2nd, conium. With syphilis, mercurius, nitric acid. Two drops three times a day in the eye, of the juice of the clr.erariae maritimae plant of Venezuela has cured cases of great obstinacy. Catarrh.-Inflammation of the follicles of a mucous mem- brane with excessive discharge of mucus. The vital processes become degraded into the formation of disease germs, the amoeba, the lowest and simplest form of microscopic life instead of renewal of healthy tissue. Cause: Diminution of DISEASES AND THEIR TREATMENT. 421 nerve force either local or general, or both. May be occasioned by rapid alternations of temperature, long continued chill, mechanical or chemical irritation, indigestion, constipation, etc. Treatment: There are certain general principles that should gov- ern the treatment of all catarrhs, and that may be comprehensively stated here to avoid repetition under the treatments for its various forms. 1. The special causes must be removed. 2. The general health must be improved to the greatest possible degree. 3. All causes of nerve depression must be avoided. 4. Local treatment must be adapted to the amount of inflammation present, the degree of devitalization or destruction already experi- enced, and the recuperative energies of the patient. 5. The immediate aim should be to destroy the disease germs and vital- ize the membrane above the point of germ-production. 6. A membrane once devitalized, remains for a long time more subject to fresh attacks than is one that lias remained healthy. Hence one catarrh may be cured, but another may soon be devel- oped. Therefore special care should be taken not to expose a recently weakened membrane to unnecessary danger, and to cure it as quickly as possible should another attack occur. Catarrh, Aural.-The irritation of the eustachian tube by the amoeba of nasal catarrh. Spray several times a day with ozonized distillation of witchhazel. (Dist. witch-hazel three parts, peroxide of hydrogen one part). Head vapor once or twice a week; throat compress thirty minutes every day, followed by cold ablution of the part; knee shower twice a week, not on the same days as the head vapor. Build up gen- eral health by nutritive and hardening methods, which see. Open the tube several times a day by holding the nostrils and mouth tightly closed and blowing quickly. A snapping and sense of fulness in the ear will indicate success. Catarrh of the Bile Duets.-A relaxed, devitalized condition of the mucous membrane of the bile ducts. Cause: Duodenal catarrh, gouty and rheumatic state of blood, calculi, and disease germs. Symptoms: Loss of appetite, coated tongue, nausea, vomiting, pain, constipation except when there is intestinal catarrh, then diar- rhoea; clay colored feces, urine dark green, tendency to jaundice, liver enlarged and tender, headache, vertigo and debility. Treatment: Bathe tlie region every morning with water made just stinging acid with nitro-murtatic acid. Every evening a tepid com- press thirty to fifty minutes wet in water one-third eider vinegar. Colon flush daily containing one-half teaspoonful of peroxide of hydrogen thrown in first in a syringe of cool water, afterwards the full flush. Retained enema of a teaspoonful of phosphate of soda to liquify the bile every night, 422 THE SECRET OF HEALTH. If these are impracticable, give chloride of ammonium five to ten grains every two to four hours, and fluid extract of fringe tree (collin- sonia) fifteen drops, two or three doses each day. Diet of vegetables and fruits until relieved, avoiding starchy vegetables and sweet fruits. Any vegetable may be considered starchy if by the working table, pages 133-137, it be found to contain over fifteen per cent, of starch, and any fruit may be deemed sweet that contains over twelve per cent, of sugar. These elements being given in the table at so many per 100 grains of carbohydrates, is the same as the same per cent, of either or both starch and sugar. Catarrh of the Bladder.-See cystitis. Catarrh, Bronchial.-The devitalized condition of the membrane of the bronchial tubes which develops the amoeba instead of the conferva, bacillus of tubercle, etc., which mark bronchitis. Symptoms: Same as chronic bronchitis, which see. Treatment: Make the blood so healthy that no micro-organism can live in it; this not practicable, then saturate the blood with harm- less germicides with the same object. Peroxide of hydrogen one-half teaspoonful two or three times a day. Distillation of pine needles one to two dessert spoonfuls every four hours. Omit every seventh day. Glycozone sprayed into the nos- trils three times a day. Daily compress on chest wet in tea of pine needles. The odor of turpentine constantly in the room ; may be made fragrant with lavender or cinnamon. Nutritive treatment average or strong. Nightshirt wrap wet in pine needle tea twice a week. Cold ablution five times a week. Water tread daily, each suited in temper- ature and length of application to the case so that benefit, not harm shall be seen very soon. Catarrh, Cervix.-A catarrhal condition of the large gland cervix uteri. Cause: Any source of irritation. Treatment: Remove the cause; rest; pack the vagina every other night with boroglyceride paste, or daily use a saturated solution with a fountain syringe. Blood treatment as for bronchial catarrh; hot hip shower twice a week followed by a rapid cold ablution of the show- ered parts. Avoid chills, damps, all causes of nervous depression, and harden the system with water treads, cold sponge baths and cool or cold shawl wraps according to lhe vigor of the patient. Catarrh, Duodenal.-See intestinal catarrh. Catarrh, Gastric.-A weak condition of the mucous membrane of the stomach with excessive secretion in which the sarcinae ventriculi and yeast plant (criptococcus cerevisia) propagate in enormous quantities; constitutes two-thirds of all cases of dyspepsia. Cause: Defective mastication, drinking at meals, especially cold drinks; beer, tobacco, ice cream, sugar and starch foods, alcohol, alkalies and other drugs; also anything that will irritate the stomach, as chills and diseases of adjacent organs. Symptoms: Prostration, faintness, goneness, general dyspeptic symptoms, flatulence, acid eructations, heartburn, water brash, cold extremities, white, slimy tongue, sour breath, head, heart and liver trouble, craving, capricious appetite, fulness, usually spells of vomiting or diarrhoea. DISEASES AND THEIR TREATMENT. 423 Treatment : The sarcinae must be washed out, starved out or destroyed. To wash out.-Insert a flexible stomach tube, three to five feet long, about four or five hours after the last meal, twenty to twenty- five inches into the fauces and stomach ; hold the upper end above the mouth, and through a tunnel adjusted to that end, pour a solution of sodium or potassium carbonate, thirty grains to the pint; or sodium salicylate, one per cent.; or resorcin, two per cent.; or thymol, one per cent.; or sodium silico-fluoride one per cent., until the stomach is full; then the patient, leaning forward, lower the end over a receptacle and the contents of the stomach will run out as from a syphon. Repeat the charge until the return is free from mucus; repeat the washing from two to six times a week. The tube should be well oiled with olive oil or cacao butter, and the patient should attempt to swallow as the tube glides down. To starve out.-Diminish the secretion of mucus by the use of an emetic of lobelia leaves, one ounce to eight ounces of boiling water every four days, preceding each by copious draughts of bicarbonate of potassa water, thirty grains to the pint. After the emetic drink freely of kaki tea one ounce to the pint, with two to four grains of capsicum added. Also avoid fluids at or near meal times; all easily fermentable food, such as sugars, starches, beers, wines, etc., and eating when much worried or wearied, or until the previous meal has digested. To destroy the germs.-Peroxide of hydrogen ten to thirty drops in water one-half hour before meals, and papoid two to three grains after meals. The csecal flush should be crowded as far as the strength will bear in order to free the system from the fungoid mass that may pass downward devitalizing the whole intestinal tract. Blood-cleansing method as in bronchial catarrh; general tonic method as needed, and hardening method as far as can be borne. Catarrh, Gastric, in Children.-The same disease as the gastric catarrh of adults, with the special aggravations of generally easily fermentable food, and less vigor. Cause: Hand feeding, sweet and starchy diet, irregularity of meals, over-stimulated brain and nerves. Symptoms: Same as in adults, with greater irritability and other nervous symptoms, and more rapid physicial waste. Treatment: Blood and tonic treatments as far as they are appro- priate, as in adults. Peroxide of hydrogen and glycerine equal parts; fifteen drops in an ounce of water after meals. Before meals some mild, bitter tonic as sulphate of cinchona. Diet of milk, bovinine, toast. Soon as tongue cleans, boiled fish, white of chicken, lean broiled mutton. Flannel bandage from armpits to groin. Hand massage often; as near a cold bath daily as the strength of the child will permit. Catarrh, Laryngeal.-The irritation of the fauces and larynx by the amoeba of nasal catarrh. Cause: The natural tendency of all irritations of the mucous membranes to work downward; sleeping with mouth open; sudden and excessive change of temperature after vocal exercises; irritants. Symptoms: Fauces red, follicles swollen, covered with mucus, hawking, spitting, frequent efforts to clear the throat of some clinging obstruction. Treatment: Same as for aural catarrh, except that the opening of the eustachian tube should be omitted provided it is clear of the catarrhal irritation. 424 THE SECRET OF HEALTH. Catarrh, Intestinal (including duodenal).-This is the sarcina of the stomach, but of smaller size, located in the duode- num and intestines. Cause: Catarrh of the stomach, cold, mechanical irritation of undigested food, or of the gases generated by fermentation of food, degenerated intestinal secretions, mental depression. Symptoms: Constipation, gaseous distention, pain, loss of flesh and strength, stomach usually complicated, with dyspeptic symptoms. Treatment: Daily full colon flush of No. 31 (in bad cases may be nearly double strength), followed by retained enema of fluid extract of Virginia stone crop, thirty drops, or fluid extract of bayberry sixty to eighty drops in two ounces of water. Salol five to ten grains three times a day by the stomach. It passes through unchanged and is dis- solved in the duodenum by the pancreatic secretion and kills the germs. Diet of meat and non-starchy vegetables exclusively, or dys- pepsia diet, apeptic; no tea, coffee, tobacco or fermented drinks. Blood-making and tonic methods as far as appropriate with the diet restrictions named. Catarrh, Acute Nasal (coryza).-Symptoms: Patient feels indisposed, chilly, slight headache, sneezing. May have pains in back and limbs, and slight fever; pulse quick, skin dry, mucous membrane of nose swollen. There is a thin, clear irritating secretion which in a day or so becomes inuco-purulent. Eyes are "weepy," slight sore throat, sense of smell and taste somewhat lost. Cause: Cold and exposure, also irritating fumes as of iodine or ammonia. Treatment: Hot colon flush, followed by foot vapor bath prefer- ably, or by hot foot bath. Temperature of the room should be kept above the point where the inspired air irritates the nasal passages. Ferrum phos. every hour until relieved, or aconite six to ten drops in four ounces of water. Dose one teaspoonful every hour for fever with small pulse. For fever with strong pulse, veratrum viride five to twenty drops in water four ounces. Dose one teaspoonful every hour; revulsive method mild to strong. Rest in bed without food until the inflammation subsides; or should it prove very obstinate, only a koumyss, or buttermilk, or skim- med milk diet. This for well-conditioned patients. The very aged and anaemic, and puny children, should have rapid blood-making method, which see, with rest in bed, and other treatment as above. Warm local douches of pinus canadensis one to t wo teaspoonfuls to tlie pint, two or three times a day; warm tea of balm or hot lemonade. A spray of potass, iodide one dram to one ounce of rose water has been found useful, so has a snuff of lobelia powdered with one-tenth borax. Sometimes it is well to keep the whole head covered. Anoint the nose of nurslings with lobelia ointment. Quinine one Io two grains every hour or two will generally abort an attack. Eupatorin (con.) one-fourth grain every hour in hot water until free perspiration, will break up an attack. Bryonin (con.) one-half grain every one-half hour till it purges, relieves burning in eyes and nose and acrid discharge. DISEASES AND THEIR TREATMENT. 425 Catarrh, Nasal, Chronic (disease-germ amoeba).- Symptoms: Inflammation of mucous membrane of nose and upper and bao'k part of throat; tightness across forehead, clos- ure of nostrils, lack of appetite, may create a diathesis marked by debility, lassitude, pasty skin, pains in limbs, muco-purulent discharges, etc. Contagious and infectious. Cause: Repeated attacks of acute catarrh, or an acute attack pro- longed by neglect and bad conditions; exposure to cold and damp after being closely confined in hot and badly ventilated rooms; inclines to descend to lungs, when pulmonary disease may follow. Dr. T. V. Gifford contends that all chronic nasal catarrhs are mainly caused by the urea which should be eliminated through the kidneys, remaining too long in the system, and being expelled by the lungs, their exhalations poison the membranes wherever they touch. Treatment: Cleanse the blood of excessive waste by excernent method average or strong. Restore the functions of the kidneys. If t he excernent should fail to do this, add excernent method very strong for kidneys. Locally, glycozone sprayed upon the membranes several times a day. When the discharge is rapidly oxidized, hard scabs are formed. Cleanse well two or three times a day with a solution of bicar- bonate of soda one to ten grains to the ounce of warm water, then syringe with one ounce each of 11. ext. of eucalyptus and listerine, two ounces of glycerine, and twelve ounces of soft water; or pinus canadensis one ounce, glycerine half an ounce, soft water ten ounces; or apply oil eucalyptus one part and petrolatum sixteen parts; or for cleansing, use a warm spray of soda bicarbonate and soda biborate, of each half an ounce, glycerine two ounces, listerine one ounce and water five ounces, and follow with a snuff of aristol, pulverized boric acid, and subnitrate of bismuth of each nine grains, pulv. elm bark one and one-half ounces; or, in advanced cases, a spray of flu. ext. hydrastis and oil of eucalyptus of each one dram; or, Lloyd'shydrastis and listerine of each one dram and water two ounces. In very severe cases a spray of balsam of copaiva one dram, sulphuric ether one-half dram, carbolic acid two drams may occasionally be required. The cleansing solution should never produce pain beyond a few seconds. It is often necessary to change from one preparation to another to find the one best adapted to the case, hence others that have proved efficacious are appendedSoda bicarbonate and soda biborate each one dram, carbolic acid one scruple, glycerine and rose water each one ounce, water one pint; use as a spray. Wash. Table salt five to twelve grains to the ounce of tepid water. Begin with the least; or potassa bicarbonate one to eight grains to the ounce. Nostrils sensitive and discharge profuse-use snuff of borax three drams, cypripedium and hamamelis, each one dram. Omit the hamamelis if discharge becomes too dry. Another: Borax nine parts, lobelia'one part, for cases that require relaxation. Pure lanoline used as an ointment is excellent in some eases. For strumous or cachectic cases, and for youths who inherit phth- isis or have overgrown their strength calcium lacto phosphate. For cases with suppuration calcium sulphide. For fetid discharges, eucal- yptol one to five grains every two to four hours; or menthol one grain or more as needed; or thymol one to two grains as needed. For Catarrh of Nose and Throat.-Vaseline spray. White fluid vase- line one ounce, eucalyptol or menthol one-half drachm, oil sandal wood pure one-half dram ; use warm morning and night in a sprayer. Gargle throat witli cold salt water and eject through nose by putting tip of tongue against upper front teeth and tipping head forward quickly. 426 T1IE SECRET OF HEALTH. Catarrh of the Prostate Gland.-Cause: Debil- ity, relaxation, the sequel of gonorrhea, masturbation, sexual perversion or excess. Symptoms: Seminal weakness, discharge of a ropy viscid fluid from the urethra after urination or stool, and sometimes during the day with nocturnal involuntary losses of spermatic fluid. May involve the sphincter muscle of the bladder and cause stoppage in the act of urinating, dribbling after with more or less pain. Treatment: Absolute avoidance of sexual excitement; keep blood free from the lactic acid of rheumatism and the lithiate of soda of gout; no horseback or bicycle riding or any other mechanical irrita- tion of the perineum. Blood, hardening, revulsive and tonic methods as far as they can be applied to the case, and fluid extract of black willow thirty drops in water three times a day ; or, if there be atrophy of the gland, sixty to ninety drops of fluid extract of saw palmetto three times a day in water. Diet, anti-rheumatic. Catarrh of the Rectum.-Catarrhal irritation of the membrane of the rectum, with a great variety of disease germs and their ptomaines; very common and dangerous because the germs and their ptomaines so easily enter the blood. CauseTorpid liver, alcoholic drinks, malaria, sedentary habits, some drugs, cold, damp, tight lacing, pregnancy. Symptoms: Diarrhoea or dysentery or constipation with itching, heat, burning, soreness- muco-purulent discharges, rectum relaxed, blood and nerve derange- ment proportioned to the extent of the absorption of the poison. Treatment: Remove the cause if possible. A rectal retained enema of distillation of hamamelis 6 ozs, fluid extract of hydrastis 2 ozs, tincture of calendula 2 ozs, a tablespoonful in three or four of thin starch water, three times a day; or, fluid extracts of butternut, Virginia stone crop and stone root equal parts, a teaspoonful to one- half cup of slippery elm water three times a day. And three times a week 20 drops of oil eucalyptus 2 drams, phenol sodique 4 drams, and glycerine 3 drams in thin starch water. If there be intestinal catarrh, treat that; if not, the general regimen suitable for all catarrhal conditions. Catarrh, Uterine (endometritis').-Catarrhal irritation cf the lining membrane of the uterus. Acute: Cause: Ovarian disease, abortions, instrumental irritation, retention of placenta, bromides, aloes, savin and some other drugs, sudden suppres- sion, masturbation, torpid liver, tight lacing, gout, rheumatism, marriage incompatability. Symptoms: Fever, high temperature, rapid pulse and respira- tions, general irritation, sallow complexion, loss of appetite, headache, DISEASES AND THEIR TREATMENT. 427 pain in the loins and lower part of the abdomen, sacrum, groin and inside of the thighs; a sense of great heat and fullness about the pelvis, and bearing-down; bladder very irritable; desire to pass water every few minutes, which is loaded with uric acid; diarrhoea and tenesmus, and subsequently constipation; tenderness on pressure over ovaries and uterus; after a day or two, thick, ropy, tenacious discharge, which, after a while, becomes muco-purulent, tinged with blood, and imparts a greenish-yellow or greenish-red stain to clothing; often attended by piles. Treatment: Rest in bed; foot vapor bath followed by sponging the limbs with cool or cold water every two to four hours in bed; shawl wrap the second day, wet in tepid or warm hay tea; caecal flush, No. 7, daily. Excernent method, mild to strong according to violence of symptoms; nutritive mild, revulsive method mild to strong as needed. When acute stage has passed, give tonic method average or strong, with nightly retained enema of a tea, two drams to the pint of aletris farinosa (unicorn root, ague root,) or the fl. extract, ten to thirty drops in starch water. Chronic: Symptoms: Headache, languor, lassitude, debility, great mental depression, obstinate dyspepsia, flatulence and constipation; sense of weariness, if not pain, about loins, sacrum, groin, inside of the thighs, and bearing-down; thick, ropy, tenacious, very abundant, glairy (like white of egg) discharge; discharge most abundant in the morning accumulating in uterus over night, or after lying down awhile; as debility increases, hysteria, convulsive affections, nausea, vomiting, tympanitis, tenderness of breasts, and menorrhagia if the lining covering the fundus is involved. Treatment: General regimen as for other catarrhal conditions. Insert into the uterine cavity once a week for three weeks, a soluble gelatinized bougie of papoid; repeat for two more months if there is a vestige of the disease remaining; bowels kept open with sigmoid or caecal flush ; retained enema every other night of the aletris as in acute cases, and on each intervening day thirty drops of the fluid extract of black willow in water by the stomach. Diet nutritive, average or strong. Catarrh, V aginal (leucorrhea).-Catarrhal irritation of this cavity is extremely frequent and attended with the deleterious effects of various disease germs, the amoeba, sarcina and different streptococcus. Cause: Much the same as catarrh uterine. Symptoms: Discharge of a mucus or muco-purulent character, with constitutional symptoms proportioned to its virulence. Treatment- Diet and general regimen, as in other catarrhal states. Three tablets three to six times a day as follows, viz.: If discharge be milk-white, non-irritating mucus kali mur; if scalding and acrid, kali phos.; if yellow greenish, shiny or watery, kali sulph.; if watery, 428 THE SECRET OF HEALTH. scalding, greenish after walking, with headache, colic, and bearing- down, natrum mur; if creamy or honey-colored, or acid and watery, natrum plios.; if in an over sensitive, imperfectly nourished condi- tion, silicea; as a constitutional tonic, once a day with the chief remedy, calcaria phos.; vaginal injections of one to two pints of hot water twice a day, with a syringe having a stem so constructed that its use will open all the interior folds of the passage; or, the hot water once a day, and once a day a bactericide solution of borogly ceride (satu- rated), or resorcin one percent., or iodine tincture thirty drops to the pint, or napthaline thirty grains to the pint, or permanuganate of pot- ash five grains to the quart. Many times a simple tonic or astringent solution will suffice. White pinus canadensis, or red gum fl. extract, or sumach 11. extract, or hydrastis fl. extract, or witch-hazel tl. extract, one to two teaspoonfuls to the pint or quart; or oak bark one-half oz to the quart' or tannin one dram to the quart; or a strong tea of rasp- berry, witch-hazel or white pond lily; the thermo-gaivanic battery. For fat, flabby patients, hydrastine (alk.) one-sixth to one-half grain, one to three times daily. For relaxed, anemic, sterile patients, san- guinarine (alk.) one-eighth to one-twelfth grain every two to four hours. Cerebro-spinal Meningitis.--Inflammation of mem- brane covering brain and spinal cord. Epidemic and slightly contagious, often fatal. Cause: Supposed to be a germ, not yet isolated. Symptoms: Fever, chill followed in children by convulsions, stupidity or delirium, vomiting, headache, pain in neck ami spine so severe that It often produces an arched position of the body (opistho- tonos) also in pit of stomach great weakness, and sometimes delusions. During first and second weeks, skin exhibits purplish spots which are distributed all over body. When symptoms are slowly developed the disease is likely to be mild. Treatment: Revulsive method, according to the severity of the attack ami blood-making as needed, with natrum sulph. every one to two hours; or, veratrum viride five to twenty drops in four ozs. of waler, a teaspoonful every hour. Absolute quiet, ami treat attending symptoms as they occur. For sleeplessness, warm baths and dry sheet without rubbing. Tonic method, average to strong after acute symp- toms subside. Chafing of Young Children Treatment: Sub- nitrate of bismuth, one dram; pulverized gum acaciae, seven drams; mix, and apply dry, after washing the parts with castile soap, or anoint with lanoline. Chicken Pox (variceZZa).-Symptoms: Fever followed by rose-red spots on second day scattered irregularly over body, usually over back first, elevated above skin and rapidly change from pimples to minute blisters filled with watery fluid. Every day a fresh crop of spots appear, converted in time to blebs of milky appearance, with great irritation. These fall off entire as crusts; last about two weeks, and often leave child debilitated. Treatment: Colon flush, or a gentle cathartic if DISEASES AND THEIR TREATMENT. 429 needed. Treat fever with cooling method mild to strong, or ferrum phos., or aconite. Diet light and easily digested. Chilblains.-Sub-acute inflammatory swelling caused by cold and rapid restoration of the circulation by external heat instead of gradually from within. It is a sort of chronic burn. Treatment: Avoid mechanical irritation, cold and damp; revul- sive treatment three times a day proportioned to the severity of the case; also apply locally two or three times a day, zinc sulphate thirty grains, tannic acid thirty grains, rose ointment one dram; or, tannic acid two parts, alcohol five parts, collodion twenty parts, tincture benzoin two parts. Apply with brush. If itching is troublesome apply ichthyol and spirits of turpentine equal parts. Camphorated oil is sometimes beneficial. Chloasma.-See skin diseases. Chlorosis (green sickness).-A form of anaemia in the young of both sexes, occuring about puberty, and consisting in excess of blood serum, and red corpurcles dwarfed and dimin- ished in number; nervous bankruptcy. Causes: Deleterious trades, indoor life, solitude, masturbation, undue precocity. Symptoms: Wax-like face, yellow pallor of skin, poor appetite, fetor of breath, coated tongue, dry skin, constipation, abundant urine, weak, quick pulse, hysteria. Treatment: Same as anaemia. Cholera (Asiatic). - Cause: The evolution of the microbe comma-bacillus in the intestines which excretes a deadly tetanizing ptomaine, much like the alkaloid strychnine. It is a filth disease born amid the sensualities and unhygienic customs of oriental life, and propagated by the specific germ gaining access to the stomach and bowels of those who are already predisposed to it by a bad physical condition. Healthy gastric juice instantly destroys it. It cannot be induced by inoculation or contact. Treatment: 1. Preventive.-Dwellings, outhouses and surround- ings must be kept clean and.disinfected, decaying organic matters burned, drinking and cooking water boiled; daily bath and movement of bowels; flannel clothing changed night and morning and well aired and sunned; good ventilation, proper food, no excesses; a clear con- science and trust in God. 430 THE SECRET OF HEALTH. First Case: Keep calm and use the right means and it will prob- ably be the only case. First Stage: Premonitory, sometimes absent in severe cases. Symptoms: Irritability, languor, sleepiness, con- fusion, paleness, nausea, diarrhoea. Prepare the following disinfect- ants, namely: No. 1. Five pounds of copperas and three ounces of strong sulphuric acid in four gallons of water. Stir with a stick. No. 2. One ounce of strong sulphuric acid, to one gallon of water. No. 3. Sulphuric acid half ounce to a gallon of water. No. 4. Strong cider vinegar. From the very beginning mix all diarrhoea discharges and all vomit with one-fourth their bulk of No. 1, and pour into a distant hole, or into the sewer drain. Wash all soiled clothing in No. 2. Keep two bowls of No. 3 in the room, one for bathing the hands of nurses and the other the body of patient. No. 4 may be used until No. 3 can be procured. Remember that the ptomaines cause so much irritation in the intestines as to prevent reaction, and end in collapse, therefore two definite things must be arrived at, namely: (1) Neutralize or expel the ptomaines and sterilize or kill the germs; this is accom- plished by one or two full, hot caecal flushes of strong coffee, two to four quarts, through a flexible pipe inserted into the sigmoid flexure, i. e. eight to twelve inches long, and after the colon is emptied inject a gallon of warm water containing four per cent, of peroxide of hydro- gen (5J ozs to the gallon of boiled water). Repeat if necessary. Also give by stomach 2ozs in 8 ozs of boiled water, a cupful every two hours. If the peroxide of hydrogen is not at hand, give the coffee injection, and by stomach one-half teaspoonful of dilute sulphuric acid in plenty of water every ten to twenty minutes. (2) Promote reaction. As soon as the injections have cleansed the bowels, wrap in two sheets wrung out of hot water, with an extra cloth dipped in hot vinegar, all over the abdomen, and cover with a feather bed; rewet the sheets in thirty minutes, and keep in until the cramps cease, then give one-half cup of hot milk. Repeat the wet sheets one hour a day until well, but gradu- ally cooler. Second Stage: Profuse, odorless, serum-like diarrhoea with white flakes, called rice-water discharges, watery vomiting, cramps, intense thirst, sunken abdomen cheeks and eyes, nose pointed and cold, voice whispering, hands pale, dry, wrinkled, icy, nails blue, extremities cov- ered with dark patches, icy, pulse imperceptible, temperature sinks even to 12° below normal. The blood thickens by loss of its serum, and there is total absence of urine. If this treatment in the preparatory stage has failed, repeat it with the sheets wet in strong red pepper or capsicum water, blister from behind each ear to the angle of the jaw to cause inhibition of the sympathetic nerve, and in place of the peroxide of hydrogen or carbolic acid, give salol, five to fifteen grains every hour, diminishing as rapidly as improvement goes on. If this is not at hand, give equal parts of tinctures of lobelia, capsicum and American valerian (lady's slipper) a teaspoonful every fifteen to thirty minutes, until temperature, pulse and respiration become normal, then give tablespoonful doses every thirty to forty-five minutes of table salt one tablespoonful, black pep- per one teaspoonful, cider vinegar one-third tumblerful, water two- thirds tumblerful. Third Stage: Skin cold, clammy, bluish, pulse and voice gone, intense thirst, breathing shallow and difficult, breath icy. Add to the blisters behind the ears, mustard paste from the roots of the hair down to between the shoulders; keep up the packs and the administration of the tinctures, and add every hour a mixture of tinct. of capsicum one-half ounce, oil of cajeput twelve drops, tinct. of camphor one dram, chloroform twenty drops and ether one-half ounce. Shake. Dose one-half to one teaspoonful; or, give atropine, hypodermati- cally one-two-hundredths to one-sixtieth of a grain. The administra- tion of oxygen has sometimes cured when all other means have failed. Patient must keep his bed for a day or more after the last symptom disappears, and diet in convalescence should be hot milk, liquid beef foods, kumyss, semi-liquid diets, and return with great caution to ordinary food. DISEASES AND THEIR TREATMENT. 431 Cholera Infantum.-Symptoms: Frequent stools, vom- iting, elevation of temperature, rapid emaciation and loss of strength. Usually under two years. May begin abruptly or be preceded by diarrhoea. Stools are watery and like chopped spinach after the first few; have musty odor. Stomach is very irritable rejecting all drinks, abdomen swollen. Appetite lost and thirst intense, pulse accelerated, urine scanty and high colored, skin lies in folds. If eyes become sunken and hollow and mouth remains partly open from feeble contractile power, death is pretty certain to result. Cause : Neglect or ill treatment of simple diarrhoea, indiscretion in diet, or digestive disturbance of the mother; sudden changes arresting perspiration. A temperature of ninety or over favors its occurrence and increases its fatality. May be caused by retrocession of rash, also the germs of decaying organic matter in the atmosphere. Treatment: Preventive: Pure air, proper diet at regular intervals, if bottle fed, a clean bottle at every meal, absolute cleanliness in per- son and surroundings. Give cool water before each nursing. If fresh cow's milk is used, have as many bottles as the child takes meals in twelve hours, each holding just one meal. Strain while warm directly into the bottles; cork and put in a cool place ; shake, warm, dilute and sweeten as necessary and give througn a plain nipple without any tube. Precautions: Select the coolest place in the hottest part of the day; wear light clothing with woolen belly bandage; give one or more cooling bath's each day; give freely, but a little at a time, water that has been boiled and kept in bottles on ice; protect from draughts at night. Curative: Must have three objects-(1), to restore the blood to the surface; (2), stop the vomiting; (3), regulate and tone the bowels. But as every case has fermentive matter, undigested matter and septic matter in which the germs of the disease propagate, it is necessary to expel them all. Give neutralizing cordial one to two teaspoonfuls every hour, until the bowels move freely from it, then follow if neces- sary with listerine, elixir of lacto peptine and cinnamon water equal parts; a teaspoonfid every one, two, or three hours. This failing, give a hot bath five to ten minutes and wrap in warm, dry flannels, but not to cause free perspiration. 2. Tinct. of ipecac five to ten drops in four ounces water. One teaspoonful every twenty to sixty minutes. 3. If with green discharges, a dessert spoonful of a two per cent, solution of lactic acid after each nursing; not green, hot bath of dilute alcohol, and then warm mattress in the open air. Ointment of dilute alcohol, quinine and lard to be rubbed in the armpits and over the body every two hours; colon flush as warm as can be borne, given through soft rubber catheter eight to twelve inches long, one-half to a gallon at a time, allowing it to return as injected; then a retained enema, tepid water one pint, sub. nit. bismuth four drams, boracie acid one dram and listerine two drams. If necessary compress rectum to prevent return. This failing withdraw all milk, and feed bovinine or essence of beef or mutton broth well salted, given cold if preferred. For pain, listerine and paregoric each two drams; simple syrup twelve drams; teaspoon- ful every two to four hours. If the fermentation is putrid give carbo- hydrate diet exclusively; if acid, give albumens only. Stimulantsand antiseptics must be continued. Both are combined in listerine and brandy equal parts. Dose twelve to thirty drops every two to six IWHITK. 432 THE SECRET OF HEALTH. If stools are lumpy and offensive, give full injection of hot water with a grain of bicarbonate of soda to the ounce, or castor oil and pure glycerine each one ounce, cinnamon water one-half ounce with enough bicarbonate of soda or potash to emulsify: A teaspoonful every one or two hours. Keep warm applications to extremities. If stools be watery and but little tenderness to abdomen give enemas of dark pinus canadensis one teaspoonful to the one-half pint. Keep down fever with tepid spongings. If discharges are bloody, euphorbia hyperi. fl. ext. in five drop doses every two hours. If possible give oxygen twice a day by means of a paper funnel over the mouth and nose. If necessary retained enema, listerine one dram and starch water two ounces. Should there still be unexpelled fermented matter, give every one to three hours, the following: Dilute alcohol three drops, listerine twenty drops, hot castor oil one teaspoonful; or one teaspoonful of hot castor oil with one-fourth drop of carbolic acid in fifteen drops listerine every two hours until it operates; follow with listerine, glycerine, simple syrup, cinnamon water each one ounce; mix. Dose, teaspoonful every one, two or three hours. Or, glycerine five ounces, borax one ounce; twenty drops every one to three hours; or, tinct. of mix vom. one or two drops in two ounces of water; a tea- spoonful every one to three hours; or tinct. belladonna, three to five drops in four ounces of water; a teaspoonful every two to four hours. The elm mucilage colon flush as for diarrhoea and dysentery is spec- ially recommended. Cholera Morbus.-Symptoms: Extreme nervous pros- tration, cold skin, feeble pulse, cold breath, interrupted respi- ration, cadaverous face, blue extremities, nausea, vomiting, diar- rhoea, cramp and cholera germ in stools. Cause: Depression of great sympathetic, eighth pair of nerves and brain. Treatment: Emetic of equal parts of lobelia and capsicum repeated until vomiting is very thorough. Bowel injections of the same. Heat to abdomen, feet and limbs. If procurable, comp, oxygen fully and repeated until perfect quiet is secured. Call physician if necessary. Electrical-positive pole between shoulders; negative over stom- ach and bowels twenty to thirty minutes. Repeat as necessary. If case is severe, treat as for cholera. Cliordee.-An erect and rigid condition of the penis, during which it is curved in the form of a bow or arch ; exceed- ingly painful; a complication of gonorrhea. Treatment: Rectal retained enema of lobelia, repeated often enough to relax the system. Hot colon flush, No. 41, at bedtime, hard mattress, cool bedroom, avoidance of sexual thoughts. Hot genital baths of lobelia water; or, if necessary, camphor water four ounces, bromide of potassa one-half ounce, nitrate potassa two drams, tincture gelsemium one ounce. Dose one teaspoonful in water afternoon, after supper and at bedtime. Chorea (St. Vitus dance).-Symptoms: Irregular invol- untary contractions of more or less of the voluntary muscles. DISEASES AND THEIR TREATMENT- 433 Cause: Anything that so shocks the nerves as to cause want of harmony between gray and white matter of the spinal cord, such as over education, passion, blood diseases, skin diseases, etc. Treatment: Complete change of habits and occupation, fresh air, abundant exer- cise, daily stimulants each side spinal cord, free and persistent use of oxygen to enable system to appropriate foods; nutritive diet, average to strong; massage if practicable. A tincture of the green (or recently dried) root of gelsemium five drops every four hours, diminished to one drop at a dose, is regarded by some as a specific. The thermo- galvanic battery. Chyluria-T he urine loaded with chyle. Syrup of iodide of iron fifteen to forty drops an hour before meals has been successful. Climacteric Disorders.-Those which precede the last monthly sickness and end with the re-establishment of health on a basis somewhat similar to that previous to puberty. Three million women in the United States are constantly pass- ing through them, called " change of life," " turn of life," " critical period," etc. Usually thirty-two years after puberty, at the age of forty-five or forty-six. Cause: The periodicity of nature causing a failure of the repro- ductive center in the brain; lienee lack of nerve stimulus to the ova- ries, which wither, causing structural changes in all the related organs. Symptoms: Nervous debility, flushes of heat, perspiration,leucor- rhea, hemorrhage, headache, drowsiness, giddiness, hypochondriasis, melancholia, hysteria, epilepsy, apathy, peevishness, neuralgia-may be apoplexy and paralysis. More or less of these in connection with gradual diminution of the menses after forty and a gradual extension of the intervening time, especially if the skin loses its softness and elasticity, may be considered decisive. Treatment: Preparatory : special hygienic course to free the system from existing ailments. Alterative (No. 5) and tonic (No. 3) methods suited to the case. Nutritive method (No. 2) mild or average with abundance of ripe fruits; flannel clothing next the skin; alcohol vapor bath twice a week; warm alkaline bath on all other days ; all the open air exercise that can be taken without fatigue; well ventilated rooms ; abundance of sleep, change of scenery, and recreations that rest, not irritate. For the nervous debility, if caused by excess of blood: Fast, and take cold sponge baths. If by too little, more nutritive, even rapid blood-making method (No. 1) and rest. For heat-flushes: Avoid emotions and external heats. Cooling method (No. 12) mild. Macrotin (con.) one to two and one-half grains three times a day. Sweats (passive permeability of skin from loss of nerve-power): Tonic method (No. 3) average or strong. Aromatic sulphuric acid ten to thirty drops and quinine one to three grains three times a day. 434 THE SECRET OF HEALTH. For leucorrhea: Vaginal injections three times daily of tea of white pond lily, witch-hazel or strawberry leaves. For hemorrhages: Unless excessive, should not be entirely checked, except in the anaemic. If vaginal, local vinegar pledgets changed every three hours, head low, feet elevated. Tinct. of ipecac one to three drops alternated with distillation of witch-hazel live to ten drops ; a dose every ten to twenty minutes. For headache, see headache. For sleeplessness, see sleeplessness. For giddiness, see giddiness. For neuralgia, see neuralgia. For flat- ulence and fluttering in epigastrium : Cajeput oil, five to twenty drops three times a day. For hysteria, zinc valerianate one grain three times a day. For muscular debility, brucine (alk.) one-sixty-seventh to one-twelfth grain, or berberine (alk.) one-sixth to three grains before meals. Coccyodynia (painful coccyx).-Cause: Blow, injury during childbirth, or sitting on hard, cold seats. Treatment: When caused by a blow or strain, treat as for contusion or strain. When caused by cold, give revulsive method as needed. Colds.-A vapor bath of hemlock leaves, with rest in bed, fasting a whole day and night will cure nearly all cases within forty-eight hours. Free inhalations of comp, oxygen immediately after the cold is contracted is usually effective. Diaphoretic treatment strong is a certain cure if taken in time. Ferrum phos. every hour or two aborts a cold in a few hours if used as soon as the cold is felt. In Head: Put a pint of vinegar into an old teapot on an oil stove, and add a teaspoonful of spirits of camphor, and replenish as it evapo- rates. Inhale the steam until the head is clear. Or, sodium salicylate and syrup of orange peel each one-half ounce, peppermint water four ounces. Dose a dessert spoonful every three hours until the ears ring. In Throat: Treat as for cold in head. Also compress on throat, and if it continues steep a dram of bloodroot in half a pint of good cider vinegar sweetened into a syrup; a teaspoonful frequently. Cold in Head, Acute Rhinitis (child): Warm bath ten to twenty min- utes. If nostrils are irritated, cosmolene warmed and sprayed up the nose; nostrils dry and filled, apply frequently a warm, weak solution of baking soda and follow with cosmolene; "snuffles" (nasal catarrh), cosmolene spray, following an alkaline solution, or list.erine reduced with from four to seven parts of soft warm water; body pack dally until cured. ColicCramp or spasm of the bowels. Numerous varie- ties, some due to indigestion, flatulence, worms; others to acrid states of the bile, with nausea, vomiting, yellow skin; others to gout or rheumatism; to obstruction; to neuralgia. Treatment: Cover patient warmly in bed, then give a pint of water as hot as can be taken; place patient on left side with hips raised and give copious injections of warm water with one-half cup of molasses in each; hot fomentations of hops to abdomen, These DISEASES AND THEIR TREATMENT. 435 failing, give dose after dose of lobelia in warm soda water, then hot drinks, and add lobelia enemas if necessary. Colic, Bilious: Full caecal flush, large quantities of hot water drank, colocynth and podophyllin in alternation every thirty minutes. If with fever, full pack, or frequent spongings under bed clothing. Colic, Obstructive: Place patient in knee-chest position, or lying with hips elevated as high as possible, and give an injection of a pint or more of warm sweet oil; retain as long as possible. Colic, Pictonum (lead colic): Emetics and injections of lobelia and opium if necessary to relieve the pain, if warm body packs, or hot fomentations of hops fail. In enema treatment, use hot annis seed, peppermint, spearmint, caraway, fennel, or catnip tea as the fluid instead of hot water. Or put a dessert spoonful of table salt into the hot water Colitis (inflammation of mucous membrane of colon).- See dysentery. Colitis, Chronic.-See chronic dysentery. Coma.-Lethargy or sleep deeper than stupor. Cause: Fracture of skull, effusion, softening with paralysis, microbes, gases, acro-narcotics, urea. Treatment: Remove the cause. Rouse the vital force by rubbing, electricity, oxygen, injections of glycerine and peroxide of hydrogen, or of two to four grains of capsicum in elm or starch water. In uremic coma give long continued inhalations of oxygen. Condyloma (a hard tumor about the anus or pudenda). -Thuja thirty drops internally in water three times a day and apply locally thuja and sweet oil. Congestions.-Revulsive method according to locality and severity. Conjunctivitis (inflammation of the conjunctiva).- Hot water fomentations to back of neck, and two drams of boric acid to a pint of warm water used freely on the eyes; or, Lloyd's hydrastis four drams, Lloyd's belladonna twenty drops, boiled water three and one-half ounces applied on absorbent cotton. General revulsive method. Consumption, Pulmonary (pulmonary tuberculosis, phthisis).-Nature: Digestion having prepared the elements of food, they are poured into the blood and there raised by vital- ity to the condition of cell growth suitable to supply the wastes of the tissues. Tf the vitality be deficient, the food elements, too little vitalized to make animal tissue, yet vitalized too much to perish, produce specific vegetable parasites, the bacilli-tuberculosis. These germs proceed to consume all the 436 THE SECRET OF HEALTH. vital elements of animal life for their own nutrition; and secrete a "cadaveric alkaloid," the poisonous effects of which are seen in fever, hectic, night sweats, etc. Some weakened patch having offered opportunity for the transudation of some of the bacilli from the blood into a lymph space or air cell, there they nest and the epithelial cells harden about them. If vitality be sufficient, these germs may be encysted (cased in) with walls of fibrillated network and thus be made harmless. Failing in this, the bacilli or germs multiply with enormous rapidity and their poisonous ptomaines or excretions kill the tissue in immediate contact with them and inflame that which lies just beyond, thus producing consolidation. By chemical action, this dead tissue becomes pus, and the inflamed tissue soon degenerates into the same product. Nature now makes an effort by expectoration to clear the sys- tem of the rottenness. If successful, she may then heal the cavity by a scar; if unsuccessful, the cavity remains a pool of purulent matter. This matter may be absorbed into the cir- culation and cause blood poisoning. The imprisoned pus con- stantly eats away the walls of its cavity, thus enlarging its area. Sometimes cavities work by extension into each other; these processes waste the serum of the blood to the point where the lymph canals and pink morrow fail to produce it in normal condition. Nutrition becomes less and less able to supply material for the repair of these destructive wastes, and hence emaciation and decline go steadily on. Causes of Consumption: (1) The direct transmission of its predisposing causes from a diseased parent. (2) The pro- duction of its predisposing causes by incompatibility of tem- perament of parents; (3) their production by the union of physiologically adverse peoples, as Indians and whites; (4) their production by waste of vitality; (5) their production by unfavorable physical conditions; (6) contraction by infection, or (7) contraction by contagion. The statistics of this disease justify the following average statement: In the wdiole world one is destined to die with it out of every family of seven; and of every family of four, three will be smitten with a predisposi- tion to it, and one must die from some form of tubercle. DISEASES AND THEIB TREATMENT. 437 Symptoms; first stage.-Breathing hurried on exertion, inspira- tion harsh, expiration prolonged; cough dry, hacking in the morning; expectoration not relieved by ordinary remedies; wanting at first, then colorless, frothy, glairy or sticky mucus; spirometer measure about one-third less than normal, I. e. the capacity of the lungs is reduced to that extent. Weight slightly diminished; appetite and digestion somewhat impaired; aversion to fats; pulsations slightly accelerated; extremi- ties cold; palpitation upon slight exertion ; constipated; urine dimin- ished ; irregularity or suppression ; skin sluggish, clogged and pallid. Second Stage.-Breathing more hurried on exertion, cough some- what wearing; expectoration yellow and more or less watery; some- times mucous. Spirometer measure about three-sevenths less than normal. Weight decreasing; appetite poor or variable; digestion slow and imperfect; strong dyspeptic symptoms; pulsation still more rapid, with a marked difference between night and morning; cheeks flushed when fever is on; chills, not malarial; bowels constipated, sometimes alternating with diarrhoea; urine diminished and frequently turbid; night sweats; suppression. Third Stage. - Breathing rapid and abdominal, foetid; cough severe and exhausting; expectoration thick and if with little mucous, sinks in water; is sometimes pellet, or coin shaped, yellow and puru- lent; sometimes green and offensive; later copious and sticky; ina- bility to retain a forced inspiration ; spirometer measure about seven- twelfths less than normal; emaciation; frequent vomiting from the cough; appetite very poor; pulsations one-hundred to one-hundred- sixty per minute and very weak; regular afternoon increase, and later preceeded by dumb chill; hectic glow'; diarrhoea; night sw'eats; kidneys variable; usually complete suppression. Treatment must be carried on with two cardinal principles in view: Nutrition must be restored, and respiration must be ample to oxidize the nutrient material or food consumed. Nature requires an average food consumption of sixty ounces every twenty-four hours for an average weight of one hundred and forty-eight pounds. The oxidation of that food impera- tively demands the intake of the tidal air of two hundred and twenty-two cubic inches of lung capacity, eighteen times every minute, in order to work that food into its ultimate excre- mentitious products. 438 THE SECRET OF HEALTH. Statistics show the respiratory capacity of consumptives in differ- ent stages of disease to be as in the following table: Capacity in Health. Capacity in Consumption. Height. Cubic Inches. First stage. Second stage. Third stage. 5 feet 1 inch 174 117 99 82 5 " 2 " 182 122 102 86 5 " 3 " 190 127 108 89 5 " 4 " 19G 133 113 93 5 " 5 " 206 138 117 97 5 » G " 214 143 122 100 5 " 7 " 222 149 127 104 5 " 8 " 230 154 131 108 5 " 9 " 238 159 136 112 5 " 10 " 246 165 140 116 5 " 11 " 254 170 145 119 6 <4 262 176 149 126 This demonstrates the absolute incapacity of the consumptive to make use of the normal quantity of food, even if it could be consumed. The Diet in Consumption is therefore of the utmost import- ance, and thousands upon thousands every year forfeit their lives because of ignorance of the essentials of a helpful dietary. One set of doctors make appetite the only umpire, "eat when and what you crave," forgetful that the appetite is as much diseased as the lung. Another class stuff with enor- mous quantities of fats, ignoring the fact that fats can neither make good blood, renew wasted tissue, nor replenish exhausted digestive ferments. Another class feed green vegetables, blind to the fact that these require far more labor of the debili- tated digestive organs than do the animal foods. The real problems are: 1. To give nearly a normal average of the fiber element, upon the assumption that, although the work done may not be as much as the average of the healthy, the wastes already .suffered will fully average the necessity for these elements. 2. To supply as nearly the normal quantity of fats as the dimin- ished respiratory power will oxidize; because, although they have the disadvantage of locally raising the temperature in the lungs, they also possess the vastly preponderating advantage (when not in great excess) of yielding heat and energy without digestion, thus saving a heavy drain just where the organism is weakest. But that cod-liver oil is not an appropriate fat is apparent for these reasons, summarized from Wood, Porter and others: (a) The oil contains the excretive nitrogenous products of the liver, designed for expulsion as unfit for further use in the animal economy, (b) Its emulsification increases the danger of exhausting the oxygen supply, because of its rapid absorption, (c) Its rapid transformation in the lungs into carbon dioxide and water, tends to increase the local con- DISEASES AND THEIR TREATMENT. 439 gestions there, (rf) Its alterat ive action is in the direction of depres- sion, because it decreases the urea in the urine, and increases the deleterious products of deficient oxidation. 3. To use the force element only as appetizing and supplementary -to fill up the calories of heat and energy to the measure of the full oxidizing capacity of the system and enable it to appropriate more of the fiber-element and no further. 4. To make actual increase in respiratory capacity the standard of a corresponding increase in food supply 5. To make no account of the increased number of respirations, because they are fully balanced by the diminished area of oxygen absorption, and by the augmented impurity of the blood. It will thus be seen that the adjustment of the diet must have a constant relation to the respiratory power, and should be specific as to kind and quantity in each several phase of the disease, to increase the respiratory capacity is the FIRST NEED, THEN TO FEED UP TO ITS LARGEST MEASURE IS THE SECOND. The kind of food is also of utmost importance. An excess of fats overtaxes the emulsifying functions, and their point of oxidation being in the lung-tissue, their transforma- tion increases the heat where it is already too high, by reason of the inflammatory processes already described. The physiological nutritive demand is for nitrogenous sub- stances to supply the wastes of tissues and the digestive ferments, and carbohydrates to give requisite heat, but not in such excess as to cause the imperfect oxidation of the nitrogen into its proper excrementitious products. The nitrogenous substances should be in the most easily digested forms, and such carbohydrates selected as are capable of yielding the necessary amount of heat without a bad effect upon the organs. These rules are plain, scientific, and practical, and should be rigorously enforced so long as there is hope of recovery. When that is abandoned, the old guesswork or whimsical system may be readopted. On pp. 373-376 some dietaries may be found constructed in accordance with these rules. The Hygienic Measures necessary have reference to: First, the danger to the patient of reinoculation by himself; second, the peril of infection; third, the possibility of cure. 440 THE SECRET OF HEALTH. The first two may be summarized thus: All expectorations should be immediately distroyed by fire, or by disinfectants. All dishes or utensils that have been used by the patient should be disinfected. Bedding, clothing and room should have a sulphur fume every few days. The cuspidor should constantly contain a solution of carbolic acid, one ounce to one and one-half pints of water, and should be washed twice a day with boiling water. When away from this recep- tacle, the patient should carry little squares of cloth to receive the sputa, and each should be wrapped immediately in paraffined paper and burned on the first opportunity. The urine and faeces should be disinfected by mixing with each discharge one ounce of powdered chloride of lime, or one quart of a solution of four ounces of chloride of lime to one gallon of soft water. Let stand an hour before emptying any- where. Rooms should be disinfected by exposure for twenty-four hours to the fumes of burning sulphur, (three pounds for every ten feet square size of room) then to currents of fresh air sev- eral hours, then the walls should be rubbed with bread crumbs, which should be burned. The Inhaling Tube.-From what has already been said concerning the relation of lung capacity to nutrition, it follows that lung expansion lies at the root of possible cure in all cases. Therefore the inhaling tube, or more properly the respirator systematically used, is the supreme hygienic measure, never to be omitted. The construction of the inhaling tube is such that when held between the lips, and the breath is drawn through it very deeply; it en- ters by an orifice large enough for com- fortable inspiration, but when expelled, by the operation of an interior valve.lt is diverted through an aper- ture so much smaller that the rebound of the air from the effort to force it through rapidly, dilates all the air cells, and thus accomplishes three very important purposes namely : 1, Breaks up the tendency to mat or consolidate like a hard dry sponge, which is the first step tow- ards ulceration. 2, Gives the cells a gymnastic exercise by which they are greatly strengthened and made more hardy. 3, The slow expiration FIG. 63. FIG. 64. BREATHING TUBES. fig. 63. A, valve; B, side orifice; C. bar to stop the valve. fig. 64. A, side orifice. DISEASES AND THEIR TREATMENT. 441 affords ample time for the complete absorption of all the oxygen of the inspired air. The tube should always be used in the open air or by an open window, from two to many times a day. The patient should stand erect if able, with shoulders thrown well back, and breathe as deeply as possible from one to twenty minutes at a time. Should any dizziness be felt, rest a minute. If predisposed to hemor- rhage, it should be used if at all with great caution. There are many forms of the tube, most of which are needlessly expensive. One of the simplest is illustrated in Fig. 64, and consists of a glass tube with a side orifice for expiration, the tongue being placed against the interior and acting in place ot a valve. Another also of glass wit h a valve is represent eil in I ig. 63. One can be made by boring a three-sixteenth inch hole through the length of any piece of hard wood three inches long, then about one-half of an inch from one end, bore a one-sixteenth hole through one side into the lengthwise hole. Place the end with the side-hole in the mouth, so that the hole shall be between the throat and the front teeth, and draw the breath through it. To expehjilap the tongue against the end, and at no cost whatever one can have practically as good an inhaler as any that costs two dol- lars, so far as the lungs are concerned, but it should be carefully •cleansed every day with menthymos solution, or some other disinfect- ant, ami care must be used to have the end smooth lest the tongue become sore. Habitual Outdoor Air, with as much of the right kind of physi- cal exercise as can be taken without exhausting the vital force, are imperative co-requisites. But how to secure that exercise is the per- plexing problem. The following objections hold against horse locomotion: The exer- cise is too passive for the most curable stage, when its benefit is most required; the expense and care tire prohibitive in the majority of cases. The following objections hold against bicycles: They do not admit of enough companionship; they afford no shelter from the sun; they tax the heart and large blood vessels too much ; they can be used comfortably only in favored localities, and in the most pleasant season of the year. Summer Camping parties, which should extend from June to Octo- ber in the Northern States, moving southward as the season advances, and passing the winter in California, Texas or New Mexico, are the best form of life and exercise. Expensive? Yes, but what is human life worth? The day is not distant when such parties or something equiva- lent will come to be recognized as the reasonable thing for the cure of this dire malady. But what shall the poor victim do who cannot go camping? Do as the author did forty-seven years ago, when physicians and friends despaired of his life, because consumption had fastened upon him (early second stage). Keep up a running fight with Death-a desperate purpose to live to do good in the mind, trust in God in the heart, and with the inhaling tube as the chief reliance, fight to win! Then if you fall, it will be because God has a better place for you. Medical Treatment.-Its first aim should be to heal sup- purations if they exist. Its second should be alterative and 442 THE SECRET OF HEALTH. tonic as far as the system will respond favorably to such agents. In all cases medicines should be germicidal, only such drugs being used as have power to kill or sterilize the germs, or neutralize their ptomaines, or both, and at the same time not prove devitalizing. Guiacol, creasote, calomel, chlorides of gold, antimony, arsenic, turpentine, cinnamon-these and many others have been used with success in different cases. Our judgment is that the particular remedy employed is not of so much consequence as its careful adjustment to the vital force and the use of the hygienic means previously named. Without them, all medication is useless; with them, medicine rightly selected and administered may play a subordinate role, but must never be allowed the chief place. The simple fact that in spite of all the varied medication of the past, the disease still holds sway is proof that drugs cannot cure it. On the other hand, a strictly scientific diet has had no chance to try, because until very recently its elements have not been sufficiently understood. But it is fair to assume that since a certain percentage of cases recover in spite of positively wrong diet, if that be corrected and added to the other means named, a much larger proportion will cast off the disease. Tonic and alterative treatment according to the case. Some prep- aration of tar for the cougii, when needed, and creosote carbonate as a germicide is probably the best treatment that can be given. Ozone or oxygen inhalations in all cases. Constipation, (diminished peristaltic action of the bowels).-Cause: Lack of bile, stricture of large intestines, or growths from its surface; more commonly sedentary habits, neglect of the calls of nature, certain diseases-anaemia, hyste- ria, etc., and acute diseases. It is normal; (1) after free evac- uations from diarrhoea, enemas or cathartics; (2) during pro- tracted fasting; (3) from three to ten days after child-birth; (4) in serious sickness when nature uses all her energies in saving. The stool consists of ■waste matters secreted from the blood by the glands of the colon. For the effects of the undue retention and resorption of such matters, see our colon flush. Dr. Turner, of Washington, examined the colons of three hun- dred persons and found two hundred and ten of them consti- pated, and containing disease germs that were being absorbed into the system. Treatment: 1. Knead the abdomen with a deep, shoving move- ment, in the direction of the intestinal peristalsis, 1. e., beginning in DISEASES AND THEIR TREATMENT. 443 the right groin and moving around over the colon, five to ten minutes every day. Should this prove ineffective, anti-constipation diet and avoid tea, gin, beer, cheese, milk, salt and smoked meat, pickles, pas- try, fresh bread, beans, peas, nuts, rolls, waffles, and all milk com- pounds with farina. Or, eat one or two oranges on rising, followed by one-half pint of water, cold or hot. For breakfast, eggs or fish, ana oatmeal mush or hominy; no bread, rolls, griddlecakes or gems, unless they are oatmeal and take the place of oatmeal mush. Two hours before dinner, one or two apples followed by one-half pint hot water. For dinner, meat, poultry or game, green vegetables, such as greens, cresses, squash, turnips, spinach, cabbage, tomatoes, asparagus, cauliflower; no desserts, no bread. Every one-half hour from dinner to supper take a •teaspoonful of cold water and drink whenever thirsty. For supper, stewed fruit, or figs, pears, prunes, peaches, apples, oranges, melons, grapes, cherries, berries, toast, cold meat; no cake nor sweetmeats. Can use brown bread, corn meal mush, or hominy in place of toast. At bedtime, one-half pint of hot water. The only drink allowed at meals is buttermilk at the end. 2. Make tlie effort to stool at a regular hour after breakfast. 3. Stool whenever the desire occurs. 4. Caecal flush every night as long as there are dark, hard or mucus covered discharges and until they are yellow. Then, two or three times a week until cured. 5. Massage, (a) Rub the whole abdomen with a compound of lanoline two ounces, sweet oil four ounces, oil of sassafras two ounces, gently pinching the skin for ten minutes, (b) Gently tap with the ends of the fingers all over the stomach and bowels, four or five minutes, (c) Standing, clasp the bowels in both hands and shake up and down and from side to side four or five minutes, (d) Kneed as first directed, but this pro- cess should never be employed vigorously if the colon is packed with hard faecal matter. First unload it with flushes. 6. The colon flush. When the cause is inactivity of the liver, ox-gall pills will supply the deficiency until the liver can be set right. With dry stools, cas- cara cordial four ounces, 11. ext. of lobelia two drams; one to two teaspoonfuls. Constipation, Habitual: Podophyllin one grain, malaga wine two ounces; one teaspoonful at bedtime. Constipation of Children: Mux at night, bryonia in the morning. A tablespoonful of fine bran night and morning in a cup of warm milk, poured on bread. In all cases with heat in lower bowels, or red line in center of tongue, ferrum phos. With clear slimy tongue, bubbles on edges, involuntary tears or other watery discharges, or frothy saliva, natrum. mur. With white tongue, light stools, fat and pastry disagree, kali mur. With yellow, slimy tongue, sticky, thin, yellow secretions of watery matter, any attendant symptoms worse in evening and in a warm room, or with retrocession of eruptions, or itching pimples, or peeling skin-kali sulph. Three grains of either, three to six times a day. Contortions (chronic, from rheumatism).-Treatment: Give lobelia until complete relaxation is produced, then straighten. Repeat every week, 444 THE SECRET OF HEALTH. Contusions.-When of the flesh, see bruises. When of the bone, see peritonitis. Convulsions, Infantile.-Symptoms: Spasms of mus- cles, general or partial. May come suddenly, but usually pre- ceded by restlessness with twitching and grinding of teeth. Spasm usually begins with hands, eyes fixed and rolled upward, body stiff and breathing suspended for a moment, face congested. Cause: Peculiar excitability of nervous system; reflexly from gastro-intestinal disturbances, especially with debility; seldom from dentition alone; rickets, fever, congestion of brain as in whooping cough. May be due to irritation of the brain, or at a distance, as a worm in the bowels, or a burn on the hand or foot, or to fright. Treatment. Remove the cause. Hot baths ten to twenty minutes. Sponge the spine with cold water. Mustard to the extremities. Warm water on bead, allowed to evaporate freely. Enema of lobelia and skull cap tea. Give passiflora incarnata five to twenty drops, or catnip extract one teaspoonful. Or, calc. phos. and mag. phos. in alternation, one dose every hour. Or, if from worms, salt and water, and as soon as the paroxysm is over, a dose of belladonna and santonine as for worms. If at the beginning of ague, give aconite and belladonna, a dose every thirty minutes, four times, then give baptisia in place of the belladonna. If from diarrhoea, belladonna and camomilla. If from whooping cough, belladonna. Convulsions, Puerperal (occuring during child- birth).-Symptoms: Convulsive movements of the limbs, mus- cles of the face, dilated pupils, red or livid countenance, fixed or convulsive eyes, foam at the mouth, involuntary escape of urine and faeces. Treatment: Empty the bladder and rectum, place a piece of rub- ber between the teeth, give infusion of lobelia freely by mouth and rectum as soon as possible; if the urine is albuminous and scanty, give diuretic teas, then administer peroxide of hydrogen, thirty drops in water; or resorcin, five to fifteen grains every three hours; or, sal- icylate of soda, fifteen to thirty grains three or four times a day ; with passiflora, one teaspoonful every four hours, to neutralize the pto- maines; or, give hypodermic injections of veratrum viride every thirty minutes, five drops of the tincture. Treat other symptoms as they occur with packs, compresses, fomentations, bed sponges, etc. Corns (indurations of the skin caused by irritation).- Soft: Harden by applications of tannin, and treat as hard. Hard: Soften by the hot foot bath, or by wrapping in lint soaked in a solution of washing soda, then scrape away; repeat. Or, salicylic acid thirty parts, extract cannabis indjca five parts, DISEASES AND THEIR TREATMENT. 445 collodion two hundred and forty parts. Apply with small brush; in four days rub off in hot foot bath and repeat until cured. Or, soak in very hot water a few minutes, then protect surrounding parts with iodoform, and apply salicylic acid and lactic acid, each one-half dram, collodion one-half ounce; protect from further irritation. Cough, Whooping (pertussis).-A contagious and infectious disease chiefly of Childhood, caused by the presence in the blood of the micrococci parasite, localizing in and around the cervical spinal cord and giving the nervous symptoms; and upon the membrane of the air passages, giving the catarrhal symptoms. Symptoms: Languor, fretfulness, symptoms of a cold, periodic and spasmodic closure of the glottis on deep inspiration, which, if long-continued, causes a sense of suffoca- tion; convulsions, attacks often end in vomiting. Complica- tions are extremely dangerous. Treatment: Keep quiet, give nutritive diet, daily antiseptic bath. Keep atmosphere of room antiseptic with cresolene vapor constantly. It that cannot be procured, spray glycozone, naphthaline, or eucalyptus about tlie room every hour, and every third day remove the child and fumigate room and furniture with burning sulphur. See fumigations. Give internally, of syrup of tolu four ounces, resorcin one-half ounce, mix. Dose, one teaspoonful every three hours when awake. Treat complications as they arise. Mild tonic method, No. 3. Warm, not sweltering clothing; open air in pleasant weather. Sea air is especially beneficial. Dobell's solution as a spray is of great utility-crystals of carbolic acid three grains, biborate of soda and bicarbonate of soda, of each twenty grains, glycerine one ounce, water five ounces. Or, use in the same way thymol fifteen grains, alcohol three drams, glycerine four drams, water thirty-four ounces. An emetic of one-fourth to one-half teaspoonful of powdered alum in syrup or honey occasionally is help- ful. After giving the dose, hold the child on its stomach with head lowered until it operates. At night give an enema of one ounce of lac asafoetida to promote sleep. Listerine one teaspoonful to two ounces of water sprayed into the throat is beneficial. Coryza.-See catarrh, acute nasal. Cramp (a spasmodic action of the nerves, causing invol- untary muscular contractions).-Cause: A disturbance of the molecular motion of the salt magnesia phos. in the tissues. Treatment: Magnesia phos. three grains every thirty minutes to three hours. Fomentations of smartweed, or a foot bath of a handful of salj and two of wood ashes in warm water. Or, specific aconite ten drops, sanguinaria nitrate one grain, glycerine one ounce; ten drops every ten to twenty minutes as required. Cross Kyes.-Treatment: Cover the eyes with a mask 446 THE SECRET OF HEALTH. having an orifice at such a point as will compel the eye to turn straight in order to see out. Croup.-Under this name three separate diseases occur: 1st. Laryngeal: See laryngitis. 2d. Spasmodic : Cause: Reflex irritation, as teething, worms, and derangements of the digestive tract. Symptoms: Short, barking cough and difficult, hoarse breathing. Treatment: Give enema of No. 4, fol- lowed as soon as it is expelled by a warm mustard bath of twenty to thirty minutes, and give lobelin (cone.) one grain in warm alkaline water every ten to twenty minutes, or magnesia phos. three grains every ten to thirty minutes. 3d. Membranous or Diphtheretic Croup: Symptoms: Croupy cough by day, slight fever, rapid and wheezy breathing, prolonged jump- ing inspirations, redness and swelling of tonsils and palate, increased fever, pulse irregular, great thirst, false membrane on tongue, tonsils, palate, larynx and trachea (bacillus indicum). Fatal Symptoms: Drowsiness, wakes in terror, breathing becomes gasping, congestion of lungs, skin cold and clammy, suffocation, con- vulsions, death. Treatment: Temperature eighty degrees, moist with steam of vine- gar, or slack lime in bucket and cause vapor to be breathed; make sheet tent and fill with vapor, keeping the child in it. Long flannel wrapper, high neck and long sleeves ; nutritive method mild to strong. Immerse in hot water until sweating then rub dry; put cold com- presses on throat, of vinegar and water and manipulate the limbs, or put mustard fomentations on them and heat between shoulders. If not soon relieved, alternate fomentations and compresses on throat and chest, and give hot foot baths. (Distinguish from diphtheria, in which never foment). Or, aconite, phosphoric acid and spongia in rotation, every ten, thirty and sixty minutes as improvement contin- ues. If fever subsides, but throat trouble and cough continue, give ipecac in place of aconite. If cough be deep seated, give bryonia instead of spongia, keep in warm room with no draughts, feet warm, head cool, compress on throat. One-half teaspoonful alum and same powdered sugar if suffocation seems at hand, and blow into the throat a little pure powdered alum. Cyanosis (blue disease)-A condition of the heart or blood vessels that mixes venous and arterial blood. Congen- ital : Keep thoroughly warm and give a drop or two of digi- talis twice a day. Symptomatic: Treat the original disease. In either case the thermo-galvanic battery two to four times a day. Cystitis, Acute (inflammation of the the bladder).- Cause: Injury from operation; irritation from pieces of crushed calculi; results from certain drugs as cantharidis. In gouty subjects from exposures to cold; from too long retention DISEASES AND THEIR TREATMENT. 447 of urine; may be due to a stone, foreign body, or growth in the bladder obstructive to the outflow of urine, or to stricture or enlarged prostate. Symptoms: Burning, piercing and throbbing pain in the region of the bladder extending to the perineum and in some cases to the testi- cles and thighs, increased by pressure; ineffectual desire to urinate; nausea, vomiting and great anxiety are common; constipation, pulse full, hard and frequent; skin hot and dry, thirst urgent, and patient restless and dejected. Treatment: Remove the cause. If urine is retained, draw it off with a catheter; sigmoid flush of warm water witli thirty drops to the pint of tincture of lobelia; cool compress on bladder. Fomentations of limbs with mustard water, warm hip bath, or body bandage fomen- tation, two or three times a day. Injections into the bladder of warm, pure milk; revulsive method strong; the pain suppository in the rec- tum every four hours. Keep urine alkaline with tea of linseed or marsh mallow containing nitrate of potash one-half ounce and cream of tartar one ounce to two pints. Take enough for that purpose; mus- tard over stomach if there is vomiting. If perfectly pure milk is not at hand for the injection, wasli the bladder thoroughly witli clear, warm water until the water comes away clean and odorless, then rinse out with a very weak solution of soda bicarbonate, after which inject five grains of papoid dissolved in two to four ounces of warm water. Repeat from once in two days to five or six times in one day according to the severity of the case. Give water freely to drink. Repeat the flush and the bladder injections as often as required to keep down fever and subdue the inflammation, and give tepid spongings as often as may conduce to comfort. (Cooling method.) Absolute rest, diet nutritious, but unstimulating. Internally the following have been used successfully: Fluid ext. collinsonia canadensis given in fifteen drop doses every four or six hours. Or, tincture of eryngium three drams, tincture of aconite ten drops, and water five ounces. Dose one teaspoonful every one to three hours. Eucalyptus in from twenty to thirty drop doses of the tincture three times a day, well diluted. When the urine is neutral or alkaline one to three bladder injections of resorcin two to fifteen percent., at intervals of two to three days, usually cures. A No. 1 capsule of ammo- nium chloride, swallowed, three or four times in twenty-four hours, followed by a glass of cold water, is superior for cystitis arising from stone in the bladder, influenza and uterine diseases. Ten grains of bicarbonate of soda in a half-ounce of an infusion of uva ursi every two hours, is said to relieve immediately. Five grains of carb, of lithia, or six grains of benzoate of lithia in a glass of water, will give relief in most cases. If tliis fails, give tinct. gelsemium twenty drops, alternated with five grains of benzoate of soda, or lithia, every three hours, in water. Cystitis, Chronic.-Cause: Mechanical and irritating substances in the bladder; retained urine; external injuries, irritating and acrid substances; or by colds, suppressed perspi- ration, or hsemonhoidal discharges, or by metastasis of gout and rheumatism. Symptoms: Violent burning, lancinating, or throbbing pain in the region of bladder. Pain increased by pressure made over the pubes; the perineum and adjacent parts are tender to touch. Frequent efforts to urinate, without success; the little voided passes off in drops, 448 THE SECRET OF HEALTH. attended with severe stranguary or dysury; deep red color often tinged with blood; or sometimes depositing a milky, turbid sediment, particularly if the inflammation is of a catarrhal character. Bowels constipated, pulse hard and full, skin hot and dry, urgent thirst, some- times sickness at stomach and vomiting. Diet: Generous to a fault; linseed or marsh mallow tea, for drink ; flannel clothing, external warmth, bactericides as injections, comp, oxygen to sterilize blood and support nervous strength. Avoid reach- ing upwards, rapid walks, lifting, damp or chilled feet, and everything that experience proves to be injurious. Keep bowels open with caecal flushes, No. 41. Retained enema of mullein tea; watermelons eaten freely- if they agree otherwise are beneficial, producing a bland urine. Tepid hip baths two to four times a week; much quiet rest; tepid compress on bladder nightly, or hop fomentation. Hot alkaline sponge baths frequently. Full pack once a week. One to two gallons of water drank daily. One teaspoonful of fluid extract of corn silk in water three or four times a day. Locally: Empty the bladder with a flexible catheter, then keeping the catheter in position inject through it from a glass syringe two or three ounces of tepid water containing one-half of an even teaspoon- ful of borax. Let that pass off. and then inject one ounce of warm, soft, white vaseline, pinch the end of the catheter and withdraw it. Repeat once or twice a day, until cured. Or, stool vapor three days; then for three weeks, upper shower and water tread morning and afternoon; then sitzone day and shower alternately; tea of juniper berries and mullein. Or, after the cleansing wash, inject warm water containing a teaspoonful of fl. extract of corn silk, and take one to two teaspoonfuls in water every three or four hours, or take five to eight drops of oil of mullein three times a day. Old men with enlarged prostate will find five to fifteen grains of ammonium benzoate every four to six hours of benefit. If there is much pain, warm and inject and allow to remain twenty or thirty minutes, one ounce of this mix- ture-sodium benzoate one dram, tincture of gelsemium two and one- half drams, water enough to make six ounces. The following has been used with much success- Iodoform thirteen drams, glycerine ten drams, distilled water two and one-half drams gum tragacanth four grains; mix. First wash out the bladder then' inject half a dram in two to four ounces tepid water. Listerine one ounce, water one pint, is also a good remedy as a bladder injection. Also, one-tent h of one per cent solution of permanganate of potassium. Orally, eryngium aquaticum half an ounce, water three and one-half ounces, a teaspoonfill four times a day. Correct acidity of urine with one-half to one dram of acetate of potash daily. In mild cases this maybe sufficient: Aconite arsenicum and baptisia in rotation every halt hour until better, then less frequently. Drink hot water freelv. Dandruff.-W ith excess of watery secretions from nose and eyes and white scales, natrum mur, three grains four times a day; with yellow scales, kali sulph. three grains four times a day; with white secretions and tongue, kali mur, three grains four times a day. Wash scalp daily with a solution of menthymos ten grains to one-half pint of water, or use Our Doc- tor's hair preparation, or a solution of listerine. Deafness.-Causes: Antemia, congestion or softening of the brain; drugs-quinine, chloral hydrate, opium, bella- donna, tobacco; reflex-from teething, worms, etc; micro- bial-catarrh, tubercle, syphilis, rheumatism, typhoid and DISEASES AND THEIR TREATMENT. 449 typhus fevers, scarlet fever, etc. Treatment: For anaemia, treat as for anaemia; for congestion, treat as for congestion; for softening, treat as for softening; for reflex, remove the cause; for drug, stop its use. If no relief, consult an aurist. For microbes, three or four drops of pure mullein oil dropped in the ear night and morning, and alterative and tonic treat- ments as needed. This failing, consult an aurist. Debauch.-Warm bath, rest, diet No. 14. Ten to twenty drops of cone, tincture of oats in hot water every three to six hours. Avoid the cause. Debility, Sexual.-See sexual diseases. Deglutition (swallowing) difficult.-With impaired innervation, stramonium five drops, water four ounces, teak- spoonful every two or three hours; general tonic treatment. Kali phos. three grains every two to four hours. Delirium Tremens.-See acute alcoholism. Dengue (break-bone fever, eruptive rheumatic fever, dandy fever).-Cause: The same as yellow fever modified by a strong rheumatic diathesis. Symptoms: Great prostration, pain in bones, excruciating pain in forehead and eyes, delirium, sleeplessness; incubation forty-eight hours, then rigorsand fever; about the fourth day of fever tempera- ture declines and rash appears and continues two or three days. Treatment: Copious lobelia emetic, saline cathartic and alcohol chair bath, or full pack. Diaphoretic and cooling methods as needed; nutritive beef tea; ten drops of peroxide of hydrogen six to eight times a day, and three times a day a teaspoonful of eucalyptol. Anti- septic precautions as in yellow fever. Tonic method in convalescence, with diets No. 13, 22, 26 or 34. Dermatalgia (neuralgia of skin)-Cocaine one grain to one dram of water applied with camel's-hair brush; general nutritive and tonic treatments. Diabetes Insipidus (non-saccharine diabetes).-Differs from d. mellituria by the absence of sugar from the urine and its low specific gravity. Symptoms: Excessive thirst and copi- ous urine ranging from 1.002 to 1.006. Treatment: Central galvanism six minutes, then faradism over kidneys twenty minutes daily, or positive at cocyx, negative over kid- neys four minutes then positive between shoulders, negative still on kidneys, five to eight minutes daily for three days, then three times a week. Internally Thus aromatica, five to thirty drops every three 450 THE SECRET OF HEALTH. hours; or, solid extract of celastrus scan, one ounce, extract Hydrastis six drams, soften to consistency of molasses with whisky tincture of columbo and dogwood. One teaspoonful three times a day. Diabetes, Mellituria.-A disease in which grape sugar exists in all the fluids and solids of the body. Symptoms: Onset gradual, either persistent thirst or frequent micturition first calls attention. Appetite usually increased with marked and rapid emaciation. Urine varies from six to forty pints according to severity of case, and is pale, with sweetish odor and taste, and acid reaction containing sugar from one and one-half to ten per cent. Thirst greatest about an hour after meals; saliva may be scanty and tongue dry, red and glazed; constipation common; sugar fungus in the blood; urine ferments with yeast; extreme nerve depres sion; breath is chloroform; often cataract. May run along for years, and usually terminates either in a deposit of tubercle in lower lobe of right lung, or in Bright's disease. Cause: Heredity; more frequent in men, rarely in the young; injury to nerve centers, brain and cord. More carbohydrates are ingested than can be accomodated by the liver as glycogen. General Diet for Diabetics: Allowed: All kinds of meats (except liver), poultry, all kinds of game; all kinds of fish, fresh or salt, sar- dines; oysters and clams; eggs in any style (without addition of flour, starch or sugar); fats and fatty meats, sparingly; butter, cheese, not very old; soup (without flour or the prohibited vegetables); celery, cabbage, cauliflower, string beans, asparagus, lettuce, spinach, mush- rooms, radibhes, cucumbers (green or pickled), young onions, water- cresses, slaw, olives, tomatoes; wheat, gluten, graham and rye bread, acid fruits, such as oranges, lemons, apples, plums, cranberries, cur- rants, cherries, strawberries, goosebeiTies (sweetened, not witli sugar, but with saccharin and sod. bicarb,or with glycerine;) gelatin (without sugar); almonds, walnuts, Brazilnuts, hazelnuts, Alberts, pecans, but- ternuts, cocoanuts; salt, vinegar, pepper. Drinks; Coffee, tea, (with- out sugar), skim milk, buttermilk, cream, soda water (without syrup); mineral waters of all kinds, but especially vichy; claret, Rhine wine. Prohibited: Liver; sugar, in any form; starch in any form; sauces containing flour, sugar or starch; cakes of all kinds; all cereals such as cracked wheat, oatmeal mush, cerealine, etc.; potatoes (either Irish or sweet), corn, carrots, turnips, hominy, parsnips, beans, peas, beets, rice; white bread, corn bread; white buscuits; pears, peaches, grapes, sweet jellies; chestnuts; malt liquors, beer, ale, spirits. If it can be afforded levulose (diabetin) is the best sweetening. Treatment: Oxygen in large quantities to burn up the sugar. Pan- creatine after each meal to aid the pancreatic secretion to transform the sugar. Colon flush daily to expel the ptomaines; daily cold sponge bath; flannel clothing; long continued alterative and tonic methods. Sodium sulph. (No. 11), as chief remedy. Kali phos. (No. 6), for nervous weakness, voracious hunger, sleeplessness. Ferr. phos. (No. 4), for quickened pulse, pain, heat or congestion. Calc. phos. (No. 1), for thirst, dry mouth and tongue, flabby, sunken abdomen, weakness, polyuria, when bacon and salt are craved, and in glycosuria when the lungs are involved. Kali mur (No. 5), for excessive sugary urine, great weakness and somnolence. Natr. mur (No. 9), for polyuria, unquench- able thirst, emaciation, loss of sleep and appetite, great debility and despondency; give according to indications. Should these fail to cure, sambul seed finely pulverized, five grains in a capsule after each meal, will greatly relieve while its use is continued. Peroxide of hydrogen, teaspoonful dose in water after meals. DISEASES AND THEIR TREATMENT. 451 Diarrhoea.-Too frequent movements of the bowels with or without pain. Cause: Undigested food undergoing chemical fermentation, impure air or water, or irritating drugs. Treatment: Stop the use of the drugs, get out of the air, drink no more of the water, expel the ferment and perfectly digest additional food. Abstain entirely from food, until the tongue cleans and hunger comes; drink freely of very hot water; take full caecal flush, warm with ten grains of menthymos to the quart; abdominal compress, with rest in bed. If this does not soon relieve, take neutralizing cordial in tablespoonful doses every hour, until the bowels move freely from the action of the medicine. Then if the movements do not cease at once, give cinnamon or kali tea, or tincture of camphor, opium, rhubarb and capsicum, equal parts; dose twenty-five drops every fifteen to sixty minutes; or dark pinus canadensis, fifteen to thirty drops by stomach or one teaspoonful in retained enema. Saracenia flava, fl. extract after each evacuation; said to be sure. Hom. verratrum alba and phos. acid alternated after each movement. If nausea, vomiting or cramps in the bowels, ipecac alternated with one of the two. If thirst and burning in the stomach, arsenicum alternated with one of the others. Food: Milk thickened with flour and salted; rice boiled until soft, with salt or butter; rice gruel, or diets No. 16, or 43, or 45, or 51. Mullein root tea simmered to a paste; make into pills and take one; repeat if necessary after next move- ment of the bowels. Electricity: Negative pole on back, up and down, posi- tive pole all over abdomen. Treat severe cases four to six times a day, five to ten minutes each time. Biliary Diarrhoea is indicated by yellow eyes, heavily-coated tongue, excess of bile in stools. Rest in bed, put hot fomentations over liver as well as bowels, hot bowel flushes of salted water. Drink lemon water, preferably hot, and abstain entirely from food. Or, lac- tic acid three to four drams, simple syrup seven ounces, boiled water ten ounces. Dose four ounces between meals. Feculent Diarrhoea: Surface cold and the pulse feeble, absolute rest and copious hot colon flushes, the bowels at the same time being swathed in a compress of hot mustard water for an hour, followed by a flannel bandage sprinkled with dry mustard and pinned quite tight- Mississippi River Fever Diarrhoea: Hom. podophyllum and leptandra in alternation every two hours, and treat with colon flush as In dysentery. 452 THE SECRET OF HEALTH. Nervous Diarrhoea: Caused by nervous excitement; treat the nervous debility. General faradization three times a week, with reversed current, five minutes, on any tender spots in the abdomen. Chronic Diarrhoea : Rest the bowels as much as possible by giving diet Nos. 22, 23 or 24, and three to five grains of papoid after each meal, both to aid digestion and as an antiseptic; a daily colon flush of tepid or cold water, and control pain, if any, with fomentations of hops. Dark pinus canadensis fifteen to thirty drops by stomach, or, tempo- rarily, diet No. 16. Dr. C. Page once cured himself of a very serious chronic diarrhoea of long standing, contracted in the army, by eating watermelons and nothing else. If change of climate be sought, one of low temperature, equable, dry, with clear sky, porous soil, good scenery and agreeable society should be selected. Body ablution of vinegar and water daily; sitz baths twenty min- utes every other day are beneficial; warm wormwood tea twice a day, is sometimes curative. Aromatic sulphuric acid fifteen drops every two hours, with cne tablespoonful of magnesia sulph. every other morn- ing, rarely fails. General faradization fifteen minutes, then negative up and down on spine, positive on abdomen five minutes, daily, excel- lent. Cockle burr and sage one ounce of each to one pint of water sweetened with honey, a teaspoonful three or four times a day; or epilobium, a teaspoonful every three hours, good. If with full mucus discharges, podophyllum one to one-hundred, one to ten grains twice a day. Or, horn, podophyllum alternated with veratrum. Diarrhoea, Children's : With flatulence, griping, green discharges, sore stomach-neutralizing cordial every three to six hours. With watery discharges, neutralizing cordial nine drams, tinct. of myrrh one dram, dose according to age every three to six hours. With liver obstruction, neutralizing cordial four drams, II. extract of leptandrium four drams, dose according to age every four to six hours. With severe flatulence neutralizing cordial four drams, fl. extract of diosc. one dram, dose according to age every two to four hours. With convulsive symptoms, neutralizing cordial four drams, fl. extract of valerian forty drops, essence of anise twenty drops. Dose for age every hour until relieved. One papoid and soda bicarbonate tablet dissolved in two table- spoonfuls of water. Dose one teaspoonful every fifteen minutes, should not be omitted in any form of the disease; or this may be sub- stituted for a child one year old : Sulphocarbolate of zinc five grains, subnitrate of bismuth fifteen grains, saccharated pepsin thirty grains. Divide into fifteen powders, one every hour until stools become inodor- ous; then every two to four hours. Stools sour smelling, allow no starchy foods: stools putrid smelling, allow no albuminous foods. When'starch must be prohibited, scrape raw beef with a spoon, and season with salt. Diarrhoea, Children's Chronic : Hom. with greenish, slimy dis- charge, camomilla and ipecac. Yellowish discharges with distress in DISEASES AND THEIR TREATMENT. 453 stomach, podophyllum. Preferable to any other treatment in all forms of diarrhoea, is the hot elm mucilage colon flush, No. 50, as in dysentery, with heat to the abdomen and rest. If not effective alone alternate enemas of hot water six parts, peroxide of hydrogen one part. Diarrhoea of Last Stage of Phthisis: Subnitrate of bismuth twenty to thirty grains after meals, is an old remedy. Much better, see consumption. Diphtheria.-Symptoms: Resemble at first a cold fol- lowed by false membrane on tonsils, and in throat and bron- chial tubes; profound prostration. Incubation is from four to twelve days. Temperature usually rises to 103 or more. Con- vulsions may occur at the beginning. By the second day the membrane usually covers the tonsils and pillars of the fauces and sometimes the palate. It is grayish-white at first, and may turn to a dirty yellowish-gray. Membrane is adherent, and when torn off leaves a bleeding surface underneath. New membrane rapidly forms again. If the case ends favorably, about the fourth or fifth day the symptoms subside and con- valescence sets in. If this does not occur, there is either an extension of the local trouble or the infection has become systemic. If the former occurs, the posterior nasal passages may be affected, and the ears through the eustachian tubes, and the eyes through the tear ducts. It may also extend into the larynx and trachea. If the latter occurs, the systemic symptoms are in proportion to the local trouble; There is marked prostration, pulse frequent, temperature may be very high or sometimes even subnormal. Cause: Uncleanliness, lack of nutritious food, exposure to cold, anything that lowers the tone of the system. Hence scrofulous children and those of consumptive parents, children who have partially recovered from measles, whooping cough and scarlatina, and women who have been recently delivered are specially liable to it when exposed to the contagion-the diptheretic bacillus extremely infectious. Use utmost pre- cautions of disinfection. Treatment: Hot sitz bath, 98° to 110°, until profuse per- spiration. May use a washtub with a block under the back side to tip it forward, the feet in a pail of hot water, and a heavy blanket enveloping all but the head, which is wrapped 454 THE SECRET OF HEALTH. in a cold, wet towel. Increase the heat by adding hot water if necessary. Follow immediately with cool or cold full pack forty-five to ninety minutes if sleep does not come on, if it does, continue until he wakes. Keep room warm until patient is in pack, then ventilate thoroughly and cool. Warm up again before unpacking, throw off the blankets, etc., and rub off all moisture with dry towels, then rub with dry hand until the entire skin is dry and velvety. Then wrap throat and chest with wet bandages well fitted, and cover with dry ones of the same shape. Then put in bed with a wet cap on head and dry heat to the feet. Perfect quiet; no visitors. The same nurses with as little change as possible, and no unneces- sary number. Pure air, oxygen if procurable. Hydrogen per- oxide by stomach and rectum, and spray with it and an equal quantity of water often. Then keep the circulation on the surface and at the extremities. If this treatment cannot be throughly carried out, or if something more seems needful (which will rarely be the case), give kali mur. (No. 5), and ferr. phos. (No. 4), twenty-four grains of each in separate glasses, each with one oz of water. One teaspoonful in alternation, one dose every fifteen to thirty minutes. Also gargle with kali mur. fifteen grains in a glass of water every thirty to sixty minutes, and if the membrane persists in forming, alternate with borate of soda (borax) gargle, one teaspoonful to the glass of water. If this is not sufficient, wipe off the mucus, and with a camel's-halr pencil paint the patches witli papoid two and one-half drams to the ounce of water, or, powder one-half of a papoid and s. bicarbonate tablet (Johnson and Johnson and place dry on the tongue every two hours. If the membrane is in the nostiils, dissolve one tablet in one-half cup of warm water, and hold- ing the child's face downward, throw the solution up the nostrils from a syringe. Give whisky and milk for great exhaustion, and warm oil inunctions. If watery vomiting or diarrhoea, or if face is puffy and pale, drowsiness and much saliva, nat. mur. (No. 7.) If vomit is green with bitter taste, nat. sulph. (No. 11.) For exhaustion or prostration, malig. nant symptoms, and all after-affects, kali phos. (No. 6.) If the disease is in the trachea, calc, fluor. (No. 3), in alternation with calc. phos. (No. 1.) Dr. Robert Walter's very successful treatment is- Place an ice bag on the throat, and refill as often as the ice melts keen the feet tepid bodv by lepid en*mas' tel)id bath once a day, or then erAeV«P * e' r,,od "ntil appetite craves it, u en gruels, tiuits and homemade bread. As a substitute for the DISEASES AND THEIR TREATMENT. 455 whole of the above, twenty to thirty grains every two hours of sulphite of sodium internally, and apply a gargle of chlorate of potassa two drams, hydrochloric acid twenty drops mixed in a well stoppered eight ounce vial, and when decomposed add through a glass funnel two ounces of glycerine and fill with water; apply as often as the mem- brane forms. Tonic treatment in convalescence. Dr. A. Morison's method is to give one part of eucalyptus oil and three parts of almond oil, one teaspoonful of the mixture every hour. Before the mixture is given a gargle of pure oil is used if the child is old enough, and if not a spray instead, and both if it can be managed; also saturating the shirt and pillow of the patient with pure oil, and placing plates filled with the oil about the room. The ordinary rules of attending to the bowels, giving as much food as possible, securing plenty of pure air by open doors and windows, and maintaining cheer- ful surroundings, are to be observed. If signs of intoxication appear, reduce the dose to one-fourth the quantity. This has proved very suc- cessful. Diet bovinine, or nutritive beef tea, milk and fruit juice. To Prevent Diphtheria : Three grains of kali mor (No. 5) three times a day, or a teaspoonful of listerine after each meal for an adult. False Diphtheria.-Symptoms : Tonsils covered with a yellow, creamy coating, back part of roof of mouth creamy, tongue moist, creamy or gold colored (consult tonsilitis). Cause: Deficiency of alkaline salts in the blood. Treatment: Nat. phos. (No. 10), three grains every hour. Drowsiness during the day and mental activity at night. Cause : Lack of vascular tone; cold shower on shoul- ders and back; nutritive method average or strong ; tonic treat- ment as needed. Hensel's tonicuni one to two drams in sweet- ened water in the course of the day. Drunken Stupor.-Pour cold water on the chest. Dislocation.-Bend the joint so the muscles will pull the bone in place. If very rigid give lobelia to the point of muscular relaxation, then proceed as above. Diuresis.-Excessive urinary secretions; urine very lim- pid, pale, with low specific gravity, less than distilled wrater; often present in neurasthenia, nervous disease, masturbation, debility, loss of flesh. Remove cause. Tonic and alterative treatments as indicated. Secure free action of the skin. Equalize the circulation. Dropsy, Cellular (anasarca).-Cause: Bright's dis- ease, intestinal degeneration, debility, heart disease. Dropsy of Drain (hydrocephalus)-Effusion of cerum into the cavity of the arachnoid, following inflammation. Symptoms: Enlargement of head with violent pain; scream- ing, impaired senses, uncertain gait. 456 THE SECRET OF HEALTH. Dropsy of the Chest (hydrothorax)Cause : Pleu- risy, heart disease, poverty of blood. Symptoms: Livid face, swollen face and feet, dullness of chest. Dropsy of Scrotum (hydrocele).-Symptoms: Pear shaped, smooth, fluctuating, transparent, without pain. General Treatment for all Forms : General alterative and tonic treatments according to the case. Apocynum Cannabinum (specific), ten to sixty drops in four ounces of water; a teaspoonful every three hours. Or, three ounces of milk sugar dissolved in two quarts of water, the whole taken in twenty-four hours. Or fl. extract of hair cap moss three ounces, fl. extract apocynum and fl. extract of juniper berries, each one-half ounce. Mix; one-half to one teaspoonful three or four times a day; and enough sulphur and cream of tartar dissolved in Holland gin to keep the bowels freely open. Or, oxydendron aborendum one drop before breakfast, two before dinner, three before supper, and so on until eighteen drops are reached, then reverse the process until one drop is reached, then stop. Dropsy, Post-scarlatinal.-Treat as for disease of kidneys. Treat the cause. Better than medication is the full pack two or three times a week, knee shower and shoulder shower each twice a week, local wrap daily on the seat of the disease. Excernent treatment as needed. The following is a broad rule: Dropsy of the feet alone means heart, dropsy of the abdomen alone means liver, and dropsy of all the body means kidneys. Dysentery-An epidemic disease due to microbial irri- tation. Cause: Malaria, impure water, especially that con- taining organic matter. Symptoms: The acute catarrhal form is the most frequent. May be dyspepsia or slight abdominal pains, first diarrhoea, with or without pain at first. Tn about thirty-six hours colicky pain in abdomen and frequent stools with straining. At the beginning fever may be 102°-103°. Tongue furred and moist, and later becomes glazed and red. Sometimes nausea and vomiting; usually great thirst. At first the stools contain mucus mixed with blood and some foecal matter, later gelatinous and bloody. May be very fre- quent. In about a week the mucus may become opaque, not so bloody, and may contain shreds. Fcecal matter appears as the disease subsides. Treatment: Mix four tablespoonfuls of powdered elm bark into a paste in cold water; then add three pints of boiling water, cool with DISEASES AND THEIR TREATMENT. 457 some cold water and strain through a coarse towel; repeat until a clear mucilage results. First, give a full colon flush of warm water, containing half of an even teaspoonful of menthymos, or a teaspoon • ful of listerine; after that has been expelled, pass the point of the syringe through a folded cloth, then into the rectum, holding the cloth in position so as to prevent back-flow; then inject two to eight pints or more of the elm mucilage, if an adult, or if a child, one-half of one to three pints according to age; repeat three or four times a day if necessary ; fifteen to thirty drops of laudanum may be added for an adult, if needed in bad cases; repeat as often as pain requires, and foment the abdomen with vinegar and water, equal parts. Should the mucilage not be procurable, irrigate the rectum and colon with cold or even ice water as often as the symptoms require, but very gently so as not to excite instant expulsion. Smooth lumps of ice in the rectum often relieve. Medical: Give a tablespoonful of neutralizing cordial every hour for six hours, unless it operates as a cathartic sooner, then give colon flush No. 50 (the elm flush above) as often as pain requires. If neces- sary give ten grains of saltpeter (nitrate of potassa) with ten to fifteen drops of laudanum after each flush, or, if the pain is severe add thirty drops of laudanum to the flush. Keep in bed, with foot of bed elevated eight or ten inches; no food but bovinine or nutritive beef tea and milk, until foecal matter appears, then cautiously go from fluid to semi-solid, then solid diet as strength returns. Great prudence in exercise and diet must be observed, or relapse will occur. Chronic Dysentery: Daily colon flush of hot, slightly salted water, and follow with melted white vaseline or sweet oil retained as long as possible, the patient lying on face with hips elevated. Tepid sitz bath every other day, fifteen minutes; water tread and arm plunge on alternate days. Diet, as to kinds of food, what experience has proved to be best; as to quantity be guided by the construction of our dietaries. Dysmenorrhea (painful menstruation). - Symptoms: Fainting spells, severe pains in pelvic nerves, sometimes com- plete scaling off of the thick mucous membrane lining the womb, pain increasing until it is all expelled by labor-like pains. The flow may be scanty, profuse or normal in quantity. Six forms. 1. Neuralgiac, from spinal anaemia. 2. Conges- tive, from plethora. 3. Mechanical, from cartilaginous thick- ening of the neck of the uterus. 4. Spasmodic contraction of the neck. 5. Imperforate hymen preventing its escape. Cause : The flow is caused by changes in the lining membrane of the uterus, those changes being attended with an influx of blood causing tension of the blood vessels. The pain is caused by the pressure or by the irritating character of the discharge. 458 THE SECRET OF HEALTH. Treatment: 1. General nutritive, tonic and alterative treatments, together with special sexual tonics to increase the nutrition of the undeveloped or atrophied genital organs. Saw palmetto three-fourths to one teaspoonful three times a day for a long time; mustard four drams, lobelia two drams, applied as a hot poultice to the lower spine when pain begins. This form of the disease should be suspected if t he bust be undeveloped, especially with the absenceof amative feelings. 2. Anti-plethoric diet; excernent treatment according to case; revul- sive treatment as needed. 3. Surgical, if suppositories or other appli- cations of lobelia fail to relieve. Lobelia suppositories. Three grains lobelia seeds mixed with simple cerate and stiffened with pulverized gum arable, and made into a cone. Insert one every six to twelve hours into the vagina against the mouth of the uterus, or into the bowel after a colon flush has cleansed it. 4. Mag. phos. three grains four times a day, or nightly retained enema of No. 22, or tinct. cannabis indiea twenty to sixty drops to allay pain. 5. Laceration. Some one of these forms should always be suspected when pain precedes the discharge. In all cases hot colon flush to unload the bowels one or two nights before the flow begins, followed in 1. with a retained enema, No. G, in 4. witli retained enema, No. 22, and in 2. with vaginal injection of hot water. In any case if t here is much heat and congestion, ferr. phos. three grains every twenty minutes to two hours. If pain is severe, a retained enema of one-half teaspoonful each of powdered skull cap and lady's slipper in starch water. In bed with heat to feet. Repeat injection every two hours if neuralgia is severe. If there is fever not relieved by ferr. phos., add to the retained enema a fourth of lobelia herb: Hot fomentations of tansy or wormwood over pelvis. Diseased complications treated according to case. For profuse and exhaustive discharge, treat as for profuse menstruation. 6. Cases where there is no Impediment to the flow, produced by diseases of the ovary, gouty, rheumatic tendency, digestive derange- ments and the like. In the interval between the periods: Pulsatilla, caulophyllum, and podoph; one medicine each night for three weeks, then morning, noon, and night, until time for menses; then if there is pain, caul., puls., and cimicifuga, in alternation every one-half hour. If there is excessive flow ipecac, and the tincture thirty drops to one- half pint of hot water injected into the vagina. If there is constipa- tion, mix. in place of puls, in the intermediate treatment. Treat the complications: See ovaritis, gout, rheumatism, dyspepsia, etc. If pain is very severe, apply extract of belladonna to the neck of the uturus if lobelia is not at hand. Dyspepsia (chronic defective digestion).-Its several varieties may be appropriately named from the particular organ or function implicated in each case. Cause: (1.) Supplying to the digestive organs at a time more food than they have fer- ments to digest it with. (2.) Furnishing the food in so great variety that the digestive fluids cannot separate them before chemical fermentation begins. (3.) Mingling foods of such varying digestibility that the more readily digestible exhausts the supply of digesting ferments and leaves the others as au DISEASES AND THEIR TREATMENT. 459 irritating load upon the exhausted organs, and source of chem- ical fermentation. " Indigestion is charged by God with enforc- ing morality on the stomach." - Tholemyis. (4.) Defective innervation of the digestive organs preventing the secretion of a proper supply, or deteriorating the quality of the digestive fluids. This innervation may be the result of general exhaus- tion of nerve vitality, or local because of the blood being habit- ually drawn elsewhere. A few General Rules for Dyspeptics.-1. Eat only when the previous meal has digested, and the stomach has been well rested from the muscular labor involved in the process. 2. No severe exercise, strong emotions, bad temper, or great anxiety immediately after a meal, because they divert the circulation and nervous energy into other channels. If these are unavoidable, fast, or if food is required, take a liquid beef preparation or hot milk. 3. Hearty suppers are consistent only with outdoor life and long intervals between meals. 4. The thorough mastication of all food into a soft pulp before it is swallowed is important, with the possible exception of fiber-foods in superpepsia. 5. A wineglassful of ice water will reduce the tempera- ture of the stomach thirty degrees, and it will take from one- half to three-fourths of an hour before it will recover its natural warmth, meantime the progress of digestion will have been seriously impeded, and perhaps fermentation set in. Therefore, no cold drinks with food, but freely, if desired, between meals. Apeptic Dyspepsia.-A deficiency of the gastric fluid, or of the hydrochloric acid that naturally exists in it. There may be atrophy of the mucous membrane of the stomach, or the deficiency may arise from carcinoma, or cartarrh of the stomach, or from severe nervous depression. Treatment: If there be atrophy, treat as for atrophy. If the case be simply one of deficient acid, the symptoms are-indigestion; load in the stomach; headache; impaired or deranged appetite. Diet: No. 20 taken at two meals, or No. 13, taking a portion every two hours for a short period only, if at work. Alkalies in contact with acid-secreting membranes stimulate the acid secretion. Therefore a mild alkaline drink or powder taken just before meals is often effectual. Peptonize fiber-foods, because two per cent, of pepsin will digest food in one-third the time that 0.125 per cent. will. Or muriate of hydrastine and pepsin, each one dram, one pint of water, and one of winsky. One tablespoon- ful in a glass of hot water after meals. No drink witli meals. Or nitro- muriate acid, three to six drops in a glass of water after meals. Pro- tect the teeth. 460 THE SECRET OF HEALTH. An Acid Form: Apeptic dyspepsia sometimes occurs in which the natural lactic acid stage of digestion is unduly prolonged in conse- quence of the deficiency of hydrochloric acid; or the lactic acid becomes excessive because of the transformation of the grape sugar into lactic acid. Symptoms : Acid eructations an hour or more after meals, aggravated by milk and sweets. Treatment: Supply the deficient hydrochloric acid. Dilute hydro- chloric acid one ounce, saccharated pepsin two drams, glycerine six ounces, soft water one pint. Dose, one tablespoonful after meals in one- fourth glass of water. Hot water one-half pint slowly sipped half an hour before meals to stimulate the gastric follicles. Diet without milk, No. 51. To neutralize the acidity, make two and one-half grains of magnesia into a lozenge with gum arabic, and let it dissolve in the mouth. Natrum phos. three to six grains, three to six times a day. Forty per cent, of brandy, whisky, or gin, extends the period of stomach digestion three-fold, while fifty per cent, almost entirely prevents it. (Roberts.) Thus favoring the formation of the acids of chemical fermentation. 2. Atonic Dyspepsia.-From partial paresis or over-distention of the walls of the stomach, impairing the muscular tone and debilitating the contractions of the organ. Symptoms: Same as Apeptic, with the addition of a lifeless feeling of the stomach; may be sour and contain much gas; tongue pallid, or coated white or yellow. Treatment: Avoid stretching the stomach by full meals. Eat con- centrated foods like Bovinine, Mosquera's beef meal, eggs, etc. Take, fluids sparingly. General tonic treatment, hydrastine. A dash of cold water against the stomach twice daily. If there be paresis, use capsi- cum freely on food, and nutritive treatment as needed. Pepsin to aid digestion until improvement is decided. If this be the only form of dyspepsia suffered, eat starchy foods, and what nitrogenous foods are taken should be in the forms already named. Hot water one-half hour before meals to improve the circulation and nutrition of the stomach. The thermo-galvanic battery thirty to sixty minutes daily. Mountain climbing or sea bathing. Lloyd's hydrastis and water, of each two ounces; Tinct. mix vomica, twenty drops; fl. ext. podophyllum, thirty drops. One teaspoonful before meals. After meals, one teaspoonful of saccharated pepsin sixt y-four grains, glycerine three ounces, water five ounces, hydrochloric acid ten drops. 3. Gastric Dyspepsia.-Chronic irritable condition of the stomach with soreness on pressure (chronic gastritis). Symptoms: Appetite lost; habitual thirst; burning; dull pain, often a sickish, distressed feeling; may be vomiting; slight feverishness; palms and soles burn; slight hectic; hot, disagreeable breath ; emaciation ; nervous and melancholy. Treatment: Revulsive treatment to suit the conditions. Rest, avoid worry, sleeplessness, and unventilated rooms. Alterative ami tonic treatments as fast as the revulsive restores the balance of the circula- tton. In general, eat milk, bovinine, soft boiled eggs, toast, etc., but the sol ids should be sparingly used, and most of the food such as is digested below the stomach; no more to be eaten at one time than can be retained. As soon as digested and the stomach rested, eat again. Rub the stomach gently with olive oil morning and evening with the hand heated. Keep bowels open with colon flush. Sip a glass of hot water an hour before each meal and at bedtime. In bad cases give nutrient enemas. Ferr. phos., three grains, three to six times a day, or hydro- chloric acid, dilute ten to thirty drops in four ounces of water, two teaspoonfuls every two hours. The remedy is indicated whenever the longue is deep red in color, and is dry and constricted, as these are the DISEASES AND THEIR TREATMENT. 461 signs of undue alkalinity of the blood. A brownish coated tongue also requires it. Give a tea of the leaves and bark of last year's peach twigs. Diet, Nos. 10 or 14, until very much improved, then Nos. 22, 23, 24 and 25 in order, if necessary. 4. Superpepsia, or excessive hydrochloric acid in the gastric fluid. Above .4 per cent, or below .08 per cent, is abnormal. Symp- toms: Sour stomach immediately after eating without regard to sweets; burning and soreness of stomach; may be too quick digestion ; hungry before meal time, and must eat or the stomach burns ; but the digestion of starchy foods is hindered because the excess of acid neutralizes the flow of saliva, and that of fats .is deficient because the bile is precipitated. Treatment: Acids brought in contact with acid-secreting membranes decrease the acid secretion. Therefore an acid before meals, nitro- hydrochloric acid three to six drops in one-half glass of water. Pro- tect the teeth. Alkalies only give temporary relief. Seek to correct all abnormal action by hygienic methods. Eat little salt. If the stomach burns, protect its membranes by diluting the acid with albuminous food or drink rather than by alkalies. Diet: Nos. 20, or 31 or 33, as best suits. Pepsin injurious; easily digested foods to be avoided. 5. Apancreatic Dyspepsia, deficient pancreatic secretion.-Symp- toms: Not generally constipated; gas in colon increased by eating milk, fats and starchy foods; bloat just below the stomach; may be pain in colon or small intestines, usually an hour or more after eating; may be palpitation or heart pain from gas pressure; headache; irrita- bility, etc. Treatment: It is doubtful whether this secretion is often deficient except as the result of some general derangement of the system, or as a local effect from the action of poisons resulting from constipation. Therefore, correct the general abnormality, and especially remove inaction of the bowels by full colon flushes of hot water. Berberine (alk.) one-sixth to three grains before meals as a stimulant to the gland, or sulphuric ether for the same purpose, ten drops in water. One to four grains of pancreatin in capsule one-half to one hour after each meal to aid digestion. Diet No. 33, or peroxide of hydrogen (Oak- land Chemical Co's.,) one. teaspoonful in water after meals. In general reduce the starches, peptonize the proteids and panceatinize the fats. The pancreatic digestion of starch is prohibited by twenty per cent, of alcoholic drink. (Roberts.) Therefore avoid them. G. Abiliary Dyspepsia, from deficient bile.-Symptoms: Consti- pation from dryness of the membranes of the bowels, and deficient peristaltic stimulation; may be alternated with diarrhoea; flatulence from decomposition because of lack of the anti-septic action of the bile; liver symptoms predominate,sleepy, bad taste mornings, food regurgitates, heartburn, furred tongue, loss of appetite; headache; pain in region of liver; stools clay colored, or hard, and may be lumpy and almost black. Treatment: Liver pack thirty minutes daily of water, one-fourth cider vinegar. Alterative treatment as needed. Papoid one dram, podophyllum two grains, hydrastine two grains, extract hyosciamus one scruple. Make into twenty pills, and take one before each meal, or purified ox-gall five to ten grains after each meal and keep bowels open with hot colon flush. Extract of butternut bark freely. Discrim- 462 THE SECRET OF HEALTH. Ination must be made between deficient secretion of bile and sufficient secretion held back by clogged gall ducts. The following medicines increase the secretion: Dandelion, yellow parilla, blue Hag and podophyllum in small doses; chionanthus, sangulnarin, leptandrin, euonymus. The following open the gall-ducts: Chionanthus, butternut, purified ox-gall, yellow parilla, blue flag and podophyllum in larger doses; phytolaccin, sanguin- arin, bitter root, euonymus. With these at hand there Is no excuse whatever for the use of the dangerous mercurials in any form in liver troubles. What some of these, in conjunction with the colon flush, cannot safely do, cannot be done by the murderous calomel. 7. Duodenal Dyspepsia (catarrhal).-Both pancreatic and bile secretions defective, and having the symptoms of both probably inten- sified. Symptoms: Tongue coated, bad taste in the morning, may be fetid breath, urine high colored or clouded; sweets and starches cause bloating and pain ; palpitation or heart pain from upward pressure of gas. Heartburn from the acrid fumes of butyric acid. Treatment: Foods that are mainly digested in the stomach-meat, fish, eggs and milk. Two meals a day. See treatment for catarrh. Hydrogen peroxide, one teaspoonful after meals. Wear abdominal compress several hours daily. Asofoetida two grains three times a day for flatulence, or oil of cajeput five to tw-enty drops on sugar, lapoid after meals, three to five grains; if there is acidity, add soda bicarbonate ten grains. Or, one to three pancrobilin pills after meals, or five to ten grains of purified ox-gall. Five grains of sub-gallate of bismuth after meals sometimes effective when other remedies fail. One teaspoonful a day of creosote carbonate is very efficient, but medicines must not be expected to take the place of the hygienic measures advised for the general catarrhal condition. With much wind-pain, Lloyd's hydrastls one ounce, tincture dloscorea three drams, tincture podo- phyllum one dram, water two ounces. A teaspoonful every four hours, or Lloyd's hydrastls four ounces, bismuth subnitrate two drams, lactopeptln four drains, tincture podophyllum two drams, water to make one pint. One teaspoonful before and after meals. If there be bloating, belching and cramps-an emetic of lukewarm water, then three doses of podophyllin one-fiftieth to one-eighth grain one hour apart, then a dose night and morning for a month or more. If the tongue be dirty white, a full dose of phosphate of soda, followed by one-fourth dose every second day for three times, then eat It on food in place of salt. . ,No- 19> °F 24> or 34 as best may agree. The force foods should Jr i form of rice and cooked fruits. When there is flatulence, the „ e a,,c> beer increase it, because of the quantity of fixed air in food*' a^so kecause tfie yeast in them aids the fermentation of the 8. Intestinal Dyspepsia.-Deficient intestinal secretion, or catarrhal condition of bowels with diminished normal absorption. Symptoms. Lack of nutrition and bowel disturbance of various sorts. wee'drarnim«*1allr^llb bowf'ls twice a day with a tincture of smart- bark with mad® as follows: Mix a strong tea of sassafras twentv mhmt J 1 1>art of> a ,ea of smartweed, made by infusing it not boil Rodv vessel of lialf vinegar and half water,- do three Umel a1wJX'.kJVriCe,a.weRk; water tread dailyj coIon »«sh iniee times a week; catarrhal treatment, alterative and tonic treat- DISEASES AND THEIR TREATMENT. 463 ments as needed. Berberis aqui folium fl. extract fifteen drops in water, or hydrastine (alk.) one-sixth to one-half grain, or cascara sag- ruda 11. extract ten to thirty drops in water, or emetine (alk.) one- one-hundred-thirty-fourth to one-sixty-seventh grain to increase the intestinal secretions. Avoid starches and sweets until cured; use glycerine for sweetenings. One to three pancrobllin pills, or ox-gall purified five to ten grains, before meals; boneset and red raspberry-leaf tea, and red pepper freely on food; papoid or peptenzyiue, or ingluvin as a digestant. A glass of hot water before rising, retir- ing and before dinner and supper, followed by the ball rolling over the stomach and bowels for five minutes. Finish five to ten minutes before the meal. Pan- creatinize milk and avoid malt preparations and cane sugar. Diet No. 25 or 31. 9. Complete Dyspepsia, stomach, duodenal and intestinal.- Symptoms: A combination of all the foregoing dyspepsias excluding the necessary absence of those arising from opposite conditions, e. g., if there is deficient gastric acid, there cannot at the same time, be an excess of it. Treat as for anaemia as far as its want of assimilation requires. Treat as for catarrh when catarrhal symptoms prevail; as for neuras- thenia and nervous debility when their symptoms are prominent; as for the individual dyspepsias, when their symptoms are pronounced. Papoid one-half dram, pancreatin one-half dram, soda-bicarbonate two drams, made into twelve powders; one after eacli meal, or papoid and soda bicarbonate, one or two tablets after meals, as digestants. The thermo-galvanic battery thirty to sixty minutes daily. Molecular Dyspepsia, from ulcerous or cancerous affections of the stomach.-Treat the ulcers or cancer. Diets No. 5 to 13 as preferred, or No. 17 if required. Nervous Dyspepsia, deficient nervous energy to excite the secre- tion of the digestive fluids.-May manifest itself in any of the forms of dyspepsia named, except superpepsia. Stop all drains upon the nervous system by overwork, anxiety, care, sexual excesses, tobacco, chloral, morphine, etc. Sleep much and once in the daytime, but not after meals. Rest often; live in the open air. Treat for nervous debility and the particular dyspepsia concerned. Boulimic Dyspepsia.-An unnatural, craving appetite from a per- version of the natural appetite for food.-Differs from the craving of superpepsia in that it does not express a real need, and is a symptom only of some form of dyspepsia. Calc, fleur, three grains three to five times a day. Ascertain the variety to which it belongs and treat that. Dyspnoea (Difficult breathing).-Symptomatic in asthma, bronchitis, pneumonia, consumption, etc. Fl. extract of quebracho two and one-half drams, mucilage of gum arabic one ounce, soft water five ounces. One to two teaspoonfuls a day regularly. Fifteen to forty drops of fl. extract when the diffi- culty occurs; or, aspidospermine (alk. from quebracho), one- 464 THE SECRET OF HEALTH. twelfth grain every fifteen minutes until relieved; or terebene fifteen drops every four hours; may be increased. Ear Diseases.- Earache.-Hot foot bath, and dry heat to the ear. Hop bag wrung out of hot water and applied, or bran bag heated in the oven and applied. The heart of a roasted onion placed hot in the outer ear; tobacco smoke blown from the stem end of a pipe into the ear; should not be used often nor for a long time. FIG. 65. °utei; ear; External auditory meatus; T, Tympanis or drum w1.?.!1.'. . lie'. Cavity. From T to o is the chain of tympanic bones; R, al' tube; l-B-S', Bony labyrinth; V, Vestibule; B, Semicircular canal; <9, * Ti?' *' Membraneous semicircular canal and vestibule: A, Auditory nerve dividing into branches for vestibule, semicircular canal, ana cochlea. If there are evidences of inflammation, revulsive method average to very strong as needed. Hardening method suited to the case to protect against other attacks. For burning, throbbing pain, ferrum, phos. Purely nervous, mag. phos. Head vapor. One part of menthol in twenty parts of oil of sweet almonds often brings almost instantaneous relief when dropped in the ear. DISEASES AND THEIR TREATMENT. 465 Homeopathic: If the ear is red or that side of head is hot, bell, and baptisia in alternation, every hour or less, and the head steamed or fomented. If chronic and occurs on change of weather, especially if worse at night in bed, mere. If from shock or blow, arnica. Deafness: Impairment of the sense of hearing may come from : 1. Stoppage of the eustachian tube, the function of which is to admit the air to the back of the ear drum (see R, Fig. 65), just as the orifice in a military drum admits air to its interior and thus makes the head reso- nant when it is struck. If that be stopped the sound is dead. So with the ear. See Fig. 65, P. 2. Thickening of the drum diminishes the sharpness of its vibra- tions, and thus prevents the transfer of the sound to the tiny bones within the tympanic cavity (the inner ear). See T to o Fig. 65. Tympanic cavity C C, and its bones considerably magnified; G, the inner end of the external auditory meatus, closed internally by the conical tympanic mem- brane; L, the malleus or hammer bone; //, the incus, or anvil bone; 8, the stapes or stirrup bone. FIG. 66. 3. The mobility of the chain of bones designed to convey the sound to the auditory nerve may be diminished by inflammation, or even the bones themselves destroyed by ulceration. See L, H, S, Fig. 66. 4. The sensibility of the auditory nerve may be impaired by over- strained nervous conditions or extinguished by local paralysis. See A, Fig. 65. Treatment: 1. Head vapor. Force the air through the tube by hold- ing the nose, closing the mouth and blowing until a crackling noise or sense of pressure in the ear shows that the air has penetrated. Deaf ness from swollen eustachian tubes, kali. mur. For swollen glands or membranes of the throat or ear, the same. 466 THE SECRET OF HEALTH. 2. Head vapor once a week. Head ablution daily with very careful drying of the hair. Two or three drops of pure mullein oil dropped upon the drum twice a day. 3. Same as 2, with daily water tread. Mustard back of ears. With swelling of the cavity, kali, sulph. With swollen cavities and watery discharge, natr. mur. 4. Improve nervous condition. If paralysis, treat as such. Deaf- ness from weak auditory nerve, magna. phos. With noise in ear from nervous exhaustion, kali. phos. Ear, Foreign Substances in.-Place the pipe of a tightly working syringe against the substance and draw back the piston so as to suck the object firmly as the syringe is withdrawn. To poultice the ear, first fill the external auditory canal (see G, Fig. 65), with lukewarm water, the head resting on the unaffected side upon the pillow. Then a large flaxseed poultice is applied over the ear as hot as can be borne. The column of water is thus kept warm and acts as a conductor of heat between the poultice and the inflamed surface. Ulceration: Pus. dirty, yellow, offensive, kali phos. With thin yel- low, watery matter, kali, sulph. With swollen glands in scrofulous children calc. phos. Discharge of thick and sometimes bloody matter, calc. sul. General remedy: Mullein oil three or four drops twice a day in tlie ear. Ear, Wax in.-Pure peroxide of hydrogen warmed in a water bath sprayed into the ear for about five minutes; remove with ear-spoon; cleanse with a little more of the spray; or boric acid fifty-five grains, glycerine one and one-half ounce, distilled water one and one-half ounce. Warm and drop into the ear with a pipette, several times a day. This softens the waxy secretion which can then be removed by syringing with warm water. Eczema.-See skin diseases. Elephantiasis.-See skin diseases. Elevator Dizziness.-Brought on by the stoppage of the elevator car. Place the head and shoulders against the car frame. Emaciation.-When not due to fatal organic disease, may usually be corrected by a diet of kumys or kaffir. Kaffir ferment for home manufacture may be had of any whole- sale druggist. Embolism ; a thick, clotty condition of the blood; Cause: malarial or other poisons, non-aeration of the blood, defective action of the liver, skin, congestion of the lungs, and disease of the supra-renal. DISEASES AND THEIR TREATMENT. 467 capsules. Symptoms: Blueness of the ears, nose, lips, nails, peculiar sensations about the heart, fainting fits, etc., etc.; the bacillus indican in the blood. Treatment: Avoid iron and mineral acids. Carbonate of ammonia five grains with bicarbonate of potassa five to ten grains every two hours. Oxygen freely. Empyema.-See pleurisy, chronic. Emphysema.-Dilatation and may be coalescence of the air cells of the lungs. This is vesicular, while inter-lobular is an infiltration of air into the tissues of the lungs. Cause: Inter-lobular; violent coughing, or straining, or puncture of the lungs. Vesicular; bronchitis, impaired nutrition, pneu- monia, consumption, pleurisy, excessive strains. Symptoms: Debility, short and difficult breathing, distress, feeble expec- toration of frothy spittle, dusky countenance, weak voice, loss of flesh and strength, temperature eighty-five degrees, pulse fifty to sixty, respiration about twelve, constipation, asthma, barrel-shaped chest, slight movement of the intercostal muscles in breathing. Treatment: Mainly palliative in the inter-lobular form. No severe muscular efforts, or strained inspiration or expiration; warm flannel clothing; generous proteid diet; open air life; avoid overloading stomach. Medical: One grain each of lobelia, quinine, and hyosciamus, three times daily; quebracho for the difficult breathing; Hensel's toni- cum as an iron tonic; climate as for chronic bronchitis or asthma. Endocarditis, Acute (inflammation of the lining mem- brane of the heart).-Symptoms: Palpitation, dyspnoea and pain. Pulse increased and is full and strong. May have fever. Face flushed and looks anxious. Respiration is accelerated. May have anorexia and gastric disturbances. Chronic dys- pnoea on exertion, also palpitation. Pain of a piercing charac- ter occasionally. Headache, pain in shoulders, and over body. Digestion disturbed. Heart's action irregular. Skin may be bluish; chronic congestion of liver, spleen, and kidneys. Cause: Acute-Infective from emboli as in rheumatism, tuberculosis, blood poison, etc. Chronic-May follow the acute, or recurrent attacks of rheumatism arthritis deformans. From repeated irritations, as use of alcohol, nicotine, tobacco in excess, poison of syphilis or immod- erate muscular exercise. It may follow chronic inflammation of the kidneys. Treatment: Perfect rest of mind and body; diet nutritious; ascertain and treat the cause; flannel clothing; avoid all causes of nervous debility and all stimulation; protect surface from cold; passifiora incar- nata as a sedative, revulsive treatment as needed. 468 THE SECRET OF HEALTH. Enlarged Veins.-See pregnancy. Enteritis (inflammation of the large intestines)-Cause .• Uterine disease; nervous states ; local irritations. Symptoms: Depression, headache, hysteria, colic pains around the navel, worse by pressure, tenderness, nausea, vomiting, rigors, fever, pinched features, buff-coated tongue, and great restlessness and prostration. Muco-enteritis: Inflammation of the mucous coat alone, with diarrhoea. Treat as for enteritis. Peritoneal and Muscular Coat Inflamed: Obstinate constipation, patient on back, knees drawn up, delirium, vomiting highly offensive matter. Treatment: First, a cleansing colon flush followed by the elm bark mucilage, as for dysentery, cool or cold. Repeat as often as fever or pain increases. Cool compress on abdomen; feet wrapped in flannel, wet in vinegar and water, covered warmly, re-wet as often as dry; arms and chest sponged often to keep down fever; cold water as often as desired in small quantities; or Medical: Turpentine over the abdomen; and water four ounces, tinct. of aconite thirty drops, tinct. of white bryonia one dram. Mix. One teaspoonful every hour until relieved. Warm water enemas with twenty to thirty drops of laudanum in each. Homeopathic: Aconite, arsenioum and baptisia in rotation every one-half hour until better, then at longer intervals. Drink frequently and copiously of hot water. If vomiting is severe, bowels loose, and pain burning, tart, emetic: cold wet cloths covered with two or three thicknesses of warm, dry flannel over whole abdomen, and heat to feet. After the acute inflammation has subsided, open the bowels with injec- tion, or with mix three times a day. Chronic Enteritis: Usually located in a single spot, indicated by soreness. Pure mucous stools indicate the sigmoid flexure as the loca- tion. Hardened lumps in mucous point to the colon as the seat of the disease. Treatment: Sitz bath every other night; chest and abdomen ablu- tion with water and vinegar twice a day ; the elm bark mucilage enema two or three times a week. Medical: Virginia stone crop in alternation with aromatic sulphuric acid and compound tincture of chinchona. Enteralgia (neuralgia of the intestines).-Cause: Irri- tants, improper food, hardened fceces, foreign bodies, flatulence, cold, cathartics, reflex irritation, lead, copper, etc. Symptoms: Griping about umbilicus, hands on abdomen, vomiting, eructa- tions of gas, pulse small and weak, surface cool, abdomen hard or retracted, rarely tender, urine abundant and pale. Treat- ment: Remove cause; caecal flush of valerian or scullcap tea; bowel fomentation of hops, and see neuralgia. Enteric Fever.-See fevers. Entozoa.-See worms. DISEASES AND THEIR TREATMENT. 469 Epilepsy (falling sickness).-Paroxysmal convulsions, usually preceded by nervousness, confusion, drowsiness, cold- ness, griping, flash of light or some other disorder. Cause: Intemperance of parents, anything that can cause a weakened patch of brain structure; immediate cause may be a reflex irri- tation from worms, piles, masturbation, uterine derangement, or a direct irritation from a germ in the blood. Symptoms: Epileptic cry, head thrown back, hands clinched, first pallor, then a dusky look caused by contraction of the chest muscles obstructing respiration, then intermittent twitching and contrac- tions, especially of the face, eyes roll, tongue may be bitten, mouth froths, breathing is noisy, then follows a deep sleep that may last for hours. Treatwienf•• Loosen clothing; protect the tongue by placing a cork between the teeth; hot lobelia enema; remove the cause; gen- eral alterative and tonic methods; sambul in alternation with large doses of passiflora incarnata to keep off the fits; tinct.of oats and aro- matic phosphates to repair the brain lesion ; compound oxygen to keep nerves unexcitable; diet suited to the constitutional requirements. Enuresis : Incontinence of Urine may be first, from nervous weak- ness of tlie sphincter muscle; second, irritation of the lining mem- brane of the bladder; third, reflex irritation from worms, etc. Treatment: First, for nerves, kali. phos. Second, irritability of the coat, ferrum phos. Third, reflex irritation, natr. phos. Rhus aromatica five to fifteen drops three or four times a day. Child should empty bladder before retiring. If the trouble persists, notice whether it occurs at about the same hour; if so, arouse him with an alarm clock the hour before for the purpose of urination. Every night set the clock a little later. See that his feet are warm on retiring, and never allow him to get into a very cold bed, nor drink much late in the day. Enure- sis-sennlle: Fluid extract of rhus aromatica twenty drops in water four times a day. Electrical treatment for children: Positive at the feet and treat all over; then positive at the small of the back and negative on the perineum, pubes and genitals three or five minutes, three or four times a week. Epistaxis (bleeding from the nose).-To prevent - head ablution, and upper shower three times a week. To stop - press a clothespin down astride the nose. Put a cold cloth to the base of the brain. Raise the arms above the head. Spray a solution of perchloride of iron up the nostrils, or pack them with cotton saturated with it. Spray far back with peroxide of hydrogen. With throbbing temples and red face and eyes, bell. With fever, alternate aconite with the bell. In females and chil- dren with habitual nosebleed, puls, and pod. alternated night and morning. To stop the bleeding, arnica every one-half hour, or hama- melis. If caused by over-exertion, rhus. In late stage of fever, rhus. and phos. 470 THE SECRET OF HEALTH. Erysipelas (an infectious and contagious inflammation of the skin and cellular tissue beneath).-Cause: Damp, dirty, ill-ventilated dwellings, local injury, anything that can throw out of the blood a portion of the organic matters designed to build tissues. These organic matters under such conditions, become non-functional, foreign, irritative, and break down into the microbe streptococcus. Symptoms: Chilliness, loss of appe- tite, muscular pains, restlessness, fever, oppressed respiration. Inflamed skin, usually bright red, sometimes yellowish, or pinkish, and puffy. Body hot and dry, tongue coated, stools often green, small vesicles often on skin. Acute : With heat, redness, fever and pain, ferrum phos. Witli ves- icles, kali mur. in alternation with ferr. phos. With blisters, kali sulph. With smooth, red, shiny, tingling, or painful swelling, natr. phos. Homeopathic: For the simple, bell, and aconite in alternation. For the vesicular, rhus tox and bell, in alternation. For phlegmonous (when the cellular tissue is involved), bell., rhus. and apis mel. one hour apart. Cover with dry Hour, eat sparingly, keep temperature at sixty- five to seventy degrees. Germicidal: Keep constantly wet with a saturated solution of boro- glyceride covered with oiled silk. Internally, brewer's yeast, resorcin five grains three times a day; or ichthyol one dram to the ounce of soft water, painted on every four hours. Or, paint over and around the infected area Ichthyol, two drams, ether two drams, collodion four drams. Many times fomentations of lobelia, or a poultice of cranberries and powdered elm or flour, or of dried hop yeast will cure. The eruption may lie limited by bounding it with tinct. of iodine, nitrate of silver, or a narrow strip of fly blis- ter. Dr. H. Kraell (Therapeutische Monatsch), encircles the head with an elastic band to be retained at the edge of the hair until 1 he swelling and bluish-red color have disappeared from this artificial border, and thus prevents infection of the scalp. Erythema.-See skin diseases. Eyes, Diseases of. - For blindness from disease of retina, see amaurosis. For dim, red edged, discharging, a pinch of aloe powder in a cup of hot water; stand till cool and wash eyes within and without three or four times a day. Granular Bids: Pulverize sixteen Jequirity beans and stand twenty-1 our hours in eight ounces of water. Then add eight ounces of hot water, cool and filter at once. Brush on inner surface of lids.-De Wecker. This Is severe, but effective. A milder way is to drop into the eyes twice a day peroxide of hydrogen in an equal part of distillation DISEASES AND THEIR TREATMENT. 471 of witch-hazel. Or, tinct. of iodide of potassa five to twenty-five drops to the ounce of clean rain water. Must not be strong enough to inflame. Ectropion and Entropion : The former is eversion of the eyelids, so that they do not close; the latter a turning in of the lids; botli affec- tions are usually the result of effusion of lymph. Apply boroglyceride paste to the lid daily. If this does not relieve consult a surgeon. Inflammation of the Cornea (Keratitis): Nearly one-half of all eye dis- eases affect the cornea. Very important because if its transparency or curvature is modified, the vision is impaired. See Fig. 67. Inflamma- tion or ulceration. Symptoms : Dull, deep seated pain in the eye, intol- erance of light, abundant tears, minute blood vessels in edge of cornea and in sclerotic coat. See Fig. 67. Treatment: Build up the general FIG. 67. SECTION OF AN EYEBALL. health. Protect the eye from all light that pains, dust, wind, tobacco smoke, etc. Desist from use on near-by objects. Revulsive method strong or very strong. Inflammation of Cornea (Phlyctenular Keratitis): Scrofulous keratitis: Minute bladders on the eyes of poorly fed children. Are soon covered with blood vessels, or change to ulcers with swelling of lids and intol- erance of light. The discharge differs from that of ophthalmia (which see) in that it is water, not matter. Treatment: Same as keratitis, with the addition of alterative and tonic methods strong as case will bear. Keratitis syphilitic: When one or both parents are syphilitic, the children may inherit the disease of the cornea. Treatment: As for syphilis inflammation. Ophthalmia, inflammation of' the mucous membrane of the eye- pink eye, acute conjunctivitis.-Contagious and infectious. Symp- toms: Redness, intolerance of light, sensation of sand in the eye, muco or sero-purulent discharge. Cause: Colds, wet, irritating sub- stances, excessive use. Treatment: Rest the eye; protect it from all light that pains or gives uneasy sensations. Cold dripping compress 472 THE SECRET OF HEALTH. very thin. Avoid poultices; revulsive treatment average to very strong. At the beginning a head vapor, followed a few hours later by a hot foot bath, will cut short the attack. Medical: Lloyil's hydrastis four drams, Lloyd's belladonna twenty drops, distilled water three and one-half ounces. Apply on absorbent cotton, and three times a day drop into the eye three drops of Lloyd's hydrastis four drams, Lloyd's ergot one dram, distilled water three and one-half ounces. Clean raln.water may be used In place of distilled water. Chronic: Lobelia and golden seal tea, three or four drops in the eye three or four times a day. Infantile Ophthalmia: Usually begins from two to four days after birth.' Cause: Cold, light, irritating soaps or some secretion from the skin. Symptoms: Spasmodic closure of lids, lids stick together, hard crusts on edge of lids and conjuctiva swollen full with transparent, yellowish colored serum and mucous; later muco-purulent matter. Treatment: Great care lest the pus inoculate the other eye; darken the room; open bowels with enemas; control fever with spongings and packs; washout the eye every hour with a saturated solution of boroglyceride, and keep same applied all the time; drop into the eye three or four drops of a solution of atropia after each washing, two grains to one ounce of water. If improvement does not occur immedi- ately, call physician. Purulent Ophthalmia: Cause: Overcrowding in workshops, jails, etc. Symptoms: Same as simple ophthalmia, with profuse muco- purulent discharge, prostration, rigors, violent fever, agonizing pain, great swelling, if not arrested, extensive sloughing. Treatment: Bed in well ventilated, dark, disinfected room ; boroglyceride and atropia as for infantile; cooling method, average to very strong; colon Hush; diaphoretic method, average to strong; quinine three to five grains every four hours; nutritive treatment strong; sulphonal enough to insure sleep at bedtime; blisters to the nape of the neck; alterative and tonic treatment in convalescence. In purulent ophthalmia: Dis- charge yellowish green, give kali inur. Golden yellow cream, natr. phos.; white, kali inur; yellow, purulent, kali sul.; thick yellow pus, calc, sul., silica. Gonorrheal Ophthalmia: Cause: Inoculation. Treatment: Same as for purulent, only more prompt and heroic. Tubercular Ophthalmia: Common from first to tenth year. Symp- toms: No soreness, sensations of sand, nor purulent discharge, but great intolerance of light, spasmodic contractions of lids, secretion of hot tears. Treatment: Protect with green shade; keep applied a wash of salt water strong enough to barely feel it; frequently destroy the cloths; emetic twice a week for six weeks of half teaspoonful of the wine of ipecac every five minutes until thorough vomiting, after drinking freely of tepid bicarbonate of potassa water; flannel cloth- ing; bowels kept open with flushes; nutritive diet; alterative and tonic treatment as needed. Granular Ophthalmia: Inflamed mucous follicles like grains of sago, treatment: Alterative and tonic locally; solutions of iodide of potassa nve to twenty-five grains to the ounce, brushed over the eye; must not be strong enough to produce irritation; nutritive treatment; warm clothing. i Ophthalmia: The bacillus amylobacta of rheumatism lodging in the sclerotic coat of the eye. Symptoms: Sharp lancinat- ing pains in eye and side of head; fever, white of the eye a pale red, intolerance of light, contracted pupil, dim vision, watery or serous discharge, no sensations of sand, soreness, rawness, nor muco-purulent discharge; always worse at night. Treatment: General as for rheu- matism; atropia solution morning and night; warm bag of camo- mile flowers applied dry to the eye. Exhaustion.-Recumbent position, warmth. Hot milk, hot coffee, hot beef tea if nutrition is good, if not, hot nutri- tive beef tea, or beef cacao; or clam broth followed with egg coffee. DISEASES AND THEIR TREATMENT. 473 Faeces, Impacted.-Cause: Old age, paralysis, seden- tary habits and neglect of defecation, deficiency of rectal mucus. Symptoms: Uneasiness and distention of rectum with inability to expel its contents. Treatment: Injections of warm flax- seed tea and oil, or of warm glycerine. Not successful, dilate the sphincter and break up the mass with an iron spoon handle and repeat the enemas. Give them in knee chest position, or with hips elevated. Fainting (swooning, syncope, sudden overwhelming depression of the hearts action, by reason of which the blood is not sent to the brain, and consciousness is lost).-Cause: Anything that arrests the contraction of the heart, lack of blood in hemorrhage, poisons, excess of emotion of any kind, lightning, blows on pit of stomach, even the association of painful ideas, and particular idiosyncrasies, as from the fra- grance of the rose, etc. Treatment: Lie on back, head lower than heart, loosen dress about the chest, dash cold water into the face, slap chest over heart, apply weak ammonia to nostrils, and if unsuccessful give an enema of four tablespoonfuls of hot whisky or brandy in as much water. Falling Sickness.-See epilepsy. Farcy and Glanders A malignant, contagious microbial disease called glanders when confined to the nose, and farcy when the lymphatics are infiltrated. (Exists as an epidemic under the name epizooty.) Cause: Unsanitary con- ditions and infection. Symptoms : Farcy.-A spreading ulcer with a hard base and a crop of smaller ulcers close by, langour, dibility, rigors, fever, glands swell. Glanders.-Secretion of a thin, tough mucus, followed by swell- ing and redness, then pustules, ulceration of the skin, nasal cartilages and bones. Death occurs from pyaemia and exhaustion. Treatment: The same for man or horse. Douche the nostrils three times a day with peroxide of hydrogen, full strength or half water, and give teaspoonful doses every four hours to a man. Open enlarged and painful glands, and syringe with the peroxide and dress with glycozone. Favus.-See skin diseases. Feet, Blistered.-Rub the blistered spot gently for some time on retiring with spirits mixed with tallow dropped from a candle into the palm of the hand. Or, take common 474 THE SECRET OF HEALTH. baking soda, dampen the surface of the blister, and apply fre- quently during the day. To prevent, bathe the feet a few minutes only every evening, wipe and rub in neat's-foot oil. Feet, Frosted (see chillblain)Acid carbolic one dram, tincture iodine two drams, acid tannic one ounce, simple ointment four ounces; mix. Apply twice a day FIG. 68. Feet, Perspiring.-Daily water tread; barefoot as much as practicable; w ash daily with a strong tea of oak bark; avoid clothing the feet too warmly. Feet, Malodorous.-Shirt wrrap twice a w'eek, daily sponge bath and water tread; wrap the feet every night for one-half hour in bandages wrung out of hot hay or oat straw DISEASES AND THEIR TREATMENT. 475 tea, with cold ablution afterward. Dust a verv little menthy- mos in the stockings. Or, bathe the feet with equal parts of peroxide of hydrogen and water, and take one-half teaspoonful three times a day until cured. Feet, Tender.-Treat as for perspiring feet. Wear hygienic shoes as in figures 68. D F show soles of the "Meyer" shoe. R represents the axis of an ordinary shoe, s that of the "Meyer" shoe, while the dotted line is the same shoe with a broader toe. C is a foot nearly normal, but 0 M shows that the axis of the toe does not correspond with the axis of the foot as it should. J and B are ordinary distortions of the FIG. 69. feet. The dotted line in A shows how great is the divergence from the correct form. Fig 69 outlines a pair of soles suitable for the relief of bunions. Nails Ingrowing: Causes: Too narrow shoes and faulty manner of cutting the nails. The nail is bent down at its edge and the ilesh crowded up over the nail. Inflames, enlarges and ulcerates. Treat- ment: Widen the shoe, leave the nail uncut, stuff a little cotton under its edge and apply water dressing. If ulcerated treat as for ulcer, which see. Felons: A simple localized periostitis. Cause: Generally the result of an injury, a blow of some kind. Symptoms: Acute throbbing pain, worse at night. If the bone is superficial, there will be redness heat and swelling, and if suppuration occurs, fluctuative. Treatment: First stage ferrum phos., later, silicea. Wrap the part in three thick- 476 THE SECRET OF HEALTH. nesses of linen dipped in cold mullein tea, or tea of hay flowers. Repeat as soon as it begins to warm. Or roast poke root in hot ashes. When soft, pound it and form a poultice with hot water, or make one of equal quantities of elm bark and lobelia; add enough hot, weak lye to form a poultice. Or, take of grated wild turnip about the size of a bean, saturate it with turpentine and apply. Allow to remain about twelve hours, then dress with a healing salve. Or, in first stage, when feeling as if a sliver were in the place, a hot bath of the part for an hour, three times a day in a satu- rated solution of table salt, then apply finely pulverized salt, and keep wet withspts. of turpentine. If it suppurates, open, continue the hot bath with calendula (marigold) flowers in the water. For restlessness and irritability, aconite one drop in a gill of water, a teaspoonful every one or two hours, and the same applied to the sore. Fever Sore (cold sore).-See herpes in skin diseases. Fever Sore.-See ulcer, old. Fever.-An effort of nature to expel foul matters from the blood, usually attended with irritation of the nerve centers. Blood vessels of skin distended, chemical changes very active, blood dark and with little oxygen, and when temperature reaches 109.4°, molecular decomposition occurs. A high degree of fever causes muscular tissue, especially the voluntary muscles and the muscular coats of the blood vessels, to undergo fatty and granular change. Same effect on the liver and kidneys- The oxygen-carrying functions of the red blood corpuscles become impaired, waste elements accumulate in the blood, until from the suppressed secretions it becomes a toxic, rather than a nutrient fluid. Symptoms: Languor, debility, frequent pulse and respiration, high temperature and pain. The key of all treatment is found in the fact that fever indicates an expulsive effort of nature; therefore correct treatment consists in aiding those efforts by cool spongings of the sur- face, cool compress over abdomen and chest changed every three to five minutes, frequent cool packs, cold water drinking, and cleansing enema, followed by siphon enemas; this consists in injecting from a fountain syringe into the bowels from one pint to a quart or more of water at seventy to eighty-five degrees, retaining for five or ten min- utes, then lowering the reservoir of the syringe to the level of the floor and thus allowing it to pass out without the necessity of using the bed- pan. Repeat until six to eight quarts of water have been used, then an interval of rest for a half-hour or hour, and then repeat again. Should this cause chilliness while the fever is still high, apply a hot pack or fomentation to the spine or pit of the stomach. See cooling treatment, average to very strong. Excernent method as needed. General diet: Milk and seltzer water, clabbered milk, clam broth, bar- DISEASES AND THEIR TREATMENT. 477 ley water, tamarind water, lemonade, current jelly water, toast water- cracker gruel; liquid diets, Nos. 5 to 13 inclusive, according to case. Fevers with irritability of the nerve centers, unnaturally bright eyes, Hushed face, contracted pupils-gelsemium. Bilious Fever, Remittent, and Bilious Remittent.-Cause: Blows, dress irritating the liver, microbes in the blood, excessive eating and drinking of carbonaceous articles. Symptoms: Those of simple fever, together with nausea, vomiting, brown coated tongue, yellow skin, constipation or diarrhoea, itching of skin, dullness, and stupor. Treat- ment : Colon flush No. 7; vinegar and water fomentations over the liver; lemonade freely; No. 4 ferr. phos. every hour, and No. 11, nat. sulph. three to six times a day; or phosphate of soda in mild cathartic doses, or euonymin (con.) one-fourth to three grains, as needed. Tonic treat, ment in convalescence. Bilious Fever, Malignant.-Intermediate between malignant chills and fever and dengue. Symptoms; Those of bilious fever aggravated, heavy brown coat on tongue, black at the root. Treat as bilious fever very energetically, and add hydrogen peroxide a teaspoonful three times a day by the stomach, a teaspoonful in all enemas and spray frequently at the nostrils, also a teaspoonful in all sponge baths. Fever, Catarrhal. -Bap. copaiva and phos. every hour in rotation until fever abates, then cimicif. in place of the bap. and give every two hours. For the chronic cough, copaiva, cimicif. and phos. Cerebro-Spinal Meningitis or Spotted Fever. - Cause: Shattered vitality and the germs streptococcus. Symptoms: Rigors, fever, pros- tration, coma, head and heels thrown back, often purple spots on body, otherwise pallor, flushed cheeks, often convulsions. Treatment: Hot colon flush No. 4, mustard from the root of the hair to between the shoulders, followed by hot fomentations, peroxide of hydrogen, as in malignant bilious fever, full pack with mustard water. Glycerite of sulphur one teaspoonful every three hours, nutritive enemas, bovinine and nutritive beef tea by stomach. Constipation Fever. - The fever resulting from the absorption of poisonous matters from normal faeces. See pages 284 to 28C. Treatment: Remove the cause. Dengue Fever.-See dengue. Exhaustion Fever differs only in degree from fatigue, which see. Treatment the same, but more heroic. May be mistaken for typhoid. Enteric Fever.-See typhoid. Ephemeral Fever.-Cause; Cold, wet, exposure, overwork, mental depression. Symptoms; Those of simple fever, pain in head, back and limbs, constipation, scanty urine, after a few days sweating or diarrhoea. Treat as simple fever. Fatigue Fever.-Cause: The decomposition of the blood from the excessive infiltration into it of poisonous substances from the tissues. 478 THE SECRET OF HEALTH. Symptoms: Temperature one to three degrees above normal, loss of appetite, incapacity to sleep. Treatment: Rest, warm bath, our coffee hot, or hot milk, liquid foods until relieved. Gastric Fever.-Peculiar to children, or as a result of strong stomach irritants like alcohol. Usual Cause: Eating pastry, cabbage, nuts, candies, etc. Duration seven to fourteen days. Treatment: Drinks of tepid water with bicarbonate of soda five to ten grains to the ounce followed by an emetic, warm bath, compress on stomach, spongings as required, peroxide of hydrogen one-fourth teaspoonful doses three to six times a day, fluid diets; otherwise treat as simple fever. Hay Fever.-See acute nasal catarrh. Intermittent Fever.-See ague. Malarial Fever.-See ague. Measle Fever.-See measles. Phthisical Fever.-A vigorous cool or cold ablution of back, chest and abdomen. Puerperal Fever, or Metria.-See parturition childbed fever. Pernicious Fever.-See ague. Remittent Fever.-A continued fever with remissions. Symptoms: Same as bilious fever, with signs of pulmonary congestion, great diffi- culty of breathing, cough, livid color, urine scanty, high colored, loaded with lithates, but increased during remission; remission usually in the morning, from six to twelve hours, or from twelve to twenty-four hours; usually runs fourteen to fifteen days, and ends in sweating, or merges into typhoid or cerebro-spinal meningitis. Treat the fever as for simple fever; bilious symptoms as for bilious fever. Relapsing Fever.-Malignant, remittent or recurrent fever. Cause: Malaria and decomposing animal matter. Symptoms : Usually three or four days of prostration, headache, rigors, high fever, excruciating pains, temperature often 107, pulse over 160, great aggravations at night ; about fourth or fifth day profuse perspiration, subsidence of fever; about fifth or seventh day, recurrence of all the symptoms in aggra- vated form; this continues until the sixth or seventh week when the patient succumbs or becomes convalescent. Treatment; As malarial, and typhoid symptoms as typhoid, which see. Scarlet.-See scarlet fever. Smallpox-Variola. Cause: A specific poison. Symptoms: Ten to thirteen days incubation. Then chill, fever, head and back ache, tongue white-yellow, breath offensive, nausea, and vomiting common; sleeplessness, may be delirium. Throat red, swollen, initial rash on abdomen and thighs. Eruption from third to fourth day of red spots, which burn and itch, which on fifth day of disease become dark red pimples, which fill with milky fluid the next day and enlarge DISEASES AND THEIR TREATMENT. 479 one or two days, pit, and on the eighth day change to thick, yellow matter. If these pustules run together, it is confluent. The early symp- toms subside with the appearance of the rash, but the fever returns on the eighth day and runs three to eight days. Pustules begin to dry about the twelfth day, forming one to two days later, hard, brown pcabs, which fall off with intolerable itching later. Mucous membrane of mouth and throat goes through the same process. Treatment: Kali mur. to control the formation of pustules. Ferr. phos. for fever. Kali phos. for exhaustion and putridity. Calc, sulph. for discharging pustules. Nat. mur. for confluent pustules and drowsi- ness. Kali sulph. to aid the falling of the crusts and give healthy skin. Feed generously on fluid diet. Call physician early. Surgical Fever. - From the shock of surgical operations. Treat- ment; In simple form, rest, baths, fluid nourishment, peroxide of hydro- gen; irritative form, retained enemas No. 22, warm baths, sulphonal if necessary; intermittent form, treat as ague; hectic form treat as fever of phthisis; typhoid form, treat as typhoid. Typhoid, Enteric, or Nervous Fever.-Contagious and infectious. Its nature is unsettled; its predisposing causes are nervous prostration mental strain, worry, exhaustion, overwork, solar heat, chills, exposure to damp. Symptoms: Languor, debility,headache, sharp features, pain in back and calves, nausea, diarrhoea, chilliness, usually from ten to twenty-one days. Rigors increase, may be vertigo, deafness, nose- bleed, great headache, intolerance of light, thirst, loss of appetite, great nervous irritability, nostrils pinched, often flush on each cheek, tongue first white with red tip and edges, later red and glazed, buff, dry or brown, sordes on gums, pulse small, wiry, 100 to 120 or higher, tem- perature 101° to 104°, breath offensive and ammoniacal. These symp- toms slowly increase, tendency to diarrhoea becomes greater. About the commencement of the second week, typhoid rash - rose-colored spots on chest and abdomen, circular, disappearing on pressure; no rash in some cases. After middle of second week tympanitis, gurgling in right groin on pressure, pea-soup diarrhoea, may be watery blebs on skin, spasmodic contractions of muscles, picking at bedclothes, hic- cough, deafness, hemorrhage from the bowels. Duration two to six weeks. The germ growth vibrios is greatest in the ileocsecal valve. To prevent: Avoid water, milk, food, and air contaminated by the germ; all secretions of the patient should be thoroughly disinfected, then buried at a distance from any water supply. If water supply is suspicious, thoroughly boil it before using, and cool by packing ice around its container. Isolate the patient three months. Treatment direct: Place him in a well ventilated apartment with a fire in an open fireplace if possible, no curtains, carpets, or superfluous furniture; air constantly disinfected. Sustain with nutritive beef tea, and sterilized milk; sponge three times a day with castile soap water, dry well and rub with the dry hand of a strong, young nurse; once a day sponge with warm vinegar with a teaspoonful of peroxide of hydrogen to the ounce in it. Keep down fever as in simple fever. Elm mucilage flushes as in dysentery. Peroxide of hydrogen in one-half teaspoonful doses 480 THE SECRET OF HEALTH. every two hours, also spray into the nostrils frequently. Also tea- spoonful added to each elm flush. Retained enema No. 22 to secure sleep. Da Costa gives three pints of milk and one of broth every twenty-four hours, with a midday meal of arrowroot or other thick- ened food. Feeds every two hours during the day, and three at night. Typhus.-Putrid, jail, plague, pestilence, malignant, ship or hospi- tal fever. Contagious and infectious. Cftu.se: Absorption of the excre- tions of animal bodies. Symptoms: Incubation from three to ten or twelve days in which there is languor, debility, headache, pain in back or limbs, bleeding from nose, perhaps deafness; then rigors, greater headache, fever, chilliness, stupor, thirst, constipation, pros- tration, irritability, sleeplessness, and measly rash, which when dark colored shows that the blood is being disorganized by the abstraction of its oxygen. Pulse eighty to one hundred and sixty, temperature 100° to 105°, steady, not variable like typhoid. Tongue brown and dry. Stupor much like sleep but not refreshing. Retention of urine common, may be often suppression of, albuminuria and uraemia. Second week great prostration, muscular twitching, delirium, coma, and convulsions, may be bronchitis, pleurisy or pneumonia. Convalesence very rapid, generally beginning on the fourteenth day. Fatal period from the ninth to the twelfth. Duration fourteen to twenty-one days. Very nutritious diet; room disinfected constantly; peroxide of hydrogen as in typhoid; all antiseptic precautions; supply oxygen in every possible way; tinct.of iodine or resorcin to sterilize the blood. Yellow.-See yellow fever. Fishskin Disease.-See skin diseases. Fissures. - Deep cracks penetrating the skin. Treat- ment: Calc. phos. internally, and externally as an ointment with vaseline. Fissure ani.-Usually at the posterior external border. Intensely painful, and reflex effect upon nervous centers extremely damaging. Cause: Scratches, lacerations, straining at stool, etc. Treatment: Cleanse the colon thoroughly with full caecal flush. Then inject into the fissure from a syringe with a small nozzle warm castile soap water until every particle of loose matter is expelled. Then follow with peroxide of hydrogen and dress with equal parts of white pine canadensis and fluid extract of mullein, or with glycozone. Use only concentrated foods until it is soundly healed. If the bowels must be relieved before that occurs, fill the fissure with vaseline and use the flush again, then repeat the treatment. Fissure, Lachrymal.-Solid extract of bugle-weed trit- urated into a strong ointment with lard and kept constantly applied. DISEASES AND THEIR TREATMENT. 481 Fistula.-An abnormal sinus or channel in the tissues. Cause: Abscess, bruise, pressure, the irritation of a foreign body. F. in Ano.-In three forms, viz.: Complete, blind internal, and blind external. Complete, connects the rectal cavity with the skin by a tube leading outside of the sphincters. Blind internal when it has no internal opening; blind external when it has no external orifice. Treat as for fissure, and if not successful call a surgeon. F. in Urethra.-Known by dribbling of urine. F. recto-vaginal: Known by escape of gas from the vagina. F. vesico-vaginal: Known by dribbling of urine from the vagina; for these consult surgeon. • Fits.--See epilepsy. F. of Children: Red in face, jerk all over. Warm bath; warm enema. If not thus relieved, specific gelsemium twenty drops, aconite two drops, Lloyd's asepsin three grains, water four ounces; one-half teaspoonful every fifteen minutes. Flatulence.-See dyspepsia. Flooding'.-See hemorrhage. Flushes, Heat.-See heat flushes. Foreskin, Diseases of.-See sexual diseases, male. Gallstones (cholelithiasis).-See calculi biliary. Gangrene (death of a part).-Cause: Inflammation or any agent which destroys the vitality of the tissues or cuts off the supply of blood, as injury, excessive heat or cold, chemicals, etc. Symptoms: First that of acute and extensive inflamma- tion, then death of tissue, and a consequent sloughing. Gangrene of Mouth; Usually occurs between two and twelve years of age, and as a sequel of measles or scarlet fever. Symptoms; Inflammation, sloughing. Treat as for ulcers, with utmost nutritive support, ami large doses of capsicum. Gangrene of Lung: Cause: Local obstruction of blood vessels, blood poisoning, dementia, epilepsy, chronic alcoholism, etc. Symptoms: Very fetid breath and expectoration of dirty black or brown gangrenous material, containing small black masses. The last is the only symptom distinguishing it from fetid bronchitis. Treat- ment: Peroxide of hydrogen by stomach, inhalation, enema, and externally, the utmost nutrition without fats, and one to three grain doses of capsicum every four to six hours. Gastralgia.-Pain at lower end of breast bone. Symp- toms : Pain independent of digestion, may often be relieved by eating. Relieved by firm pressure, vomiting, and is complete 482 THE SECRET OF HEALTH. between the paroxysms. No fixed point of tenderness, nutri- tion usually good, generally associated with hysteria, neuralgia or ovarian tenderness and benefited more by nerve treatment, than by dieting. Treatment: Hot bath, or hot fomentations on stomach. Retained enema, No. 33. Treat nerves. Gastric UlcerSymptoms: Pain upon taking food and its intensity graduated by the quantity. Increased by pressure, usually at a fixed point, relieved by vomiting, but continuous in less degree, nutrition affected, neuropathic states not always present, benefited by diet rather than by nerve treatment, dilatation of stomach may follow. Tumor rare. Any age after childhood, one-half the cases under forty. Cause unknown. Treatment: Absolute rest in bed. Nutritive enemas; tea of hydrastis. Nat. phos. three tablets four times a day. Creosote one-twelfth to one grain three or more times daily, or zinc sulphocar- bolate one-half to five grains until stools are odorless, then just enough to keep them so. Ergotin for hemorrhage, Bonjean's one-half to two and one-half grains hypodermically. Cocaine hydrochlorate (alk.) to relieve pain and vomiting, one-twelfth to one grain every two to four hours as needed. Gastritis. - Inflammation of the stomach. Cause: Exposure, irritating food, overloading the stomach when much fatigued, liquors, condiments, etc. Symptoms: When from poison, violent, burning, stabbing pain, tenderness on pressure, short, rapid breathing, retching long after the stomach is empty, excessive thirst; tongue like raw beef; later pulse feeble, surface cold, faintness, hiccough, perhaps diarrhoea. When from other causes, the same stomach symptoms in less severe form. Treatment; First cleanse the stomach thoroughly, then give it rest. Revulsive treatment as needed. Nutrition entirely by the bowels. Compresses on stomach. Cold water in small quantities often as desired. Hot water four times a day slowly sipped. Gastritis chronic, see dyspepsia gastric. German Measles.-See measles. Gin-drinkers Liver.-See liver, gin drinkers. Glanders.-See farcy and glanders. Glaucoma (green tumor of the eye).-Begins with intense pain in the eyeball during the night, throbbing in eye and DISEASES AND THEIR TREATMENT. 483 temple, eye congested, sight lost, iris motionless, cornea dim, pupil dilated, ball hard, prismatic colors. Cause unknown. Lose no time in applying to the best oculist within reach. Gleet.-See urethra, stricture of. Glottis, Spasm of. Warm bath; magnesia phos. Glycosuria.-See diabetes M. Goitre (enlargement of thyroid gland).-See bronchocele. Gonorrhea.-See sexual diseases. Gout.-Uric acid, or the elements out of which it is formed, and soda exist separately in the blood. Certain food- elements, nervous conditions or functional abnormalities cause a combination of the uric acid and soda into urate of soda, which is generally deposited in the tissues most remote from the brain, in the most weakened parts. Cause: Heredity, male sex, alcohol, over-eating, working with lead. Symptoms; Usually preceded by debility, flatulence, etc. The attack may come suddenly; acute pain in great toe, heel, instep or wrist, rigors, fever, irritability, restlessness, swelling and tenderness. Duration of attack five to ten days, longer the more frequently they occur. Treatment: Rest in bed. Affected parts swathed in hay-flower tea, re-wet every hour or two until the pain ceases. Shawl wrap in hay- flower or oat straw tea every other day. Hot knee shower followed by cold dash every other day two to five minutes. Excernent method freely. Cooling treatment if there is fever. If medicine be required, keep bowels soft with Epsom salts, and take wine of colchicum fifteen to thirty drops every three hours, and phosphate of quinine one to three grains in alternation. Alcohol and fruit sugar together in the diet predispose to the disease. Avoid pastry, malt liquors and sweet wines. Drink much pure, soft water. Try diet as for chronic rheuma- tism, or strictly vegetarian, or fish, fats and vegetables. No single diet suits all cases. Chronic Gout; Natr. sulph. with ferr phos. in aggravations. Granular Eyelids.-See eyes. Gravel.-See calculi, renal. Graves's IMsease (Basedow's disease, exophthalmic goitre).-Cause obscure. Symptoms: Pulse ninety to one- hundred and fifty, enlarged thyroid, soft and pulsating, eyeballs prominent, lids fail to follow motions of the ball, conjunctivi- tis, irritability, vertigo, headache, wakefulness, indigestion, anajmia. Treatment: Extract of thyroid gland internally, iodine locally. May add to the extract ten grains of bayberry three times a day; scull- cap for the wakefulness; rest; heart sedation if necessary. 484 THE SECRET OF HEALTH. Gum-boil (alveolar abscess).-Decomposition in a canal of a tooth or of the tooth structure. Symptoms: Soreness, pain, swelling, suppuration discharging through the gum. Treatment: Consult a dentist before the swelling begins. For soreness mag. phos. To prevent swelling kali mur. For sup- puration silicea, frequency governed by urgency of symptoms. Gums, Bleeding.-Kali phos. Hseinatidrosis.- Hemorrhage from the skin. Rare. Treat on general principles. Hsematuria.-Bloody urine, from kidneys, bladder, or urethra. Treatment: Vapor bath; absolute rest; linseed tea; bladder injections of warm water; if bladder is filled with thick blood that cannot be passed or drawn, inject two ounces of warm water with five or six grains of papoid. If from blad- der or urethra, urine is clear and blood follows. If from the kidneys, blood is diffused, giving a port wine tint to the urine. If there are inflammatory symptoms, give revulsive treatment average to strong, and hamamelis internally. Hfematemesis (bleeding from the stomach). - Bio- chemic treatment as for haemoptysis. Haemoptysis (hemorrhage from the lungs). - Cause: The iron cell salt gives toughness and elasticity to the blood vessels, while nat. mur. furnishes moisture to them. One or both cf these being deficient, weakness and brittleness of their walls result, and they give way under a local strain from heat, too much food, excess of waste matter, etc. Treatment: With bright red blood that coagulates quickly, ferr. phos.; thin, pale-red blood not coagulating easily, nat. mur.; dark, thin, blackish red blood not coagulating, kali phos.; dark, black, clot- ted or tough, kali mur. A dose every one-half hour to two hours. Rest, recumbent posture, cold foods and drinks. If these remedies are not at hand, hot water on the cervical and dorsal vertebrae, and drink a strong solution of salt water. If case is urgent, ligature the upper part of the left arm, then upper part of rightjhigh, and if necessary, right arm and left thigh in the same way. Loosen bandages gradually as soon as bleeding stops. Bleeding follow- ing bubbling in chest, ipecac. Profuse bleeding without effort, ham- amelis. Constant tickling, with cough and expectoration of bloody mucus, belladonna. Hair, Diseases of.-Baldness: Cause: Debility, local inflammations, vegetable parasites, dandruff, etc. Treat the cause. When the hair is falling out, apply to the scalp once a DISEASES AND THEIR TREATMENT. 485 day with friction, tinct's of cantharides and nux vomica of each one and one-half drams, tinct. cinchona ten drams, glycerine one to two ounces, alcohol sufficient to make a pint. Dandruff : To cleanse the scalp, wash the head thoroughly with warm or tepid water six pints and one teaspoonful of borax, rinsing it with clear water. Rub a little bay rum into the roots of the hair after it has been washed and dried, to prevent taking cold. Then dampen the roots of the hair two or three times a week with the following prep- aration : Flour of sulphur two ounces, water one and one-half pints. Shake frequently for three or four days, then let it settle and pour off carefully. If any of the sulphur comes away with the liquid, it may be strained through a linen cloth or run through a filter. Premature Graying: Wash once or twice a day in strong sage tea. Avoid all dyes-they are chiefly composed of acetate of lead, or nitrate of silver, and often cause disease. Hallucinations. - Deceptions of one of the special senses. For example, seeing objects in utter darkness, etc. See insanity. Hands, Sweating of.-Tinct. of belladonna one dram, cologne water one ounce. Add a little glycerine at the moment of using, and with the mixture rub the hands thoroughly. They should first be washed in soft water and thoroughly dried. Chapped.-Potassa caustic, one part, glycerine forty parts, alcohol forty parts, water one-hundred and twenty parts. Bathe the hands in warm water, then rub mixture in; or compound tinct. benzoin one dram, glycerine one-half ounce. Use as a lotion. Or, glycerine one-half ounce, tint, hydrastis two drams, rose water four ounces. Use as a lotion. The last is the most elegant preparation. Calc, fluor, internally three times a day. Hangnail.-A little tongue of flesh turned up by the side of the nail and inflamed. Treatment: Clean and cover with adhesive plaster until cured. Change and clean daily. Hay Fever (summer catarrh, autumnal catarrh, hay- asthma, rose-cold, grape or rag-weed fever).-Symptoms: Vio- lent sneezing, running of hot water from eyes and nose, head- ache, debility, irritation of nose, ears, throat. Cause: Action of pollen of certain plants on lining membrane of nose and head, that membrane being in a nerve-devitalized condition. Treatment: Restore the local vitality; remove super sensitive- 486 THE SECRET OF HEALTH. ness of membrane, and thus render it insensible co the peculiar irritating properties of the pollen floating in the air. Com- pound oxygen treatment inhaled through the nostrils is an excellent preventive and an efficient restorative. Catarrhal Form: Head vapor and full pack each once a week; water tread daily; sprays of peroxide of hydrogen three times a day; atmosphere of room ozonized by frequent sprays of turpentine. Ferr. phos. and nat. mur. in alternation, one dose every hour or two. Asthmatic Form: Combine treatment for asthma with that for the catarrhal form. Headache.- 1. Anremiac; Diminished supply of blood to the brain, marked by depression of spirits, brooding over events not likely to happen, dizziness, bad tongue, constipation. Cause: Debility, exhaustion, poor blood, hemorrhage, over-lactation. Treatment: A cup of coffee on rising, and treat as for ensemia. 2. Hyperaemic (congestive,: Too great blood supply. Indicated by throbbing, pain increased when lying down, restless sleep, dim eyes. Treatment: Revulsive treatment average to strong. Ferr. phos. every hour or two. No stomach symptoms, glonoin; with stom- ach symptoms, cim. rac. or bell. In severe cases have several large pitchers of water as hot as can be borne, poured on the base of the brain, to break up congestion. Tlie patient should lie across the bed, with head extending beyond the edge, and hanging a little lower than the body, with a towel snugly pinned around the neck so as not to wet the clothes, and a basin placed below to catch the water. Then one should support lhe head while another pours a small stream upon the base of brain, allowing it to run over entire head, after which the hair should be carefully dried with a soft towel. Then wrap it in a dry towel, and let the patient sleep. 3. Bilious ; Pain is diffused over head with vertigo, constipation, stools dry, in balls, or clay-colored. Treatment: See biliousness. With gray coat on tongue, kali mur. With vomiting of bile, bitter taste, and greenish-gray tongue, natr. sulph. 4. Nervous Headache : May be from poverty of nerve force, or reflex from some distant point of disturbance; marked by depression, shrinking from noise, light and exercise. Treatment: Kali phos. 5. Malarial (periodical): See ague. Arsen, or china, or phos. or sanguin. or sulph. 6. Sick Headache; Modification of nervous headache. Symp- toms: Faintness, chilliness, pallor, paroxysmal pain usually in one side of the head, face flushed and anxious, pain dull and throbbing. Treatment: Guarana thirty to sixty grains in water every hour 'tntil five or six doses are taken. Or, muriate of ammonia twenty giains in same way. Or, one-half to one teaspoonful of powdered charcoal, stirred well in half a glass of water, with ten drops of DISEASES AND THEIR TREATMENT. 487 aromatic spirits of ammonia. Or, nux every hour before the pain, macrotys and pod. in alternation every thirty minutes during the pain. Hot foot bath. Before, during and after menses, nat. mur., with pain in back every week, phytol. 7. Uterine: Worse on awaking and intense on the top of the head. Maybe soreness of the scalp, lump in the throat. Treatment: Menses too soon, profuse and long, calc. carb, or phos. acid; too late, scanty or suppressed, puls. With labor-like pains, cham. With nerv- ous, rheumatic pains, bell., or cim. rac. or phos. acid. 8. Crown: On awaking with moist, yellow, creamy coat on the back of tongue, natr. phos.; with great weight, cactus grandor arsen; much heat, sulph; as if nail were driven in, nux. 9. Acid: Cause: Excess of acid in the stomach. Treatment: Compound tinct. of cinchona six ounces; aromatic spirits of ammonia two ounces. Dose, one-half to one teaspoonful. 10. Foul-air; Compound oxygen; peroxide of hydrogen. 11. Sun-headache.-Begins with sunrise, hardest at noon, ends with sunset. Nat. mur, or sanguinaria or spigelia. 12. Miscellaneous Headaches.-Worse in heated room and in the evening, and better in cool air-kali snip.; worse in open air, caffea or ignatia. With darting pains relieved by heat and aggravated by cold, specks before the eyes-magnes. phos.; with cold feeling in head- kali phos. or calc, carb.; with small lumps on the scalp-silicea. Dull, heavy headaches with drowsiness-water secretions-natr. mur. Headache of children-ferr. phos.; vertigo and vanishing sight-bell, or phytol; head feels too small-caffea; as if back head were crushed -nat. sulph; throbbing all day-cocculus or puls; worse after sleep- lach. Heart, Diseases of.- Dropsy of the Pericardium (hydrops pericardium): Cause: Peri- carditis. Symptoms: Difficult breathing, cough, general debility, muffled heart sounds, pale face, no numbness in left hand, respiration and pulsation low, usually dropsy of feet and legs. Treatment: Same as for dropsy, with addition of irritating plaster over the heart; per- sistent use of hair cap moss infusion; blood-making treatment. Endocarditis simple (inflammation of the serous lining membrane of the heart): Cause; Rheumatism, Bright's disease, pericarditis, pleurisy and pneumonia. Symptoms: Similar to pericarditis. Treat- ment: Like pericarditis. E. Ulcerative (diphtheretic, septicemic, malignant). Heart, Enlargement of: Cause; Obstruction to the circulation, or over-exertion. Symptoms: Increased force of the heart-beat, may be ringing in the ears, spots before the eyes. Treatment: Remove causes when practicable; avoid unnecessary excitement, over-loading 488 THE SECRET OF HEALTH. the stomach and severe exertion. Calc, fluor in alternation with ferr. phos. Heart Failure; A convenient phrase to express vital exhaustion; many times from causes unknown, and often really remote from the heart itself. When vitality is expended much faster than it is gener- ated, the heart is likely to feel it most because of its ceaseless mus- cular work. Symptoms; Palpitation, irregular pulsation, sense of tire in the region of the heart, general nervous lack of tone, etc. Treatment: Stop. Letup. Rest. General invigorating treatment. Careful study of Figs. 70 and 71 will show the necessity for this advice concerning so complicated an organ. FIG. 70. FIG. 71. HEART. Fig. 70. 1, front of right ventricle; 2, left ventricle; 3, pulmonary artery, cut short; 4, 4'. 4", the aorta: 5, part of right auricle; 6, part of left auricle; 7, 7, right and left veins which unite to form the upper vena cava; 8, lower vena cava; 9, one of the hepatic veins; xx, left coronary artery; Fig. 71. 1,2, 3, arch of aorta; 4,thoracic aorta; 5, innominate artery; 6, right carotid; 7. right subclavian; 8, axillary; 9, the brachial; 10, pneumogastrlc nerve on right side; 11, left carotid; 12, left subclavian; 13, left pneumogastrlc nerve; 14, 15, pulmonary artery; 16, 17, its branches to lungs; 18, 19, pulmonary veins; 20, trachea; 21, 22, large bronchial tubes; 23 , 23, intercostal (between the ribs) arteries. H. Myocarditis: Inflammation of tlie substance of the heart, not distinguishable by laymen, from pericarditis. H., Neuralgia of : See angina pectoris. Palpitation: Remove cause. Regulate heart-action by cactus grand, caffeine, or kola. If nervous, cold compress to the heart twenty DISEASES AND THEIR TREATMENT. 489 minutes twice a day. If from weakness of heart, kali phos. If spas- modic, magn. phos. If anaemic, natr. mur. General Treatment: Shawl wrap, body bandage, and foot vapor once a week ; sponge bath daily. Pericarditis : Inflammation of the sack covering the heart. Cause: Usually an accompaniment of some general disease. Symptoms: Fever of the causative disease increased, may be pain and tenderness in the heart region, breath short, pulse varies, may be dry cough and diffi- culty of swallowing, skin pale and blue. Treat the causative disease; keep quiet; stimulants if necessary, irritating plaster over heart. Heart-Pang: See angina pectoris. 11., Valvular Disease of: First, insufficient. Second, thickening. Cause: Acute articular rheumatism, fevers, etc. Symptoms: Palpita- tion, short breath after exertion, suffocative feeling, bronchitis, dys- peptic symptoms, urine scanty and high colored, dropsy, and many other symptoms. Treatment: Quiet life; flannel clothing; good rich blood; temperate eating; medical treatment must depend upon the precise nature of the disease. Most of the diseases of the heart are so obscure that to the non- professional observer all seem alike, so that the treatment of pericar- ditis, valvular lesions, palpitation, and heart failure substantially cover all the ground except by medical advice. Heartburn; A butyric acid fermentation of starchy food, or its lib- eration in the stomach from food in which it previously existed. If temporary it may be relieved by an alkali. If habitual, salicylic acid, thymol or resorcin six to ten grains three times a day, or guiacol. Heartburn with biliary troubles, nux and pod. for a male, puls, and pod. for a female. Heat Flushes: A complication of the climacteric. See climacteric disorders. Rhus. Heat Rash (or prickly heat). Cause: Excessive work of the sweat-glands. Treatment: Avoid the cause, frequent bath- ing without drying the surface, dusting with face or starch powder. Heat Stroke (sunstroke, or coup de soleil).-A devital- ized condition of the brain, caused by sudden abstraction of moisture from the tissues, producing dryness of the membranes. Symptoms: Violent: Active delirium, great restlessness, may be combativeness. Violent - passive: Sudden insensibility, great rise in temperature, pulse feeble. Symptoms of paralysis and insanity may be developed after apparent recovery. Milder: Great weakness, feeble pulse, cold, clammy face and extremi- ties, nervous depression, vertigo, tightness of chest. Treatment; Tepid dripping sheet; full tepid enemas; wet cap on 490 THE SECRET OF HEALTH. head; natr. mur. every hour or two; if much exhaustion, kali phos.? patient still insensible, mustards to feet, hands, and inside of thighs, and a long one between the shoulders; call physician. Hemiplegia (paralysis of one-half of the body).-Two varieties. Cause: Embolism or thrombosis. Congestive; Cause : Falls, mechanical violence, effusion Of blood or lymph ; tubercular, cancerous, or syphilitic deposits. Anaemic: Cause: Defective nutrition from masturbation, sexual excesses, and various diseases. Symptoms : Embolism-sudden paraly- sis, rarely loss of consciousness, aphasia, or loss of power of speech. The congestive form is accompanied by convulsions, cramps, twitch- ing, priapism, itching, crawling, prickling sensations, pain, tenderness on pressure. In the anaemic form the symptoms are less decided, but worse in recumbent posture. To determine which, apply a sponge wrung out of hot water to the spine. The congestive form gives a burn- ing or sore feeling at the damaged place. Treatment must be exactly opposite. In congestion, get the blood away from the brain and spina] cord; in anaemia, get it to them. To get it away, apply heat at a dis- tance for long periods, alternated with cold for short periods, because when the heat is abstracted from a part, the blood rushes there to make good the loss. Then keep it there by dilating the blood vessels by heat. But lest they be dilated into weakness, apply the cold at intervals to preserve their contractility, and bring a fresh supply of blood again. To get the blood to a part, make a full supply of good rich blood by adequate nutrition. Muscular movements are the best agents to draw blood to a part; therefore, motions timed and gradu- ated to the case are demanded; voluntary action if possible, or made active by external force applied as in massage. Hemorrhage.-Escape of blood from the blood vessels. Traumatic or active when from a wound. Idiopathic or pas- sive when from degeneracy of the blood vessels, as explained under haemoptysis. Hemorrhage from Rectum: May be from injury to the glands of Brunner and Peyer in typhoid fever, from tuberculosis, the congestion of inflammation, the rupture of pile-sacs, the cancer germ or the rupture of a blood vessel by a foreign body. Treatment: Rest; recumbent pos- ture; fomentation of abdomen; enemas of witch-hazel, or a teaspoon- ful of Monsul's solution of iron to an ounce of water, or, by stomach or enema tincture of shepherd's- purse; or, biochemic remedies as for haemoptysis. Hemorrhage in Skin: See purpura. Hemorrhage, Uterine: Always severe and dangerous after abor- tion. May occur in childbirth, and prove fatal in a few minutes because the uterine contractions fail to close the open blood vessels in the womb. Symptoms: Great pallor, sighing respiration, prostration, the flow. Treatment: Foot of bed elevated; uterine contractions secured by grasping it firmly with the hand, then give injections of hot water (110° DISEASES AND THEIR TREATMENT. 491 to 115°) into the uterus. If necessary, plug with a handkerchief. Inter- nally, ergot fluid extract one-half teaspoonful every three hours. Revulsive treatment as far as practicable; or calc, fluor, in alternation with kali phos., and hot water to the lumbar vertebrae; or ipecac ten to twenty drops in four ounces of water. Dose, one teaspoonful every ten minutes. In urgent cases, ligature the limbs as in haemoptysis. H. U. in Change of Life. See climacteric. Lobelia and composi- tion equal parts four to eight tablespoonfuls every ten minutes till well nauseated, then composition alone till free vomiting. Repeat every day if necessary. Hemorrhoids (piles, varicose veins of the rectum). Cause: Heredity, constipation, high living, and sedentary habits, tumors, pregnancy. Treatment: Keep liver and bowels active, skin healthy, and circu- lation well to the extremities. Cal. fluor, internally and in vaseline as an ointment to external tumors. In alternation, ferr. phos. when blood is bright red, kali mur. when it is thick and dark, kali sulph. with yellow, slimy tongue, nat. sulph. in bilious conditions. Calc. phos. if anaemic, nat. mur. when stools are hard, dry, and crumbling with excess of saliva, mag. phos. with cutting, darting pains in external tumors. Fluid extract of yerba santa one teaspoonful three times a day cures some cases. Cold, wet compress three-fourths of an hour the whole length of the spine, three or four times weekly; cold sitz bath, one to two min- utes, three or four times weekly; or, inject into the rectum twice a day one teaspoonful of fluid extract of hamamelis and hydrastis three drams each, olive oil two ounces; or, if external, use mullein and white pinus canadensis as in fistula; or, take a tepid sitz bath, after which apply to the tumors a sponge or cloth wet hourly in potassium iodide two grains, iodine one-fifth grain, glycerine thirty-five grains; should that fail, use potassium iodide three grains, iodine one grain, glycerine thirty-five grains; or bitter sweet ointment-simple cerate four ounces, fluid extract bitter sweet one ounce; evaporate the moisture. Or, digest eight ounces of the fresh root in one-half pound of lard, strain and add two ounces of beeswax. The above are nearly all palliative, sometimes curative; but a cer- tain cure in all cases belongs only to surgery. Hernia, Rupture.-A tumor formed by the protrusion of a viscus from its natural cavity. Reducible: One that can be returned to its cavity. Irreducible: One that cannot be returned. Strangulated: Constricted so that it cannot be pro- pelled outward, and the venus blood cannot return. Inguinal: That which bursts through the abdominal ring. Femoral: That which descends on the thigh; almost peculiar to females. Umbilical: Rupture at the navel? Treatment: On back, feet elevated, head low, make gentle pres- sure on the part until it returns, then bind a pad on it until a suitable truss can be secured. Failing to return it, give lobelia to the point of entire bodily relaxation, apply a cold local compress for fifteen to 492 THE SECBET OF HEALTH. thirty minutes, then try again to return it. This failing, call a physi- cian at once. Herpes.--See skin diseases. Hiccough.-A convulsive, noisy, inspiration caused by spasm of the diaphragm. Cause: Violent laughter, temporary indigestion, great prostration. Treatment: A tight bandage around the abdomen, or a deep inspiration retained as long as possible, or a fright, or blow on the back, or eating pounded ice or ice cream, or the pressure of a finger upon the throat just above the sternum. Hives.-See skin diseases. Hoarseness.-See aphonia. Hob-nail Liver.-See liver diseases, gin drinkers. Homesickness, Nostalgia.-Symptoms: Fondness for solitude, indulgence in grief and despondency, loss of appetite, pain in stomach, difficult breathing upon exertion, face and palms cold, white tongue with dark stains, white lips, drowsi- ness, unwillingness to attempt and inability to perform motion. Treatment: Tinct. of oats, or fluid extract of coca. Hydrocephalus.-Water on the brain, one form of tuber- cular meningitis (acute) ; basilar meningitis. See meningitis. Hydrocephalus Spurious.-Ilydrocephaloid disease, pseudo, or false meningitis, a dropsy of the head as a compli- cation of summer complaint of infants in cities. Cause: Heart debilitated, blood thickened by the discharges, finally blood coagulates in the great veins of the head. Symptoms: Face pale, may be bluish and cold, fontanelle sunk inward; stupor, pulse and respiration more and more feeble, convulsions, death. Treatment: Distinguish from inflammation. Lose no time. It is sometimes fatal in twelve hours. Stimulation and nutrition are the only hope. Hot mustard baths. See the stimulative treatment of cholera infantum. Also see prostration. Do not treat as a fever. Hydrophobia.-One of the most virulent of microbial diseases. Cause: Inoculation from rabies in an animal. Symp- toms: Great nervousness, irritability, despair, haggard look, sharp pains run up the limb from the point of inoculation, aversion to liquids, slight spasms increasing in severity, length DISEASES AND THEIR TREATMENT. 493 and frequency, during which features are livid or purple, eyes protrude, thick, ropy saliva is abundant, muscular spasms, delirium. Treatment: As soon as possible after the bite ligate between the wound and the heart thoroughly; then cut all around and below It so as to take out every particle of flesh that came in contact with the tooth, then foment with hot water to promote bleeding, then cauterize the whole wound with lunar caustic, aqua fortls, or a red hot iron, then keep patient thoroughly stupefied with skullcap tea until a phy- sician can be called, or if one is not procurable, give lobelia by stomach or enema to the point of nausea and an alcohol vapor bath or full pack, repeating the lobelia until physician comes. The poison may be absorbed through a mucous membrane without a wound, in which case give the skullcap or lobelia and bath treatment while waiting for the doctor. If within reach of an institute seek inoculation by Pasteur's method. Hydrocele.-See sexual diseases, male. Hydrothorax (dropsy of the chest)-Cause: Pleurisy, or organic disease of the heart. Symptoms: History of the case, difficulty of breathing when in bed, lungs clear on percussion from top to bottom in recumbent position, but dull up to the water level in upright position. Treatment: As for dropsy. Hyperaestliesia (acute sensitiveness of skin to external impressions)-Treat the disease of which it is a symptom. Hypermetropia (hyperopia) Far-sightedness. Rem- edy, proper glasses. Hypertrophy (enlargement).-Of breast: Cause, obscure. Treatment, alterative and tonic; not encouraging. Of Heart: Cause, tobacco, tea, alcoholic stimulants, worry, mental strain, diseases of brain and blood, violent muscular exercises, sexual excitement, and malt liquors. Symptoms : Vertigo, noises in the ear, redness of face, or plethora; respiration, pulse, and temperature high, numbness in left hand and arm, difficulty of breathing, fulness about the heart. Treatment: Avoid the cause; nutritive diet; flannel clothing; fresh air, mountain- ous region, general massage; calc.fluor.in alternation with ferr.plios., or heart regulated with digitalis and strophan thus in alternation. Of Liver; Cause, long continued congestion from the irritation of malaria and whisky. Treat as for chronic inflammation of liver. Of Muscles: Cause, growth beyond adequate nerve supply, Treat- ment : Kali phos. and rest. Of Prostate, rest and alteratives.-See sexual diseases, male. 494 THE SECRET OF HEALTH. Hysteria (a form of neurasthenia, characterized by vari- able motor, sensory and intellectual disturbances)Cause: Inheritance, anaemia, overwork, anxiety, grief, prostration, excessive sexual indulgence, masturbation, continence, fright, religious impressions, disappointed love, jealousy, uterine or ovarian diseases, digestive disturbances, etc. Symptoms: May simulate almost any disease, yet its sufferings are very real. Treatment; As it depends on a perversion of function or of nutri- tion or of botli of the central nervous organs, nutritive treatment and moral influence are of supreme importance. Correct bad habits, estab- lish all good hygienic conditions, tepid sitz bath four to seven times a week, shoulder shower once or twice a week, general faradization and central galvanization every other day, or kali phos., and if sad, moody with irregular menstruation, natr. mur. Hysterical Fit; Cold douche to the head, ammonia to the nostrils, firm pressure over the ovarian region; internally, valerianate of ammonia, or asafcetida. Ichorrhaemia.-A state of the blood in which it is charged with the germs of pus. Called septicaemia when fatal with no local formation of pus, and pyaemia when secondary abscess follows. General Symptoms: Rigors, sweating, rapid pulse, sallow skin, hay-like odor of breath, diarrhoea, dysentery, inflammation of serous membranes, rapid emaciation and prostration. Treatment: The bacillus pyocyanes must be destroyed in the blood* Peroxide of hydrogen sprayed frequently in the room, one-half tea- spoonful taken every two hours, one-half to one ounce in a colon flush twice a day; or take lactic acid one and one-half drams to one-half pint of sweetened water twice a day. Open any abscess, wash out with peroxide of hydrogen and poultice with charcoal, yeast or wild indigo. Nutritive and rapid blood-making diets. Diaphoretic and excernent methods, strong as can be borne. Inanition, failure of nutritive functions.-Symptoms: Feelings of malaise, and inability to do as much as usual. Heat reduction, diminution first of fat, then of muscular, and finally of nerve-center structures. Cause: Insufficiency of food, impaired digestion, catarrhal obstruc- tions to absorption. Treatment: Remove the cause. Adapt the diet to the condition. Give nutritive, blood-making, alterative and tonic methods as required. Incontinence of Urine. The causes are various. Excessive acidity of urine, over-irritability of the muscular coat of bladder, weakness of the restraining muscles, irritation of some part of the genital tract, DISEASES AND THEIR TREATMENT. 495 too much urine, calculi, malformation of bladder, contraction of walla of bladder. Treatment: Treat the cause; see that the bladder is emptied the last thing before retiring; if the wetting occurs with regularity at a certain time, wake him one-half an hour before that time for urina- tion ; little fluid at supper and in the evening; supper must not excite thirst; he must not get between cold sheets in winter; use blankets and avoid all causes of nervous tire; build up the nervous system by nutritious diet, not pastry and sweets, abundant sleep and not too much study, a daily rapid wash with cold, wet towel, dressing without drying, and taking good run to get warm; much outdoor air. If a drug is needed, give five to fifteen drops of fluid extract of rhus aromatica three times a day and keep bowels open. If the cause be nervous, give kali phos.; if from weakness of muscular coat, ferrum phos.; if from worms, natrum phos.; if all the above fail, belladonna every afternoon sufficient to dilate the pupil, usually one-eighth to one-fourth grain; if the afternoon dose does not accomplish it, repeat at bedtime. Indigestion.-May be gastric, or intestinal and hepatic. If in stomach, pepsin; not relieved, an emetic with more frugal diet for a few days, or diet of carbo-hydrates with very little albuminous substance. If intestinal and hepatic, pan- creatine and ox gall; not relieved, csecal flush and liquid diet excluding the carbo-hydrates. Either, not thus relieved,-see dyspepsia. Inflammation. - An excess of heat and congested circulation, may be either acute (active), or passive, or chronic. Acute when accompanied with rigors and fever; sub-acute when there is no fever; chronic, a sequel of either of the others, or may come without them. All terminate either by resolution,- that is, general dissipation of the effects and restoration of nor- mal condition, or any other one of five ways. First, effusion of serum, that is dropsy; second, effusion of blood, hemorrhage • third, effusion of lymph, causing induration, thickening, mechanical obstructions; fourth, formation of pus; fifth, gan- grene, mortification. Treatment: To secure resolution, continued application of cold locally to astringe the vessels and abstract the heat, together with general revulsive treatment strong, to draw the circulation elsewhere; cooling treatment as needed for the fever; aconite or ferrum phos., according to the symptoms. This failing, treat effusion with rapid blood-making diet; kidney, skin and bowel excernent strong, see dropsy. Second, see hemorrhage. Third, seek to cause its absorption by local packs, and general alterative and tonic treatment. Fourth, see abscess. Fifth, see gangrene. , Inflammation of Bone,-Cause; Injuries, poisons, the microbes of 496 THE SECRET OF HEALTH. syphilis, rheumatism and tubercle. Symptoms: Deep, dull, severe pain, swelling of soft parts, rigors and fever, tends to caries or necrosis. Treatment: Rest, cooling method as needed, excernent active. Fomentations of lobelia days, chloroform liniment nights. If throbbing sets in, poultice and open as soon as indications are clear and inject peroxide of hydrogen. If necrosis occurs, known by gritty pus, treat as necrosis. Inflammation of the Covering of the Bone (periostitis).-Cause: The same as inflammation of the bone, recognized by the history of the case and its sharp lancinating pain. Treatment: Lobelia in non- nauseating doses internally and keep fluid extract or oil of lobelia applied locally. Inflammation of the Brain. See page 411. Inflammation of the Brain, chronic.-Cause: Shocks, blows, sun, mental strain, worry, depressing passions, drugs, rheumatism, gout, syphilis, tubercle. Symptoms: Pain in head, aggravated by noise, light, heat and motion; irritability, restlessness, sleeplessness, mental depression, pallor of skin, anxious countenance, arrested secretions. Treatment: Rest, avoidance of the cause; excernent treatment average to strong; revulsive treatment mild to strong; alterative and tonic treatments; nutritive diet. Inflammation of Membranes of Brain, acute, simple (meningitis). -See Page 411. Inflammation of Membranes of Brain (tubercular meningitis).- Simple meningitis with tubercular effusions. Next to cholera infantum one of the most fatal diseases of city children. Predisposing cause, tubercle; exciting cause, blows, falls, shocks, etc., city life and solar heat. Symptoms: Hot skin, malnutrition, short, dry cough, restlessness, irritability, headache worse by motion, light and noise; skin variable, tongue furred, breath offensive, constipation, drowsy, rolls head in sleep with eyes partially open, wakes screaming. If ease progresses, child very quiet, countenance flushed or pale, eye-brows knit, pupils contracted, sensitive to light and noise, retching, pulse variable, fever high, stupor, head and heels thrown back, insensible, convulsions, paralysis, coma. Treatment: Insure sleep with sulphonal; cooling treatment for fever; quiet well-ventilated room; diet, mother's milk, or infant's food Nos. 4, 5, or 6, page 248-249; revulsive treatment so far as can be borne; secure the best medical treatment obtainable. Inflammation of the Bladder.-See cystitis. Inflammation of the Bowels.-See enteritis. Inflammation of the Breast.-See breasts, inflammation of. Inflammation of Cellular Tissue.-Cause: The microbe of erysipe- las, the germs of the cadaver in post-mortems and poisonous bites. Symptoms: Erysipelatous inflammation of the skin with its burning and tingling, also throbbing; stiff, brawny swelling, irritated lyur- DISEASES AND THEIR TREATMENT. 497 phatics, rigors, fever, abcess in lungs, liver and other parts; perspira- tion offensive, stools fetid, stupor, delirium, difficult breathing, exhaustion. Treatment: Free incision and suction cups, warm water co promote bleeding; hot fomentations of solutions of boroglyceride; internally peroxide of hydrogen, or brewer's yeast one ounce doses, or resorcin. Inflammation of the Cornea.-See eye (cornea). Inflammation of the Eye.-See eye, diseases of. Inflammation of the Middle Ear (otitis media), including the membrane tympani, the tympanitic cavity, the mastoid cells and chain of ossicles with their muscles, vessels and nerves.-Cause: Cold, damp, rheumatism, gout, boils, injuries, use of hair-pins in the ear, also from inflammation of the pharynx, from scarlet fever, quinsy, diphtheria, and other diseases. Every inflammation of the lining membrane of the ear is a true periostitis, and every ulceration is a caries. Symptoms: The general symptoms of inflammation: Locally, lan- cinating pain in inner ear, impairment of hearing, giddiness, fullness in the head, increase of pain in moving jaws, head, or blowing the nose; great depression, suppuration sometimes in from twenty-four to forty- eight hours. Treatment: Give head vapor, followed by hot foot bath, then caecal flush; to bed; quiet well-ventilated room; heat to feet; two or three drops of pure mullein oil containing eight parts to 100 of peroxide of hydrogen, in the ear twice a day; ferrum plios. with kali mur. in alternation, dose every half hour; if suppuration occurs, then give calc, sulph. every hour until improved, then less frequently; follow with tonic and alterative treatment mild to strong. Inflammation of the Heart.-See carditis. Inflammation of the Kidneys (acute nephritis).-Cause: Tuber- cular diathesis, mental depression, poor living, cold, damp, exposure, injuries, strains, blows, calculi, beer or whisky drinking, drastic drugs. Symptoms: Generally as of fever and constipation, pain over kid- neys increased by pressure, sometimes even extends to bladder, groin, or testicles, numbness of front thighs, retraction of testicle, tympanitis, frequent micturition; there may be casts, or blood or pus in the urine. Treatment: Lobelia emetic; full caecal flush; alcohol vapor bath, then to bed; cool compress to kidneys; strong revulsive treatment; cooling treatment according to fever ;'flnid diet. Elderberry syrup for a drink, after inflammation has subsided, or epsom salts one-fourth teaspoonful largely diluted, or peach leaves, one dram infused in four ounces of tepid water. Two ounces every three hours cold. Inflammation of the Mucous Membrane of the Larynx (acute laryngitis).-Cause: Adult male sex, inhalation of hot or acrid sub- stances, abrupt exposure to excessive changes of temperature, some- times in typhoid fever, small-pox, etc. Predisposing cause, depression of the great sympathetic; very dangerous. Symptoms: Rigors, high fever, fauces red and swollen, pain over cartilaginous part of the throat, difficult breathing and swallowing, soreness, loss of voice, brassy cough, long inspirations, paroxysms of threatened suffocation, face and neck first flushed, then livid, later purple; eyes protruding, 498 THE SECRET OF HEALTH. great distress, chest heaves, patient grasps at throat, soon becomes delirious or comatose from non-oxygenation of blood,-duration of disease forty-eight to seventy-two hours. Treatment: Most heroic as for croup, and secure best medical aid as soon as possible. Chronic (simple).-Soreness, rawness, redness. Cause: A succes- sion of acute attacks, or extension of chronic pharyngitis, or the same causes that produce the acute. Symptoms: (Syphilitic) Copper-colored, dry, huskiness, microbe syphilitica. (Tubercular) Mottled appearance, bacillus tubercle. Treatment: Best hygienic conditions, diet nutri- tive and blood-forming, mouth and throat gargled daily with solution of boroglyceride or permanganate of potassa; spray two or three times daily with terebene, resorcin or menthymos; alterative and tonic treatments strong; compound oxygen daily; neck bandage forty minutes daily, re-wet once; daily water tread; body bandage twice a week. Inflammation of Liver (acute hepatitis).-Cause: Obstruction of bile ducts, or of hepatic and portal veins, mechanical irritation, heat, malaria, drugs, tight lacing, excess of carbonaceous food. Symptoms: Generally as of jaundice, with enlargement of liver, inability to lie on right side, high fever and pain worse by pressure. Treatment: ' Diaphoretic treatment strong, excernent liver and bowel strong, cooling as needed; copious drinks of hot water; com- press of vinegar and water one hour daily; revulsive treatment aver- age to strong; fluid diet. (Chronic hepatitis): Shirt wrap twice a week; hot water three times a day; caecal Hush to secure free bowel movements; china one hour before breakfast, mere. sol. one hour before dinner, lep. one hour before supper, pod. at bedtime; daily bath of warm weak lye, followed with sponging of equal parts of alcohol and water in which forty grains of quinine to the pint are dissolved; plain animal food, milk, eggs, white fish, fruit and vegetables; phosphate of soda used in place of common salt, or white mustard seeds whole, one to two teaspoonfuls in water an hour before each meal. Inflammation of the Lungs (acute pneumonia).-Cause: Cold, wet, inhalation of irritants, mechanical violence. Symptoms: Great lassi- tude, languor, debility, extreme difficulty of breathing, cough, prune- juice expectoration, flushed cheek, rigors, fever with evolution of the pneumococcus: called lobular when confined to one lobe; single when confined to one lung; double when both lungs are affected; pleural when the pleura Is first affected; typhoid when complicated with typhoid fever. Has three stages.-First, congestion; pulse 140 to 160, temperature 105, respiration 40; may continue from a few hours to a week or more. Second, red hepatization; all the symptoms of the first stage together with blueness or lividity of the skin, delirium or coma, strangled breathing; may continue one week or longer. Third, gray hepatization; fever less, heat, pulse and respiration low, rigors, colliquative sweats, almost incessant cough, thick, ropy, tena- cious pus; if typhoid complication, tongue buff-leather appearance, very DISEASES AND THEIR TREATMENT. 499 dry, or beef-red, or red at tip and edges with elevation of papillae; pulse small, wiry, frequent; diarrhoea, sordes on gums, eyes sunken, nostrils pinched, face white, tympanitic abdomen. Treatment: Perfect rest in bed, atmosphere kept moist, tempera- ture of 70 degrees; if constipation, enemas; ferrum phos. every fifteen minutes. If with white tongue, mucous white and viscid, kali mur.; witli much loose phlegm, clear, frothy, worse in morning, natr. mur.; with wheezing, yellow, loose phlegm or watery mucous, cough in children, kali sulph. Neglected pneumonia, or in acute suppuration, with fetid expectoration, silicia. Revulsive treatment average to very strong; oxygen in some form almost constantly ; dripping compress to chest continuously ; fluid diet; treat fever as fever. Chronic Pneumonia: General tonic and alterative methods; if consumptive symptoms appear, treat as consumption. Inflammation of the Mouth (stomatitis).- Cause: Unsanitary modes of life, insufficient or deleterious food, over-crowding, infection. Three forms; first, follicular. Little blisters on the lips, cheeks, gums, fauces. Second, ulcerative, when the blisters break. Third, gangre- nous, when the ulcerated patches deteriorate instead of improve. Symptoms: Copious saliva, fetid breath, mal-assimilation, restlessness, fever, loss of appetite, offensive stools; the patches first dirty yellow slough, later purplish witli pulpy, gray matter; still later gums spongy, teeth loose. Treatment: Wash mouth and gargle throat every hour with tea- spoonful of a saturated solution of boroglyceride in half a tumbler of sage or thyme tea, and internally every three hoftrs five to ten grains of resorcin in water, or a few drops of peroxide of hydrogen; blood- making diet. Or, in place of the above, for redness and heat, ferrum phos.; white ulcers and fetor of mouth, kali mur.; ashy gray ulcers and fetid breath, gums bleed easily, kali phos.; for salivation, natr. mur.; peeling of lower lip, kali sulph.; anaemia, and pale, painful gums, calc. phos. Inflammation of the Nails (onychia).-Cause: Mechanical inju- ries, broken down states of the constitution. Symptoms: Suppuration at the root with a foul ulcer spreading in all directions. Treatment: Drip solution of hot permanganate of potassa on it night and morning; poultice with linseed and yeast in the intervals, or wash out with peroxide of hydrogen and dress with the same mixed with one or two parts of glycerine; nutritive diet; tonic and alterative treatment. Inflammation of the Nose, see acute catarrah. Inflammation of Pituitary Mucous Membrane (traumatic rhin- itis.)-Much like acute coryza.- Treatment:■ Frequent sprays of alkaline solutions for cleansing, and wear plugs of absorbent cotton to protect from irritants; genera] alterative and tonic treatment. Inflammation of the Parotid Gland (mumps).-Symptoms: Those of fever with pain and swelling over one or both parotids, stiffness of jaw, soreness in swallowing. Treatment: For the swelling, kali mur. every one-half hour to every two hours; if there is fever, ferrum phos. In alternation; with much saliva, or swelling of testicles, natr. mur., or swelling of breasts or testicles apis. mel. 500 THE SECRET OF HEALTH. Inflammation of the Pleura (acute pleuritis).-May be acute, sub- acute, or chronic; on one side or both. Cause: Exposure or fractured ribs. Symptoms: Those of mild pneumonia with a stitch or catch in. the side, aggravated by expansion of the lung, coughing, moving or lying on affected side, or by pressure; frothy expectoration, friction sound to be detected by the hand over the affected place; may end in dropsy of the chest or emphyema. Treatment: Treat as for pneumonia with the addition of a flannel bandage pinned every inch from the armpit to the lower rib so as to prevent motion of the ribs. Chronic Pleuritis: Alterative and tonic treatment; excernent treat- ment average to strong; applications of pustulent lotion every day or two until the catch is no longer felt. Inflammation of Peritoneum (peritonitis).-Predisposing Cause: Depression of the great sympathetic. General Cause; Severe parturi- tion, abortion, exposure to cold and fatigue after confinement or during menstruation, or by fluids thrown into the womb, finding their way to the peritoneum; injury. May occur in the course of Bright's disease. Symptoms: May have a gradual onset, first abdominal pain and soreness, or it may come on suddenly being ushered in by a chill; a burning lancinating pain over the abdomen increased by deep inspirations, and the respirations shortened and increased in fre- quency; any movement or pressure of bedding causes intense pain; patient lies on back with legs flexed; vomiting, may be stercoraceous; bowels generally constipated; temperature raised, pulse small, wiry, quick, face drawn, mind clear, sometimes retention of urine. Treatment: Most constant and persistent. Call physician soon as possible. Meantime empty the colon thoroughly with luke-warm caecal flushes. Then wrap the feet to the ankles and the hands to the wrists in coarse cloths wrung out of vinegar and water equal parts and covered with three or four thicknesses of flannels. Re-wet every hour. Place a rubber under the patient, and with as long a tube as can safely be inserted, run a continuous flow of water five to ten degrees below the temperature of the body into the colon, and let it find its own exit to the rubber and thence into a pail below. At the same time keep a dripping compress of vinegar and water same temperature all over the abdomen. Ferrum phos. every one-half hour. Keep up the dripping compress and inner flow resolutely until the inflammation yields, then discontinue gradually. Sustain with very small portions of bovlnine or nutritive beef tea. In convalesence feed very cau- tiously a liquid diet. Inflammation of the Rectum (rectitis).-Cause: Violence or foreign bodies in the bowel. Treat as dysentery. Inflammation of the Retina (retinitis).-Cause: Vivid light. Seek the best medical aid immediately. Inflammation of the Stomach.-See gastritis, acute. Inflammation of the Spinal Cord (myelitis).- Cause; Blows, shocks, microbial diseases. Symptoms: If located in the cranial portion, convulsive movements of head and face, inarticulate speech, difficult swallowing, spasmodic breathing, paralysis. If in the cervical portion, difficult breathing, impossible to raise the head, pricking in arms and hands, paralysis of arms. If in the dorsal portion, pain over affected part, or pricking in fingers and toes, great difficulty of breathing, paralysis of arms and legs. DISEASES AND THEIR TREATMENT. 501 If in the lumbar portion, paralysis of lower extremities, abdominal pain, corded sense about the body, first retention then incontinence of urine, involuntary stools; wherever located, pain increased by pressure. Treatment: Seek best medical aid immediately. Meantime, give strong revulsive treatment, and sustain with fluid diet. Inflammation of the Tonsils (acute tonsilitis).-Predisposing Causes: Constitutional weakness, tubercular tendency, mercury and other poisons. Exciting Causes: Cold, damp, cold drinks when body is warm, changes of temperature. May be in one or both tonsils, or in one then in the other as the first gets better. The tonsils are composed of follicles or secreting sacks bound closely together and ending in about fifteen ducts which discharge their lubricating fluid. Three stages: 1st, inflammation of the outer surface; 2d, more deeply seated well down the ducts; 3d, the whole structure inflamed. Symptoms: First, languor, debility, chills, pressure, and stinging in parts, difficult to swallow, pain in jeustachian tube, stiff jaws, fever, loss of appetite, hawking and spitting, tonsils swollen. Children may be delirious; lasts three to six days. Second, follicles involved, dis- charge offensive, symptoms same but more severe, deafness sometimes, temperature 102 to 103, tenacious, partly opaque mucus over the parts, fixed, oval, yellowish spots on membrane; lasts five to eight days. Third, when inflammation reaches the tissues of the glands the symptoms are still worse ; suppuration in a few days, lasts indefinitely, but usually relieved as soon as it discharges. Distinguish from scarla- tina by absence of strawberry tongue, exposure, absence of rash, etc. Distinguish from diphtheritic sore throat by the ovoid form of the patches instead of the roundish, very .vliite and spreading patches distinctly upon the surface and soon elevated above it as in diphtheria. Treatment.- First, keep in room; hot colon flush; compress of cold mullein tea on throat well covered with flannel; hot lemonade freely as a drink, hot foot bath; inhale hot vapor every few hours. Second, keep in bed in warm room filled with vapor of vinegar water, one part to four; head vapor bath daily; frequent gargles of hot milk alter- nated with tepid gargles of sage tea with ten grains chlorate of potash to the ounce; hot colon flush and hot foot bath ; over the tonsil put a plaster of lard thickened with lobelia powder, over which and envelop- ing the throat, continue the mullein compress; diet of milk, bovinine, clam juice, beef tea, etc. Third, if throat is dull red, inhalations of camomile steam and continue treatment as in No. 2; if pain becomes throbbing, change the compress to linseed meal poultice, and when the abscess points, i. e., shows a yellowish ovoid spot soft to the touch, give a smart lobelia emetic to break it and eject its contents. Use camo- mile and peruvian bark tea all through as a tonic. Follow the dis- charge witli gargles of peruvian bark and golden seal, alternated witli gargle of permanganate of potash four grains to the ounce. The attending fever should be treated with full, warm baths, or sponging under the bed covering at such temperature as will not cause chills, lemonade drinks and tincture aconite seven drops in a tumbler of water, dose one teaspoonful every one, two or three hours, according to the fever. Inflammation of the Tongue (glossitis).-Cause: Usually some irritant poison. Symptoms: Those of intense inflammation. Treat- ment: Very thorough caecal flush; diaphoretic treatment, especially jaborandi; fever symptoms treat as fever. Inflammation of Veins (phlebitis). - Cause: Infection from the germs of puerperal fever, erysipelas, pus and venereal diseases. Symp- toms: Pain in the course of the veins, veins thick, cordy, swollen, red, 502 THE SECRET OF HEALTH. rigors and flying pains in body, irritant fever; veins may suppurate; may cause embolism. Treatment: Suction and cauterization of the wound; leeches along the engorged vein; follow witli hot fomentation of permanganate of potassa or peroxide of hydrogen; or, paint the vein with creosote, then poultice with tincture of iodine in lime water, belladonna to keep the blood fluid, or permanganate of potash; rapid blood-making diet, and seek best medical aid as soon as possible. Influenza.-Infusorial catarrh, the disease-germ amoeba enters the blood and gives rise to languor, debility, fever, colic, diarrhoea, dysentery, bronchitis. Symptoms: Besides severe nasal catarrh symptoms, sore throat, nervous disorder, fever, very high temperature, great depression of the heart, and distress in breathing from accumulation of carbonic acid in blood; expectoration slight at first, then stringy, often bloody; bronchitis, pneumonia, pleurisy, gastritis, neuralgia, nausea, vomiting and diarrhoea are common complications. Treatment: If vigorous, sponge bath of vinegar and water every hour and remain in bed in the intervals. Add diaphoretic method strong as can be borne without debilitating; particularly jaborandi. If feeble, warm baths, heat to feet, strong antiseptics, iodine, sulphide of lime, etc., in room, air kept moist. Peroxide of hydrogen and glyc- erine equal parts, internally one-half to one teaspoon fhree to six times a day; cactus grand, for heart; kali phos. for nerves. Menthol sprays of one to ten per cent, in fluid vaseline often 'beneficial. Com- pound oxygen inhalation gently, two or three inspirations every hour through the nostrils, water in inhaling bottle being kept warm; avoid breathing cold air or sleeping in cold room until recovered. Fever diet; treat complications as they occur. Alterative and tonic methods in convalescence very thoroughly. Insanity.-That condition of mind in which the im- pulses irresistibly override the restraining faculties of will, judgment, reason and conscience, or in which certain feelings, affections or impulses are perverted, but with power of correct reasoning on other things, or in which there is a general wreckage of intellect, and madness or vacuity supervenes. Cause: Predisposing; inheritance, nervous shock, brain dis- ease : exciting; anything that tends to weaken the regulative faculties. Symptoms: Delusions: i. e., False beliefs relating to something that has a real existence, as that of the possession of a royal title, etc. Illusions; i. e., False interpretation of the true reports of the senses, e. ff., a reed is a scepter, etc. Hallucinations: False reports of the senses, i. e., things are heard or seen that have no existence. Actions against self-interest, with no justifying motive; as indecent exposure, self-mutilation, suicidal attempts, acts of violence against others, or DISEASES AND THEIR TREATMENT. 503 as in pyromania, to set things on fire. Mania: Delirium, or violent actions and words. Kleptomania and monomania are mild types of this kind of insanity. Melancholia: Woe-begone feelings and expres- sions, delusions of the most depressing nature, as that of having com- mitted the unpardonable sin, etc. Treatment: If predisposition is known to exist,promote the general health by the hardening, secernent, excernent and nutritive methods, and specially guard against all exciting causes. If insanity is already established, removal of the exciting cause, sleep, mental rest or diver- sion, nutritious food, and the normal action of the excreting organs, are the objects to be secured by the best means within reach until competent medical supervision can be secured. Warm baths, some- times full packs; sulfonal if ladies' slipper or scull-cap prove too weak to secure sleep. Insomnia (sleeplessness).-Cause: Either a hyper- aemic or anaemic state of the brain, transient, or more or less permanent. Treatment: Remove the cause. Secure the best conditions of sleep. These are perfect quiet, or monotony of sound, like the surf; fatigue to some extent, but not enough to induce fatigue-fever, dark- ness, satisfied appetite, freedom from pain, warm extremities, favor- ing position. This should be on the right side, so that the heart can recline on the middle lobe of the right lung as on a cushion without cramping the other lobes, and the pyloric orifice of the stomach allow ready passage of the food into the duodenum; head slightly drawn down on the pillow, which should compress only to a thickness corres- ponding with the distance from the neck to the point of the shoulder, to give free action to the respiratory muscles and throw the stomach and liver downward and relieve the diaphragm from pressure; the right arm by the side and the left on the thigh, and every joint flexed enough to insure unobstructed How of arterial blood, and no joint resting on another so that the flow of venous blood be unchecked, and the nerves be not obtunded. If hypercemic: there is an over-supply of blood, as from excessive study, reading by a heating gas jet or lamp, congestion of the brain, etc. Warm water to the head, allowed to evaporate freely, heat to the feet, general revulsive method as needed. No reading or study in the evening. Ferr. phos. Un-dry cold sponge bat li daily. Nerves tend to sleep by absorbing more water than when active, therefore a tepid or warm full bath at bed-time. It anaemic ; blood-making diet, alterative and tonic methods average to strong, kali phos. A little liquid food at bedtime. Further treatment needed, see neurasthenia. Sulfonal if positively necessary. The blood stimu- lates the nerves in waking hours and feeds them during sleep, there- fore sleep much in anaemic conditions. If with spasmodic twitches, mag. phos. Sleeplessness of Children.-Coffea and bell, in alternation. With flatulency and green stools, chain. If from overloading stomach, ipecac and pulsatilla. Intestinal Obstruction (invagination or intussuscep- tion).-Symptoms: Sudden, severe, persistent colicky pain, remitting, then returning again and again, vomiting, tenesmus, constipation or diarrhoea, hemorrhage; diagnosis difficult. Treatment: Place patient with hips high and shoulders low, and give three quart enemas of mild lobelia tea lukewarm, or catnip tea with boneset and lobelia; pressure upon the amis 504 THE SECRET OF HEALTH. and kneading of the abdomen; retain three or four hours. Call physician. Ivy Poisoning'.-See poisoning. Jaundice is marked by a yellow skin, with or without itching; sweating is frequent, pulse slow, irritability and depression, secretions colored with bile and stools clay-colored, while hemorrhage may occur as tiny spots under the skin. Cause: Obstruction to the gall duct, as the pressure of foreign bodies, or a swelling and inflammation of the duodenum, stricture of the duct, tumors pressing upon it, faecal accumulations and the pres- sure of a pregnant uterus. May occur without obstruction, as in acute yellow atrophy and the poisons, as of malarial typhoid fever, blood poison, etc. Treatment: Exercise 13 a, drawing in a deep breath as body is bent forward. Wear over the gall duets an ointment made by stirring into lard as much pulverized lobelia seed as it will hold and remain an ointment. Retained enema No. 7 or 9 twice a day. Colon Hush No. 10 every other day. Nightshirt wrap twice a week, sponge bath daily. Diet mainly of green vegetables, fruits and cold water, and very sparing. Further treatment should be directed to the cause. For obstructive, use kali mur. and nat. mur. or, 11. ext. of hydran- gea thirty drops twice a day, or chloride of ammonium twenty grains in water every four hours. Kidney Diseases.-Acute nephritis, see inflammation of kidneys. Kidneys.-Chronic nephritis, or chronic Bright's disease, is a degeneration, or breaking down of the epithelium of the lin- ing membrane of the uriniferous tubes, which chokes them up and obstructs secretion ; finally they become either perma- nently filled or collapse. Cause: Acute inflammation excited bv the micro-organisms of serious diseases, such as scarlet fever, diphtheria, etc. Irritation from the excessive elimination of poisons, such as uric acid, lead, etc., and mechanical irritation from obstructed flow of urine by strictures, enlarged prostate, cystitis, tumors and pregnancy, and from valvular disease of the heart. Symptoms: General languor and debility perhaps for years, then loss of flesh, prostration, vertigo, spots before eyes, noises in ears, uriniferous skin, pearly conjunctiva, large flabby tongue, feeble pulse, cold extremities, weight and may be pain in kidneys; urine free, copi- ous, pale, albuminous, and of low specific gravity; towards the end may be scanty and high; dropsy, blood loaded with urea, its walls degenerated and arteries narrowed; casts, dyspepsia. Treatment: Unload the blood through tfie lungs, skin and bowels, and leave the kidneys as little to do as psssible; flannel clothing day and night; tepid baths daily; the home Turkish bath or an alcohol vapor once a week twenty to thirty minutes, or a full pack thirty to forty-five minutes twice a week ; the respiration tube freely; as much exercise as can be taken without fatigue; nightshirt wrap, cool, cold or hot according to the reacting power, once a week. The kidneys require rest, protection and innervation. The diet should give these things: Sustain animal heat and force largely by the fats, because they are burned and eliminated in the lungs. Reduce the force foods to the lowest quantity, and select them from those foods that are blood-purifying instead of excessively carbonizing, i. e., the fruits instead of sweets and starches. Give only enough albumen DISEASES AXD THEIR TREATMENT. 505 to maintain the constructive work of the system, and in a form con- taining little mineral salts and no animal excreta, sucli as beef tea lias: i. e., confine the nitrogenous supply to milk and eggs strictly, and be sure that it is thoroughly oxygenated by deep breathing in the open air, and, if necessary, by t lie inhalation of oxygen or its absorp- tion in the stomach, or by retained enemas. IT the fruit supply be short, entire wheat bread may lie used moderately. Keep bowels very active with caecal flushes at such a temperature as will not irritate the kidneys, which can only be determined by experiment in each case. The prominent characteristics, albumen, dropsy and uraemia, are mere effects that will pass away of themselves upon removal of their causes. A compress of vinegar and water, one part to three, an hour each day on the kidneys, followed by quick ablution of the place in cool water. If the innervation be not sufficient from the food alone, add kali phos. in alternation with the calc, phos., and for heat in kid- neys, ferr. phos., a dose every one to two hours; for the albumen, calc, phos. four to six times a day. Neuralgia of.-See neuralgia of kidneys. Lactation, Deficient.-Use ditania digitifolia. Laryngitis, Acute.-See inflammation of the larynx. Laryngismus Stridulus.-Spasm of the larynx in teething infants and neurasthenic females. The cause, in children, is irritation of special nerves; in women, anaemia of the spinal cord. Treatment: Warm alkaline baths, hot fomentations to chest and throat, dry mustard in socks, com- pound syrup of lobelia freely, nutritive diet and tonic method. Leanness.-Local, as of breasts and chest under collar bones. Dr. Roussel, of Paris, treats successfully by injecting a feeble solution of eucalyptol in olive oil into the localities. Saw palmetto fl. ext. in teaspoonful doses three times a day and the oil made into an ointment and rubbed on the breasts once or twice a day, is better. Hypodermic injections of bovinine should be tried. General, when the result of bad assimilation, see malassim- ilation ; when constitutional, no help but easy living, gradually inducing the lymphatic temperament. Lightning Stroke.-Excite breathing by a dash of cold water. This failing, resort to artificial breathing, as in drowning. Then perfect rest, gentle stimulants, bodily heat kept up by hot applications. Special injuries should be treated according to their nature. Liver, Diseases of.-The symptoms of cancer in the liver are those of liver and stomach ailments, pinched features, dejected expression, no fever, liver hardened and irregular, pains increased by pressure ; death certain within a year. 506 THE SECRET OF HEALTH. Congestion of the Liver.-Symptoms same as for enlargement, with probably some jaundice. Treatment: For acute cases-injection of one pint of warm water, a tablespoonful of epsom salts and one ounce of sweet oil. As soon as it has passed off, give a lobelia and composition emetic, and follow it with a warm bath and hot teas until perspiration is free. Ferr. phos. every twenty to sixty minutes. Kali mur. if tongue is white and stools light. Kali phos. if nerves are depressed. Nat. sulph. with green evacuations and sallow skin. Nat. mur. if with jaundice. After first day, the emetic, flush and bath as often as needed to keep up t heir general effects upon the system without weakening the patient. Fluid diet. Chronic Congestion of the Liver.-The emetic, etc., every week or second week. The appropriate medicine three times a day. A liver pack of vinegar one-third and water two-thirds, half an hour daily. Drink hot water four times a day. Sponge bath daily. Diet free from sweets and starches, the carbohydrates being supplied in cooked fruits. Enlargement of Liver.- Symptoms: The early stage is like Indi- gestion ; later, loss of flesh, strength and appetite, pains about liver or right shoulder, and tenderness on pressure. Treat medically as for congestion of the liver, with occasional baths, etc. Liver, Fatty, is due to infiltration of the liver cells with globules of fat. Cause: Wasting diseases, overfeeding, alcohol, acute phos- phorus poisoning. Symptoms: None characteristic. Treatment: If suspected, treat the cause. Gail Stones.-See calculi, biliary. Liver, Waxy, amyloid, scrofulous, albuminous, or lardaceous liver. Cause: Infiltration into the liver of the products of suppura- tion from some other part. Symptoms: Dyspepsia with diarrhoea, urine pale, increased and albuminous, emaciation, anaemia, enlarged spleen, short breath. Treatment: Cure the causative suppuration. Tonic treatment strong, with hygienic measures. Diets No. 12 or 13, or the more solid diets that are destitute of starch, fat and sugar. Inunctions of vegeta- ble oils. Excernent and secernent methods, as the case requires. Locomotor Ataxia.-A disease of the posterior part of the spinal cord. Can be treated only by a physician. Usu- ally deemed incurable, but in 347 cases in which Dr. Brown- Sequard's " elixir " was used, 314 were cured or greatly improved. Lock-jaw (tetanus)-Due to a specific micro-organism localizing in the medulla and extending down the spinal cord. Symptoms: Headache; in a short time the muscles of the face, neck, jaw, back and abdomen become rigid; there may be paroxysms; sensation and intellect not impaired; great pain; contraction of chest muscles may cause difficult breathing; pulse small and quick; tem- perature high. Patient often unable to take nourishment, any attempt increasing the paroxysms. Deatli follows from inanition. Duration usually three to five days. Treatment: Call physician as quickly as possible. Meantime, give very full caecal flush of lobelia tea. Follow immediately with a hot bath, thirty minutes, containing a pound of lobelia herb pulver- ized, and give every ten to twenty minutes a teaspoonful of the fol- lowing: A heaped teaspoonful of lobelia seeds crushed, the same of the fresh plant, one tablespoonful of American valerian, and the same of powdered capsicum in half pint of brandy; shake well and settle. Should the bath not be practicable, apply cloths wrung out of hot lobelia tea to chest, abdomen and thighs; change frequently and con- tinue until physician arrives, unless spasm breaks; even then, con- DISEASES AND THEIR TREATMENT. 507 tinue the stomach remedy in smaller doses at longer intervals, and alternate with it full doses of peroxide of hydrogen if possible. Cleanse the wound and inject peroxide of hydrogen, then poultice with tobacco and slippery elm. Keep room perfectly quiet and sus- tain with nutritive beef tea if possible. As much promptness and energy are required as in a case of hydrophobia. Lumbago.-Gouty or rheumatic neuralgia in the small of the back, worse by bending the body forward. Cause: Anything that can prevent the proper nutrition of the nerve. Treatment: Tie on a cloth dipped in hot water and vinegar; renew every hour; or apply an ointment of three or four ounces lard, one-half ounce pulv. lobelia and one-fourth ounce capsicum; or give ten drops fl. ext. of gelsemium every four hours, or the negative pole of the faradic current strong, the positive at feet. Lungs, Bleeding From.-See Haemoptysis. Lungs, Cancer of.-Pulmonary carcinoma. Usually secondary to cancers elsewhere. Can only be determined or treated by a physician. Lungs, Congestion of.-Cause. The active form is arterial, due to violent exercise, great altitude, inhalation of irritants; the passive is venous, due to regurgitation of blood from the heart, obstruction of the circulation. Symptoms: Blood-stained, watery expectoration and the [symptoms of dropsy of the lungs; sudden, rapid, dangerous. Treatment: Revulsive method, average to very strong. Perfect quiet, free ventilation, frequent change of position; fluid diet; ferr. phos. every half hour; call physician. Malassimilatiou (malnutrition), words that express a defective appropriation by the tissues of the elements of food and consequent loss of vigor. May be slight, as in mild dys- pepsia; or extreme, as in severe anaemia and marasmus. Cause: Anything that lowers the tone of the nervous system. Treatment: When apparently uncomplicated, tonic method according to the case. Treat complications as separate diseases. Malaria.-See ague. Mammary Undevelopment.-This is often the case with girls of nervous temperament, especially if the mind be highly cultured. It may result from disease, or want of devel- opment of the reproductive system. In any case, it is not only a serious deficiency in the attractiveness of the form, but augurs poorly for success in the possible future maternal func- 508 THE SECRET OF HEALTH. tion of nursing her children. No young woman ought to con- sider herself justified in remaining in this condition, since the proper use of an appropriate massage brush, together with the internal and local use of the serenoa serrulata is almost cer- tain to correct the deformity at a small expense, together with a fair share of painstaking trouble. Masturbation is the excitation of the genital organs by the hand, by pressure, by friction, or by any means that pro- duces the pleasurable sexual orgasm in either sex. Ignorant nurses practice it upon restless children to keep them quiet, youths upon themselves and others, and even adults resort to it by perverted choice or as a makeshift for the natural inter- course that their instincts crave. If a male calf be castrated while young, he will make the patient, meek-eyed ox; if not until adult form has been obtained, he will become the slow, stupid, lifeless stag-the bull fire, courage and combativeness all gone, although the muscular form will be retained. So of other animals, and so of man. Eunuchs rarely ever exhibit even the average ability of men. The lesson taught by these facts is that the vim, enterprise, aggressiveness of men centers in the sexual system, and that anything that depletes that, robs the man of the noblest possibilities of his nature. Upon this point such prudish notions have been entertained by most parents that their boys have been allowed to go into t he world uninstructed as to the facts of their sexual organism, and the result is that the ranks of civilization are crowded with half wrecks of man- hood surviving the innocently acquired and ignorantly practiced self- abuse that has hurried other myriads through the gates of consump- tion and acute diseases into the otherworld. It is a sickening and horrid spectacle to the professional observer, and the worst hell that this world knows to its victims. One of the worst features of the case is that designing villains play upon the fears of these awakened but helpless sufferers, ami by mag- nifying all the bad indications, cause them to almost despair ot help at all, then promise all sorts of impossibilities, for the sake of gain. The real truth is that physical, and, perhaps, mental damage will run all through life, regardless of the repentance of the subject. But, putting the soul right with God, and with all moral relations, confid- ing in Him for help, and then adding appropriate medical treatment, the majority of cases can so far recover as to reduce the lifelong dam- age to a small per cent. We write thus plainly just here because of the tremendous import- ance of the subject. The possibilities, perils and conquests of man- hood circle riglit about this pivotal point. The evil not only blasts young manhood, but enters the marriage circle with withering power and plants decay upon the very shrine of adult power. Disappoint- ment, disgust, alienation, septiration, divorce, or an unnatural con- strained partnership without conjugality, are the successive steps that mark the downward progress from the altar to the welcome grave. But this is not all. Children are born emasculated of all the vim and DISEASES AND THEIR TREATMENT. 509 reserve power of normal childhood, who, if they survive the acute attacks of children's diseases, are nursed along only to slide at puberty, or later, into the many forms of decline that men deem so mysterious, but that God, in mercy to humanity, has established in order, by "the survival of the tittest," to keep virility in the race at all. Mania-a-potu (delirium tremens).-See alcoholism. Marasmus.-A disease of the mesentery glands, whose function is to raise the blood discs from white to red. In cholera infantum this function is destroyed and the tissues starved. Treatment: For the diarrhaea, elixir of coto bark ten drops or more each hour until checked. For the maras- mus, quebracho fl. ext. one to five drops three times a day. Blood-making diet, inhalations of oxygen. Mastodynia.-See neuralgia of breast. Measles (rubeola)-Symptoms : Fever, skin hot and dry; restlessness, rash fourth day; dry, ringing, croupy cough; tongue coated, appetite lost, intense thirst. Rash first on tem- ples, forehead, neck, down to chest and arms, body; suffused eyes, swollen lids, intolerance of light, puffy face, nasal dis- charge. The rash fades after three or four days, and the skin sheds in bran-like scales. Treatment: Guard against lung complications. Keep room dark- ened. Ferr. plios. frequently in first stage, less often later. Kali mur. for hoarse cough and glandular swellings. Kali sulph., with warm covering, every hour, if rash recedes, and skin is harsh and dry. Nat. mur. occasionally for excessive tears or other watery secretions. Witli these remedies, and free spongings under bedclothes with tepid lye water, there are rarely any complications. Should any occur, treat each as a separate disease. Or, in place of above salts, give Helenine, one granule every hour. Drink cold water freely, a little at a time, and take puls, every two hours. If high fever, aconite in alternation. For sudden recession of rash, bry. and puls.; eruption slow, gels, five drops in four ounces of water, dose one teaspoonful hourly. Melancholy.-See insanity. Meningitis.-See brain, inflammation of, and inflam- mation of spine. Menopause (change of life, climacteric, turn of life) Natural cessation of menstruation, usually between forty-five and fifty, generally preceded by irregularity for a year or more. Sometimes attended with flushes of heat, colds, nervous pros- tration, uterine hemorrhage, and a great variety of unpleasant symptoms. One decisive symptom, viz., an accumulation of fat which often grows to form two distinct prominences on a level in the back of the neck with the two lower cervical vertebrae. 510 THE SECRET OF HEALTH. Treatment: More depends upon hygiene than medicine. When medicine must be used, the most mild and quieting articles suited to the case are the best. Avoid mental excitement and heavy labor, coffee and all fermented and alcoholic drinks. A hard bed, early ris- ing and early retiring for the fleshy, but slender and nervous women should sleep all night and after dinner. Avoid wet feet, damp cloth- ing and bouses, and close rooms; also avoid sexual intercourse until the period is past. Nutritious diet, flannel clothing, general tonic treatment, change of scene If practicable, if not, change of reading, and, to some extent, occupation. Not often fatal. Fewer women than men die between forty-two and forty-nine. For constipation, rectal flush of sugar or molasses and water, or of boneset tea, fifteen minutes before stool. Ripe fruits, succulent vegetables and brown bread. If not sufficient, hot caecal flush twice a week. For dizziness, headache and flashes of heat, drinks of whey, tepid or warm sponge baths with light friction. A lobelia pill every four or six hours. For cold feet, cold water tread daily, when there is sufficient power of reaction ; in other cases warm foot baths with mustard or capsicum. For apoplectic symptoms, a retained enema of a teaspoonful of lobelia and lady's slipper. Tepid baths once a week, followed by light friction from the bare hand of a friend. Milk-leg (phlegmasia dolens).-See parturition, diseases of. Miscarriage.-See abortion. Mouth, Diseases of.-For Aphthce, see Aphthe; for gangrene, see gangrene of mouth; for nurse's sore mouth, see par- turition ; for salivation of pregnancy, see pregnancy, diseases of. In salivation mercurial, the gums, salivary glands, mucous mem- brane of the mouth and tongue become excessively inflamed, saliva and mucous flow sometimes several pints a day, breath fetid, copper taste, may lead to ulceration of the gums, loss of teeth, and even portions of the jaw bone. Use as a gargle every hour one-half teaspoonful of chlorate of potash to an ounce of water. Thrush is an inflammation of the mouth with curd-like patches, and sometimes extends down the throat, with symp- toms of simple inflammation. Attend to the infant's diet; improve the general health; wash the mouth every second hour with one dram of borax to one ounce of glycerine and water, or with one dram of borax in an ounce of strained honey. Ulcer (canker; cancrum oris). Grayish or yellowish white ulcer with red margin, painful, may be fever. The treatment is the same as for thrush, with the addition of smearing the ulcers, between the other applications, with hydrogen peroxide and glycerine in equal parts. Mumps.-See inflammation of parotids. DISEASES AND THEIR TREATMENT. 511 Myopia (nearsightedness)Wear concave glasses. Nephritis.-See inflammation of the kidneys. Nervousness and Nervous Prostration.-Words that indicate different degrees of the neurasthenic condition. Slight nervousness indicates but a transient deficiency in the storage of force in nerve tissues. Needs rest, nutritious diet and general hygienic and tonic measures. Nervous prostration may be practically regarded and treated as neurasthenia. A diet exclusively of wine whey is sometimes appropriate until able to take the neurasthenic diet. This may be aided by the following nutritive enema: Two eggs, one-half teaspoonful salt, one tablespoonful of warm water. Beat well and inject three times a day, one hour after cleansing the rectum with hot water. Neurasthenia.-A lack of nerve force manifesting itself through the organic functions, as nervous dyspepsia, diarrhoea, vomiting, amenorrhoea, retention of urine, etc., or through the sensory functions, as neuralgia, anaesthesia, or paralysis of special senses, or through the muscular functions in general or local convulsions, or through the psychical func- tions, as hysteria. Cause: Degradation of the primary molecules of nutrition of brain and nerve tissue into diseased germs, in consequence of sexual abuse, the use of narcotics, worry, care, excessive brain work, insuffi- cient sleep, social dissipation, unhygienic habits, following the over- developed intellectuality of childhood. Symptoms : According to the particular functions implicated. Treatment: In extreme cases, the rest cure, see page 273. For ordinary cases, as much rest, witli good ventilation, as can be secured. Begin treatment with a thorough colon flush; massage after thorough sponging with castile soap and water, by a young, vigorous person half an hour twice a day over the entire frame, followed by electricity, faradic current from one-half to three-fourths of an hour twice a day, sponges moistened with salt water, placed about four inches apart and moved slowly up and down the muscles until they fully contract; to be used all over except neck and head. The massage to be gradually increased to five hours a day. Diet: At 5 a. m. a cup of nutritive beef tea with a dyspepsia cracker, to be followed by the first massage and electrical treatment of the day, and those to be followed by oatmeal porridge and cream. Breakfast at 9 a. m.; our toast, soft boiled eggs or broiled beefsteak and our coffee. At 11 a. m. a goblet of milk, kumyss, matzoon or kumyssgen. One p. m. dinner; boiled white fish or chicken, or mutton chop, with bread, fruit and cream. At 3 p. m. lunch as at 11 a. m., followed by massage and electricity, and these followed with beef tea or Mosquera's beef cacao. At bedtime a cup of hot milk or two ounces of grape juice. As patient improves, the lunches can be diminished in quantity, and finally omitted entirely, and the meals correspondingly augmented as well as more varied. Neurosis.-Any disorder of the nervous system, as hys- teria, epilepsy, etc. Treated under the respective names. 512 THE SECRET OF HEALTH. Neuralgia.-Nerve pain. Cause : Defective nutrition, overwork, worry, mechanical injury, chemical or disease-germ irritation, exposure to cold; certain diseases predispose to it, anaemia, malaria, etc. Symptoms: May have chilly feelings and pain first, then sharp, burning, acute pain, increased on exertion. May come in paroxysms. Skin over pain may be less sensitive, or the sensitiveness may be greatly increased. Attacks may be at intervals, or not for a long time. Treatment: First, of the irritative kind: Locally, fomentations of lobelia and retained enemas of lady's slipper, and lobelia emetic if necessary; warm bath; non-irritating food and drink. Second, the defective nutrition kind: General nutritive and blood- making methods; locally, rub with hot vegetable oils ; retained enema of skull cap; warm clothing; hardening or tonic methods as required; subcutaneous injections of bovinine near the seat of pain; tapping massage, force gradually increased, but not so as to cause pain. General Treatment: Rest from care and worry. When worse in evening and in heated atmosphere, better in cool, open air, kali, sulph. When cold relieves, ferrum phos. When heat relieves, and cold aggra- vates, magne. phos.; but with excess of tears, natr. mur. In anaemia, sensitive to light and noise, relieved by gentle motion or pleasant excitement, kali phos. Night periodical neuralgia with crawling cold- ness, numbness, worse in bad weather, calc. phos. With white tongue, kali mur. As a general application, menthol crystals one dram, oils of cloves and cinnamon twenty drops each, alcohol four ounces, applied locally. Neuralgia of Anus.-Commonly from fever or Irritable ulcer, or reflex from some genital disturbance. Treat the cause. Neuralgia of Breast (mastodynia).-Cause: Corsets, reflex from irritation of the genitals, occupation. Treat the pain according to the general methods specified under neuralgia; remove the cause; general tonic and alterative methods. Treatment: One teaspoonful of fl. ext. of passillora every three hours, and tinct. of oats ten to twenty drops every three hours. If nec- essary apply chloroform, aconiteFand belladonna liniment, or bella- donna plaster. Locally fomentations of lobelia, or menthol mixture, as in neuralgia. Neuralgia, Cervico-Tracheal. - Treat medically as for cervico- occipital. Electrical: Treat through and through both ways, light cur- rent five minutes, then hands holding negative, treat affected parts with positive ten minutes. Neuralgia, Cervico-Occipital (upper part of the neck and base of the brain).-Tincture of oats ten to twenty drops in hot water every three or four hours for the anaemic variety. For the irritative cool compress locally and hot foot bath. Electrical, negative at base of spine, dampen hair and treat with positive over seat of pain and around the ears very light current fifteen minutes. For the anaemic reverse the currents. Neuralgia of Coccyx.-Cause: Blows, fractures, horseback riding, parturition. Symptoms: Pain and soreness on sitting down and rising, in walking, defecating, or any pressure on surrounding parts. Treat- ment: Nutritive diet; alterative and tonic methods; bowels opened with colon flushes ; warm hip baths; retained enemas of lady's slipper. Neuralgia, Crural.-Medically, as in sciatica. Electrically, sponge electrode, negative pole, upper outside of thigh, positive pole from inside of upper thigh down, move negative down and treat through and through. 2. Treat as No. 2, in sciatica. Neuralgia of Ear (otalgia).-Rapid blood-making food. Thermo- ozone battery. Neuralgia, Facial (tic douloureux).-Treat the pain as for cerebro- occipital; or thermo-ozone battery; or aconite seven to ten drops in six ounces of water, dose one teaspoonful every twenty to sixty minutes; or citrate of caffeine. DISEASES AND THEIR TREATMENT. 513 Neuralgia of Heart.-See angina pectoris. Diet Nos. 21, or 32, or 43, or 48, etc. Neuralgia, Hemicrania.-One side of the face. Treat as facial. Neuralgia, Hysterical.-Fomentations of smartweed; internally tea of smartweed and lady's slipper, or valerian steeped, an ounce of the dry herb to a quart of water, without boiling. Dose one-half cup every one, two or three hours. Neuralgia, Intercostal (pleurodynia).-Paint with menthol one ounce, alcohol one ounce, oil of cinnamon thirty drops. Electrical: negative at base of the spine, treat affected side with positive pole, ten to twenty minutes. Or, if there be anaemia, apply the negative to the side, and use tonic method. Neuralgia of Kidneys (nephralgia).-Fomentations of hops locally; caecal flush of lobelia tea. Neuralgia, Rheumatic and Gouty.-Salicylate of quinine in six grain doses, two or three times a day. Neuralgia, Sciatic.-Neuralgia of the sciatic nerve. Medically treat as rheumatism. Electrically, first negative at feet, treat from feet all over. Second, negative at heel of affected leg, treat locally. Rub sulphur daily into the underclothing over the locality. Neuralgia of Stomach.-See gastralgia. Night Sweats.-Hot sponge bath, or inunction of qui- nine two drams, oil of cinnamon one dram, lard four ounces. Apply with brisk friction. Nipples, Excoriated.-Tannic acid and glycerine one part to four, applied frequently. Nipples, Fissured.-Calc, fluor, three times a day, or balsam peru one-half dram, tincture arnica one-half dram, almond oil one ounce, lime water one-half ounce. Apply locally. Noises in Head.-From blood pressure, inflammatory states, ferrum phos.; with stuffy sensation, swelling of eu- stachian tubes, kali mur.; in watery conditions, natrum mur.; with weakness, confusion, general exhaustion, and for the aged, kali phos.; ears open at times with loud report, silicea. Nose Bleed.-See epistaxis. Mustard over the stomach and on the calves. Nose, Red, not alcoholic. Bathe it in hot five per cent, solution of boric acid. Nostalgia.-See homesickness. Obesity.-Obesity is of three kinds: 1. Caused by too much fat in the food, which is incompletely oxidized in the system-over-fed corpulence. 2. Fatty degeneration in which the normal tissue is replaced by deposits of fat-diseased cor- pulence. 3. The retention in the system of water, the unused products of digestion, and the broken-down tissue which should be expelled-cloister corpulence. 514 THE SECRET OF HEALTH. Certain physiological facts are observable in corpulence. The blood vessels are smaller than the normal average, and pulmonary respiration is below medium; short breath; spas- modic respiration and suffocation result when pushed. Hence cutaneous respiration is more imperative, and ability to wear warm clothing correspondingly diminished. Hoarseness, ten- dency to sleep and disinclination to activity are marked. Digestion is frequently very rapid and there is a strong desire for meats. There is special danger of heart affections and apoplexy. In some cases corpulence persists, even on almost a starvation diet. Causes: In determining these regard must be had to two facts: (a) Cloister corpulence is the direct result of insufficient oxygenation; (b) over-fed corpulence is often the result of a constitutional tendency by reason of which it is overfed, even though the real supply be less than the average, (c) Diseased corpulency may be the final product of either of the others. Of two monks, both on the same abstemious diet, one will remain spare and become almost shadowy, while the other waxes to enormous proportions. Our explanation is this: By consti- tutional tendency the respiratory process in some cases may be under- operative in the presence of conditions that make it normally active in others. In both cases, therefore, whether overfed or under-oxygen- ated, constitutional tendency is the prime cause. But what is consti- tutional tendency ? There are three kinds of nutrition, viz.: (1) Heat and energy nutrition, which keeps up the animal heat and supplies working power; (2) reparative nutrition, which replaces the wear and tear of the system; (3) growth-nutrition, which adds to the amount of tissue-normally confined to childhood and youth, except as seen in the healing of wounds by new tissue. By constitutional tendency in the overfed, we mean the growth-nutrition of childhood perverted and excessive in childhood, or perverted and prolonged beyond child- hood, the perversion consisting in the assimilation of fat mainly, instead of fat and bony and muscular tissues in due proportions. This tendency is sufficiently accounted for in all cases of obese inheritance, but when it originates in the individual, to explain it would require a careful scrutiny of all the dietetic, respiratory and active forces of his childhood. The Cure must be considered under two aspects, viz: (1) That which relates to the constitutional tendency, and (2) the merely inci- dental-i. e., diet and hygiene. Suppose a child abnormally fat were to be treated. Obviously the thing to be done is to exalt every other vital function than that of fat production until the proper balance becomes normal and continued; then the perversion has ceased. Those vital functions are other tissue production, tissue metamorpho- sis and elimination. The adult in the same condition has only perpet- uated that perversion of growth-nutrition beyond childhood and needs precisely the same treatment, with the added vigor necessary to overcome an established physiological habit. But, as these vital functions are best exalted by what we have termed the Incidentals of diet and hygiene, so both may be embraced within the incidentals. Diet. Breakfast: Five ounces of lean meat or the yolks of two eggs, two ounces of stale bread or toast with a little butter, tomatoes, radishes or lettuce and a cup of clear coffee. Dinner: Seven ounces of lean meat or fish, spinach, string beans, beet tops, cabbage, asparagus, onions, cauliflower, celery, cresses, squash, turnips and cooked tart fruits as desired, rice or macaroni three ounces, lemon-water sparingly if urea is in excess, and plentiful if it is deflcient. DISEASES AND THEIR TREATMENT. 515 Supper: Yolk of an egg or one ounce of lean meat, two ounces of stale bread or toast with butter, four ounces of grapes, oranges, cher- ries, berries or sour apples and a cup of clear black tea. Avoid fat, thick soups, sauces and spices, hominy, oatmeal, white and sweet pota- toes, beets, carrots, starches, parsnips, puddings, pies, cakes, all sweets, milk, water if urea is in excess, alcoholic drinks, malt liquors, wines and cider. If necessary, eat but one article at a meal. Hygiene: 1. Air of purest quality and in largest measure; system- atic out-door exercise, the most violent and long continued that pru- dence will allow, with all necessary out-door rest intervals. Liebig held that obesity consisted in a "want of equilibrium between res- piration and nutrition," therefore, help respiration up and put this kind of nutrition down. In other words, deepen respiration, which burns off the fat and removes solids from the body. Once every hour stand with hands pointing upward and fingers extended, then rise on tiptoe and stretch every muscle from toes to finger tips in the effort to reach higher. Once every hour stand on the right foot, take a deep inhalation and strike with the fist of the right hand straight out from the shoulder three times before expiration. Rest one minute and in the same way strike with the left. Repeat two to six times. These exercises will be useless if taken in corsets or light dresses. For this purpose any dress is tight that prevents the fullest possible expansion of the short ribs. 2. Much perspiration by forced exercise in warm garments, followed by sponging off with cold water, two or three times a day. This exercise should be taken regularly, and may consist of a rapid walk, gymnastics, wood-pile, wash-tub, or anything that excites free perspiration and that can be repeated at the same hour every day. If the obesity be considerable, before resorting to any violent exercise a physician should be consulted, to be sure that the case is not diseased obesity, for if so, no self-treatment is safe. 3. Bowel cleansing three to seven times a week. Take two to four quarts of hot water, contain- ing one to two drams of phosphate of soda, inject at bedtime and allow to pass off with the help of bowel kneading and shaking. 4. Take hot vapor bath once or twice a week. 5. Medication. For foul tongue, three doses a day of fluid extract of bladder wrack is very helpful, but the medicine should not be relied upon to the neglect of the other parts of the treatment. Fluid extract of poke berries is also very efficient, but either medicine should generally be dosed by a physician to suit the case. Obstruction of the Bowels.-Complete stoppage of the passage. Cause: Strangulated hernia, permanent stric- ture, inflammatory adhesions to walls of abdomen, or of the inner coats of the bowel, tumor, impacted feces, solid concen- trations of chalk, magnesia, etc., intussusception, and spas- modic stricture. , Symptoms: Colicky pain, increased by pressure, vomiting, tym- panites. feeble pulse, haggard look. Difficult to distinguish any of the last four causes from the others, but these four only can be treated without physician ; hence always secure one immediately. If this can- not be done proceed as follows : Treatment: If of the rectumor colon repeated flushes of sweet oil two ounces, molasses four ounces, and milk one pint warm. If of the small intestines, first clear the colon its entire length, then foot of bed raised ten or twelve inches, inject warm sweet oil as much as pos- sible, and gently knead the locality of the ilio caecal valve until a por- tion passes into the small intestines, then knead gently all around the navel and gradually up toward the stomach. Retain it two or three hours, if practicable. Then when the obstruction seems to be softened give four to six ounces of sweet oil by the stomach. Or, give enemas of peroxide of hydrogen one to three teaspoonfuls in flaxseed tea. This generates ozone gas, and by expanding the bowel, may relieve the obstruction. These failing, steep fifteen grains of tobacco in one 516 THE SECRET OF HEALTH. pint, of hot water, and give by stomach or enema one ounce every thirty minutes until nausea and free perspiration. Finally, if neces- sary, rectal injections of one-half pint to one quart of kerosene oil diluted with equal quantity of warm water. Overwork Venous Congestion of Brain.-Symp- toms: Loss of grip on affairs, thoughts slow, despondency, tearfulness, fearfulness, tendency towards melancholia. Treat- ment: Rest, mustard on legs and arms, sleep, recreate. Nu- tritive diet. Revulsive method more strongly if necessary. Oxaluria.-Oxalic acid diathesis. The formation of oxalate of lime crystals in the urine, tendency to " mulberry " calculus. Cause: Impeded metamorphosis of tissue. Symptoms: Nervousness, irritability, hypochondriacal, emaci- ated, pain in loins, Irritability of bladder, weakness; these are deci- sive only when oxalic deposits also occur in urine. Treatment; Much out-door air and exercise, much cold sponging, food in moderation, excluding all sweets, effervescent wines and beer, rhubarb, apples, and boiling all drinking water if in a limestone region. If necessary, take on an empty stomach three times a day one teaspoonful of permanganate of potassium eight grains, water two ounces. Ozoena.-Treat as for nasal catarrh, chronic. Pain.-The cry of a nerve for food, or because of chem- ical irritation or mechanical injury. Treatment: Remove the cause. Never narcotize if relaxation will afford relief. Nar- cotics, opiates, anodynes, sedatives, all strangle the cry but do not remove its cause. Relaxants open the emunctories and drain off the chemical irritation. The starvation-cry and the injury-cry must have ministration appropriate to the need, not strangulation. There are four remedies of chief importance for the relief of pain in a strictly physiological way, without doing violence to nature. It may sometimes be necessary to resort to narcotics, but it should be clearly necessary, and abandoned as quickly as possible. Cypripedium Pubescens.-Lady's slipper is a pure nervous relax- ant, but should never be used in advancing putrescent conditions. Dose ten to thirty grains every four hours. Eupatorium Perfoliatum.- Boneset, thoroughwort, is nearly a pure relaxant to muscular and fibrous internal structures, but should not be used in cold, sluggish states of stomach and relaxed bowels. Used cold it is a soothing and relaxing tonic. Used warm it is a slow and persistent diaphoretic, one ounce to one quart. Dose one to three ounces. Cimcif uga Racemosa.-Black cohosh is a peculiar nervous relax- ant, soothing both body and mind. Softens and lowers the pulse, allays serous irritations and increases capillary circulation. Should not be used when pulse is depressed, skin cold and tissues relaxed. Dose five to ten grains every four to six hours. Lobelia is a universal relaxant, equalizing the circulation and open- ing the excretory organs. Should not be used in low, semi-putrescent DISEASES AND THEIR TREATMENT. 517 conditions. Emetic dose forty to sixty grains. Broken doses two grains or more as often as needed. , First ascertain the kind of structure implicated, nervous, muscular or serous, then administer the remedy indicated by stomach or retained enema, and whatever relief results is curative, not deceptive. The parts are helped, not deadened. For urethral pain, inject mullein oil also, one-half to one teaspoonful. Palate, Elongation (relaxation of uvula) Gargle two or three times a day with an astringent, or negative sponge electrode at back of neck, repeatedly touch end of the palate with positive, fifteen minutes. Or paint it with tinct. calendula two drams, and tannic acid sixty grains, glycerine one ounce, three or four times a day. Palpitation.-See heart, diseases of. Paralysis.-Partial or complete loss of sensibility or power of motion of a part. Cause: When there is no apparent cause the paralysis is called functional. Apparent causes are inflammations, disturbances of circu- lation, new growths, injury, pressure, poisons, as lead, arsenic, etc., infectious diseases. Symptoms: Inability to use certain muscles. After awhile, from disuse, the muscles may become smaller, or atrophied. There may be anaesthesia or hypersesthesia of the skin. Treatment:' Hemiplegia, paralysis of one half of the body from the crown of the head down; paraplegia, paralysis of one-half of the body below some point of the spine, and local paralysis, i. e., of some single muscle or set of muscles or limb. Should all be treated upon these general principles, viz: 1. Ascertain if the cause be congestion of the brain, cord or local nerve. 2. If it be anaemia of the brain, cord or local nerve. If congestive, the application of a sponge wrung out of hot water to the spine will give burning pain. If anaemic it will not, and there will be other signs of anaemia. 3. If congestive, apply general revulsive treatment mild, and give a sponge bath under the bedclothes several times a day, rubbing dry with the bare hand. Fer- rum phos. every one to three hours, and fluid diet. 4. If anaemic, nu- tritive and tonic methods, hot local baths alternated with cold, usually a two-fold change, i. e., hot two to five minutes, cold one, hot one, cold one-half, every other day, and on the alternate days apply the muscle beater to the affected and adjacent muscles from'five to fifteen min- utes. This may be made as follows: Take four sections of rubber tubing fifteen inches long and three-eighths of an inch in diameter. Insert in each a whalebone of about equal length. Now slip one end of all the tubes into a larger tube three inches long, which will serve for a handle. Tie tightly. Strike so as to increase circulation, but not give pain. Give kali phos. every two to three hours, and sleep much. 5. If from lead or mercury, and circumstances forbid a thor- ough coarse of packs and baths, give five to fifteen grain doses three times a day of iodide of potassa to form an insoluble compound with the poison. Electricity, selecting the current that gives the greatest muscular contraction with the least pain, is valuable, especially when caused by anaemia. The thermo-ozone battery is probably equally beneficial, and much more safe in unpracticed hands. Paresis.-The paralysis of the insane. Infrequent, always fatal. Parotitis.-See inflammation of parotids. Mumps. 518 THE SECRET OF HEALTH. Parturition, Diseases of.- Child-bed Fever.-Inflammation of the uterus and peritoneum. Very dangerous. Call physician immediately. Meantime, as soon as these symptoms appear, viz.: slight chill and great depressions, another more severe, tenderness in lower abdomen, pulse rising, face flushed, pain, on back with knees raised. Move bowels freely with a pint of tepid soap water, and follow with retained enema every hour of an even teaspoonful of lobelia in a little starch water. Also give by stomach a tea of two parts white root, one each of ginger and lobelia in a pint of boiling water. Dose: Eight tablespoonfuls every fifteen minutes, and treat abdo- men, limbs and feet as for flooding. These failing, and breathing becomes short, countenance pinched, nausea, belchings of wind, vom- iting of yellowish, greenish or black substance, push the injections, double the dose of lobelia in the tea until free vomiting, then continue in small doses. By so doing life may be saved. An acidulated drink of water one pint, sugar one ounce, and pure hydrochloric acid one dram, or pure nitric acid thirty-five drops, or pure nitro-hydrochloric acid forty drops, is very agreeable and useful. Keep in glass or porcelain. Colic.-Symptoms: Abdomen tender on light pressure, relieved by steady, firm pressure; slight bloating. No fever, headache, or other symptoms of childbed fever. Treatment: One teaspoonful of magnesia in mint water every foul hours; enema of one-half pint of catnip and white-root infusion. Convulsions, Puerperal. - Occur during and may remain aftei delivery. Treatment: Give a tea of blue cohosh, lobelia seeds and ginger equal parts; cayenne half a part, a heaped teaspoonful to a pint of hot water. Dose, two or more tablespoonfuls every ten minutes. If unable to take it by stomach, give an even or heaped teaspoonful of the powder in three ounces of starch water as a retained enema every thirty to sixty minutes. If feet are cool wash them every two hours in strong cayenne water. Flooding.-Symptoms: Fast, soft, fluttering pulse, cold cheeks and nose, pale lips and sighing respiration. Treatment: Lose no time, whether there is any outward show of blood or not. Call physician at once. Meantime secure firm uterine contractions, and draw the blood to the surface. Combine stimulants and astringents (more of the first than of the last) in a tea for the stomach, of which give one to six tablespoonfuls every three to ten minutes, or give the powdered articles in proportionate doses in tepid or starch water enemas until the tea can be prepared. Same if stomach rejects the tea. The best stimulant is cayenne pepper, but prickly ash bark, black pepper, smart weed or ginger may be used, and dosed according to its strength. The best astringent is bayberry bark, but hemlock bark, sumac bark, raspberry leaves, belli root or witch-hazel may answer. At the same time bathe feet, legs and abdomen with the strongest possible tincture or tea of red pepper, and then wrap in flan- nel wrung out of hot water, re-wet every ten minutes, with hot bricks to feet and hips. Flooding may be averted by the use of composition tea during the last two hours of labor. Pericarditis.-See heart, diseases of. Peritonitis.-See inflammation of the peritoneum. Perspiration, Offensive.-If of armpits wear daily a compress of pine twig, or hay-flower tea fifty minutes. Night shirt wrap, three times a week. Cold sponge daily, and keej bowels open with caecal flush. Petit mal.-A transient, mild form of epilepsy. Pertussis.-See whooping cough. DISEASES AND THEIR TREATMENT. 519 Pharyngitis. - Inflammation of the pharynx; sore throat. Cause: Exposure to cold when overheated; the irritation of much speaking, corrosive fluids, fumes, gases, dust, smoke, etc., the narcotism of tobacco. Symptoms; Pain, redness, swelling,cough, hoarseness, expectora- tion, difficult breathing and swallowing. Treatment: Remove cause. Average or strong diaphoretic treat- ment immediately. Flannel bandage four thicknesses, wrung out of hot water covered with similar bandage dry. Re-wet every five min- utes three or four times, then oil-rub the throat a long time, then wrap in a soft linen cloth wrung out of warm water covered by a dry cotton one. In morning repeat the throat rub. If case is chronic, repeat local treatment every night, anti three or four times a week take a hot sponge bath (alkaline) and rub dry with the hands. Inhale steam from a teakettle every evening. Phthisis, Fever of.-Control as far as possible with water applications and air baths, avoiding antiphlogistic drugs. Apply the principles underlying the treatment of simple fever, using the wraps, baths, etc., at such temperature as is best found to accomplish the object in each case. If any article of diet, mode of exercise or custom increases the hectic, avoid it. Piles.-See hemorrhoids. Pin-worms.-See worms. Plethora.-A morbid increase of the red-blood discs. Cause: Excess in eating and drinking, and want of exercise. Treatment: Cut down food, increase exercise, or, if that be impracticable take oxygen freely, colon flush daily, alkaline sponge baths daily. No malt liquors. Pleurodynia.-See neuralgia. Pleurisy.-Inflammation of the pleura. Acute. Treat- ment : A full, hot bath, then in bed with wet compress on the part and redden the legs with mustard. Not procurable, aconite and bryonia in alternation every twenty minutes, or lobelia tea, one dessertspoonful every fifteen minutes, until pain ceases, then every two hours until well. Feet and hands in hot water and heat to affected place. Harden the system after recovery by cold salt sponge bath daily and a morning foot-tread of cold water; shirt bath once a week; head ablution daily. See also, inflammation of pleura. Pneumonia.-See inflammation of lungs. Poisoning'.-See poisoning and treatment for in acci- dents and poisons. 520 THE SECRET OF HEALTH. . _ Frmmtif 'tfWtntlun hesstT' O FIG. 12. DISEASES AND THEIR TREATMENT. 521 Polypus, Nasal.-Consult surgeon. Pregnancy, Signs of.-There are none that can be deemed decisive until the sound of the foetal heart can be detected. Pregnancy, Diet of.-Breakfast and supper largely milk, fruits and eggs. Dinner the best of meats, one vegetable and whole wheat bread. No desserts. Five pints of fluid in twenty-four hours, cold orhot, but none with food as drink. Intervals between meals should notbe so long as to cause faintness. A light lunch between is preferable. During the last three or four months omit the meats and live largely upon fruits and whole wheat bread. Pregnancy, When It Will End.-Count back three months from disappearance of last period, and add seven days. e. g. The last <dosed July 1. Three months back is April 1, seven days added fixes April 7 as the time. Pregnancy, Diseases of.-These arise mainly from the disturbed innervation caused by the pregnant womb, and by the mechanical effects of its increase in size and weight. Fig. 72 shows the relative size and position of the organs prior to Impregnation. Fig. 73 shows the size of the womb at differ- ent months of pregnancy. With a form like the Grecian statue, Fig. 74, this difference in size could be easily provided for by Nature, but with the improved (?) modern style, Fig. 75, it is no wonder that it is a state full of perils. Albuminuria of.-Ten to twenty drops of chloroform four times a day. Calc. phos. Appetite Morbid.-Eat a natural sufficiency of plain food at meal times only. Drink hot water or hot lemonade when it seems as if food must be taken. Burning Feet, a barefoot walk in the grass while the dew is on morning and evening. Constipation.-Cause: Too much abdominal clothing, too little on the extremities, restricted deep respiration, and the common use of drugs predisposes the bowels to feel the reflex nervous action from the uterus, or most easily to yield to its mechanical pressure. Treatment: In addition to what is said under constipation the following food table by Dr. Stockham will suffice with exercises 3, 12 b. 13 b. c. g. h. and 19, carefully adjusted to strength and condition. Laxative: Rolled and cracked wheat, bread, gems, biscuit, griddle cakes, crackers, mush from flour of entire wheat, graham flour, granula, bran gruel and jelly, fruit puddings and pies, all fresh acid fruits, bananas, dried figs, prunes and prunelies raw, and stewed dried fruits that contain hydrocyanic acid, peaches, plums, prunes, the best New Orleans molasses, rhubarb, onions, celery, tomatoes, raw cabbage, corn, squash, cauliflower, green peas, spinach, beets, liver, oysters, wild game. Constipating: Hot and white bread, white crackers, black pepper and spices, pastry of white flour and lard, bread, rolls, dumplings, etc., made witli baking powders, cake, custards, salted or dried meats and fish. Smoked meats, poultry, cheese, chocolate, cocoa, boiled milk, tea, coffee, coffee from wheat, corn, barley, toast, etc., beans, potatoes, farina, sago, starch, tapioca, rice, raspberries, blackberries. Neutral: Lean fresh meats, fresh fish, eggs, raw milk, oatmeal, buckwheat, cornmeal and sweet potatoes. Cramps,-Reverse the circulation by lying with hips and feet high and head low, or take the knee-chest position, resting on knees and head. FIG. 73. 522 THE SECRET OF HEALTH. Diarrhoea.-Treat as diarrhoea. Enlarged Veins.-Bandage as for swollen limbs. Should one be ruptured, bind on it a compress wet in strong oak bark or hemlock tea. Re-wet every hour. Fainting.-Patient on back with head low: loosenail tight cloth- ing; admit plenty of fresh air, and fan gently; rub chest briskly with rough, dry towel; sprinkle cold water in face. Should unconscious- ness be protracted, bathe arms, hands and lower extremities with any convenient stimulant. Heartburn.-Equal parts powdered chalk, charcoal and blue ver- vain leaves, mixed; one-half teaspoonful every four or six hours. Or, two ounces golden seal made into half a pint of syrup, add a small, FIG. 74. FIG. 75. even teaspoonful bicarbonate of soda and one-half ounce of the tinc- ture of gum myrrh; one teaspoonful or more every three or four hours. Or, fifteen to twenty drops of aromatic spirits of ammonia in water. Headache.-Cause: Uterine irritation, or indigestion. Irritation- Symptoms, sore pain at base and top of brain, constant, generally worse toward evening and relieved by lying down. Treatment: Warm sitz bath daily, hot fomentations to back of neck, recline. Indi- gestion-treat as indigestion. Insomnia.-Water tread, or sitz bath 90° with hand friction of spine from neck down. If anaemic or irritable without congestion, drink slowly a cup of hot milk or toast water. If sleep does not come do not care, take it philosophically. Change to a lounge or rug, and call up as pleasant thoughts as possible and wait. Itching-.-If from discharge, treat that. If from inflammation, dailv sitz oath, tepid or cool, and cloths saturated with borax solu- DISEASES AND THEIR TREATMENT. 523 tlon one teaspoonful to the quart. If from dryness, apply glycerine upon cotton. If from eruptions, apply upon absorbent cotton tinct. of lobelia two drams, glycerine and alcohol eacli one ounce, and slowly add two drams of benzoin tincture. If of vulvae, solution of equal parts of borax and alum; or, hyposulphite of sulphur one-half ounce, glycerine two drams, water five ounces, as a lotion; or, cleanse with hydrogen peroxide one part to three of soft water, then dust with Squibb's pure pulverized boracic acid, and keep irritated surfaces apart with absorbent cotton. Replace when they become moist. Longings or Cravings.-If for articles that are harmless, indulge them to a reasonable extent; if for other things, divert the mind and resist. .Milk Leg (phlegmasia dolens).-An affection of mothers, usually beginning the second or third week after delivery. Cause; Throm- bosis of the internal iliac and femoral veins, causing obstruction of the veins and capillaries, giving rise to painful hard swelling of the limb, with great prostration. Symptoms: Total loss of muscular power, pain, fever, great swell- ing, with hard round cords, fetid flow, arresting or diminishing of milk secretion, profuse perspiration and thirst, and when suppuration occurs probably fatal. Treatment; Perfect quiet in bed; simple diet; bathe limb, if not very hot, with camphorated sweet oil ; if very hot, with lead water six parts and laudanum two parts. Or, foment with one pound of bicar- bonate of soda, one-half pound peroxide of hydrogen, and four ounces of poppy heads to a gallon of tepid water, and wrap in impermeable cloths. After inflammation has subsided, bandage thoroughly and give tonic treatment. Electrical. Acute. Negative under foot, positive sponge all over the limb moving downward, ten minutes morning and night, light faradlc current. Chronic. Currents reversed, and apply as hot as patient can bear hamamelis tincture one ounce, to water one pint. Miscarriage. See abortion. Morning Sickness.-Cause: Biliousness from too much sweet and starchy food, ami reflex from irritability of the uterus. Treatment: For the biliousness plain light diet free from fats and sweets. For the nausea, parched corn coffee before rising. Fomenta- tions of stomach and liver an hour daily, followed by warm or hot colon flush. Small pieces of ice swallowed whole. Iced carbonic acid water. No increase of quantity of food unless a healthy appetite craves it. Wine of ipecac live to ten drops in a glass of water, one teaspoonful every ten minutes; or, five drops tincture of lobelia in the same way ; or, if very obstinate, ten to thirty drops of fluid extract of adrue in water, as needed; or, sip water as hot as it can be borne. Digestants are often effective, lacto-peptine, ingluvin, papoid. Nervous Cough.-Four ounces spikenard root, one ounce each of comfrey and cherry bark, and one-half ounce each of lobelia herb and blue cohosh; mix and pour on one pint of warm (not boiling) water; when cold, add a pint of Madeira wine and one-half pound sugar. One teaspoonful every hour, or oftener. Rest, fresh air and sunshine absolutely necessary. Neuralgia.-Treat as neuralgia, but giving preference to hot baths, fomentations and magnetic rubs by the hand of a healthy person of congenial temperament and warm sympathy. Palpitation of the Heart.-During the paroxysms lie or sit down, loosen clothing, admit free air; tea of lady's slipper or scull cap; or lobelia pill every hour; warm foot baths; plain diet. Pigmentation of (discoloration).-Apply morning and evening of cacao butter and castor oil each two and one-fourth ounces, zinc oxide forty-five grains, oil of rose, sufficient. Piles.-Live on liquid foods for a few days, and take hot colon flush. Apply externally or inject with a small syringe fl. exts. of witch hazel and mullein each one dram, linseed oil two ounces, or inject a gill of tepid water containing a teaspoonful of powdered elm. Rigid Abdomen.-Compress of lobelia tea an hour daily, and rub in olive oil. Salivation.-Drink hot water, or hold in the mouth very cold water. Or wash the mouth with solution of tincture of myrrh, ten to tweukv drops in one-half cup of water. 524 THE SECRET OF HEALTH. Swollen Limbs.-Apply roller bandages from the toes to above the swelling. Remove nights, and wash the limbs in cold water morn- ing and night. If face is swollen, pale and puifv, seek medical advice. Urine.-Inability to retain. When from the sympathetic irritation of the first period, drink freely of cold tea of cleavers or elm bark, and every six to twelve hours use retained enema of elm and lady's slipper. When from the irritation or pressure upon the neck of the bladder, treat as above, keep bowels open and lie much with hips elevated. Inability to void. When from spasmodic contraction of the neck, use retained enema of one-half leaspoonful of lobelia herb in elm, and repeat every three or four hours as needed. When from causes unknown, warm hip bath. Also use a wineglassful three or four times a day of trailing arbutus and hair cap moss each one ounce, liquor potassa two drams, warm water one quart. Infuse herbs two hours, then add the potassa. Vomiting in.-Fl. ext. of hydrastis canadensis twenty drops four times a day; or, the bark from the last year's growth of the peach, filling a tumbler and covered with water. Dose, one teaspoonful after every act of vomiting, and one every hour after it stops; or, a dose of in- gluvin after every meal. For the stomach troubles of the last six or eight weeks of pregnancy five grains of papoid three times a day. Vomiting of Blood. - Lie down, cover well; heat to feet; bathe ex- tremities (if cold) with pepper and mustard water; warm composition tea. Prolapsus Ani. - Falling of the rectum. Protrusion of the mucus or muscular coat of the howel. Cause: Straining at stool, or the irritation of worms piles or enlarged prostate. Treatment: Remove cause. Assume knee-chest position and return it. That not practicable, anoint the sphincter witli sweet oil three parts, oil lobelia one part, and try again and again until suc- cessful. Then apply a compress and wear a T bandage. Keep bowels soft with extract of butternut, and three times a day take a retained rectal enema of a strong tea of witch hazel and golden seal one to two ounces. Avoid heavy lifting. Prolapsus Uteri.-The fall of the uterus below its normal relation (see Fig. 72) with the other parts of the pel- vic viscera. Its cause is, primarily, mainly the unnatural sys- tem of dress that prevails. Fig. 76 shows a natural female form. Fig. 77 shows one with the protruding abdomen, limp breasts, and weak attitude of a distortedform externally. Fig. 78 shows the gradations of the internal prolapse, while Fig. 79 shows the posterior displacement, and Fig. 58, page 400, the anterior, that occur ■when the prolapse does not. Yvostratiou, Excessive-Collapse.-Condition as of shock not rallied from. Symptoms: Face pallid, pupils dilated, FIG. 76. FIG. 77. DISEASES AND THEIR TREATMENT. 525 skin cold and clammy, breath gasping, pulse feeble or absent, brain perturbed, complete muscular relaxation. Treatment: Add to the whisky enemas for shock, spirits of turpentine one- fourth to one-half ounce in elm or gum water. Bathe with ammonia and warmwater, dry and rub with dry mustard, mus- tard plasters to feet, and scorching hot pillows to both sides of spine. Hot bricks all around body and in side of arms and thighs, and much warm hand friction. Proud Flesh.-Over-production of the granulations by which an open wound heals. Perfectly harmless. Sprinkle with a little burned alum or tannin. Pruritus. - Intolerable itching with intense desire to scratch; aggravated by heat. Cause. Pregnancy, change of life, prurigo, eczema, neuras- thenia. Treatment: Treat the condi- tion from which it springs. Locally try one thing after another, if nec- essary, until the right remedy for that particular case is found. In inflammatory cases, tincture of myrrh well diluted, or a tea of poppy heads with one-half teaspoon- ful of sugar of lead to the pint. With eczema, a saturated solution of boroglyceride, four ozs and per- oxide of hydrogen 1 oz. Apply fre- quently; or menthol two to ten grains to the ounce of water, used as a lotion ; or menthol five parts, bals. Peru nineteen parts, lanolin 200 parts, use as an ointment. Witli no eruption-a lotion of a dram to the pint of powdered borax, or sulphate of soda; or, as an ointment, menthol three parts, olive oil thirty parts, lanoline thirty parts. Pruritus ani.-A twenty per cent, solution of menthol painted on as often as necessary. A cold water pour is also excellent. Generally alkalis, such as sodium bicarbonate, lithium carbonate, and alkaline waters are beneficial in pruritus. Ptomaines.-Brieger says that while a "certain quan- tity of oxygen is necessary to form ptomaines, a free supply invariably yields non-poisonous ones." Therefore crowd oxy- gen treatment in all ptomaine diseases. FIG. 78. 526 THE SECRET OF HEALTH. Purulent Ophthalmia.-Water boiled and reduced to 105°, then poured from a pint tin on the eye and between the lids, ten to fifteen minutes every hour. Pyrosis.-Water-brash, an alkaline or brackish fluid which rises to the mouth when the stomach is empty. Treat- ment : Avoid alcoholic drinks, and take an hour before meals, twenty grains of subnitrate of bismuth. FIG. 79. Quinsy.-See inflammation of tonsils. Quinsy, Malignant.-Combine the treatments for quinsy and diphtheria. Rabies.-See hydrophobia. Rectum.-Abscess, cancer, foreign bodies in, polypus of, stricture and ulcer of, are all diseases for the surgeon. Relapsing and Remittent Fevers.-See fever. Respiration, Difficult.-Treat the cause. Quebracho, cactus grand., expectorants when indicated, stimulants if required, antispasmodics if needed. Fig. 80 shows a sling for the relief of such sufferers. Respiratory Diseases.-As general remedies, when uncertain for what particular disease to treat, eucalyptol five DISEASES AND THEIR TREATMENT. 527 to ten minims in emulsion every four hours for chronic, irri- table cough, chronic bronchitis and chronic pneumonia. Val- uable in phthisis, reducing the amount of expectoration and holding gangrenous processes in check. Hydrogen peroxide one to ten parts per one hundred of water is never to be omitted. Respiration, Suspension of-Asphyxia. - Treat- ment: Fresh air, cold water on face, warmth to extremities, artifi- cial respiration as for drowning, legs rubbed upward, oxygen inhalations, or one to three teaspoonfuls of peroxide of hydrogen in bowel enema, or one drop of a one per cent, solution of nitroglycerine on the tongue. Retroflexion and Retrover- sion are the same as anteflexion and anteversion except that the body of the uterus falls backward instead of forward. Rheumatism (Bacillus Amylo- bacta)-Cause: There are two ad- vanced theories: 1. The germicidal (Acute). Impaired nerve centers give feeble vitality, weak digestion and by reason of suboxidation of food, the generation of butyric and lactic acids, or of those products of change which are immediately antecedent to these acids; for lactic acid cannot exist in the blood. Chronic: Insanitary conditions degrade certain primary elements of nutrition into the disease germ, which with its ptomaines are the factors of the disease. 2. Biochemic (acute and chronic). Certain atmospheric conditions cause a difi- ciency of sodium phosphate in the blood which deficiency allows the acids to irritate and cause articular rheumatism. A like deficiency of chlorate of potassa causes the exudation of fibrinous material and the swelling of arthritis, or acute rheu- matism. Other forms are caused by lack of other salts. Facts prove that the bacilli are present, and that supply- ing the deficiency of the indicated biochemical salt does cure. Fig. 80. 528 THE SECRET OF HEALTH. Therefore both theories are correct, the biochemic giving the true explanation of causes, the germicidal, a statement of resultant facts both before and attending the attack. It also seems probable that inheritance may in some cases be equiva- lent to the atmospheric conditions referred to. Acute Arthritis.-Acute or inflammatory rheumatism, or rheumatic fever. Symptoms: Chilliness. After some hours, fever, throbbing headache, thirst and high colored urine. A joint swells, pains, is stiff, red, hot. Fever increases, sour smelling sweat, intense sensitiveness of affected joint; appetite lost, tongue coated white, constipation, brickdust sediment in urine, sleep greatly disturbed. May be trans- ferred to some other joint. The lactic and butyric acid elements irri- tate the red blood discs and cause inflammation of the white fibrous tissues, because not neutralized by a sufficiency of sodium phosphate, and if there be deficiency of chlorate of potash also, exudation, swell- ing occurs* Treatment: Preventive. Thorough oxygenation of the blood to prevent the formation of the offending products. Fasting from four to ten days with plenty of water to drink and frequent spongings, will cut off the supply of these acids and expel them from the body and thus cure the disease. The alcohol vapor bath or home Turkish bath will hasten their expulsion from the system. If medicines are preferred, ferr. phos. to reduce the congestion ; kali mur. to prevent or control the swelling; kali phos. for stiffness, paralytic tendency, pain; kali sulph. for shifting, wandering attacks; mag. phos. alternately with kali phos. for severe pain, if that fails to relieve or generally, one teaspoonful of a solution of tincture of manaca one dram to ten ounces of water every hour or two. Lobelia tea in non-nauseating doses will sterilize the bacilli and fomentations of hot tansy or wormwood will neutralize their ptomaines, while a vapor bath of hemlock leaves will eliminate them from the tissues. So aii ointment of salicylic acid, lanolin and turpentine each half an ounce and lard four ounces applied without friction and covered with flannel, has been found by Prof. Bourget of Lausanne to cure quickly with no other treatment whatever. Painting the joint with ichthyol has likewise been successful. Diet, No. 5 to 13, as may be preferred. Sub Acute.-Is a repetition of former attacks of acute without the fever. Treat as for acute, but more mildly. Chronic, is where the inflammatory conditions have been so long continued that new, devitalized tissues have been formed with more or less structural change. Symptoms: Joints swollen and stiff, usually worse at night, in stormy weather, or exposure to cold or damp. Treatment; Avoid causes that provoke it. Calc. phos. the chief remedy; kali sulph. for wandering rheumatism; kali phos. morning rheumatism, better by slight, worse by severe exertion; kali mur. for swelling and all movements give pain, or five drops of tincture of manaca every three hours. Hold the affected places under running cold water for an instant, then knead, rub, pinch and wring them with the other hand until dry. Rest and then hold them under again one to five minutes, repeating the kneading, etc., while under the water. Must be thorougly red and warm before dressing. If this fails try massage, as for sprains. Many liniments are beneficial because they quicken the absorb- ents, or neutralize the ptomaines. Use liniment of oils of olive and Wintergreen equal parts, or a four per cent, carbolic lotion applied on flannel compress nights, or Burgundy pitch softened with alcohol applied as a plaster. Electrical Treatment: 1. Sponge electrode positive pole on leftside below the heart, negative pole on right side over liver and back over kidneys, strong current five minutes. 2. Treat through and through the affected parts each way three minutes. 3. General faradization pventy minutes. Joints swollen and immovable, metallic band elec- DISEASES AND THEIR TREATMENT. 529 trode around the limb, positive, another below the joint, negative, current continued until some motion can be found. Then resume former treatments twenty minutes daily. Water Treatment: Twice a week body bandage of oat-straw, hay- flowers or pine needles, one to one and a half hours. Twice a week a hot bath, alternating, the whole thirty minutes, and two shawl wraps, each one hour. Twice a day fomentations or compresses, as may best agree, of Wintergreen tea on the affected parts, twenty to forty min- utes. After decided improvement continue the local applications less frequently, one hot alternating bath a week, and a cool sitz three times a week one to three minutes. Liquid diet taken every two or three hours until the urine becomes normal, then add milk and eggs; a little later add meats, with horse radish dressing and fruits, and, finally, bread and vegetables sparingly, except potatoes. Ox gall before meals, and once or twice a week mandrake trituration enough to cause free yellow stools, will hasten the cure. Rickets (rachitis).-Bony deformities of childhood; an abnormal growth of spongy, bony structure, with great defi- ciency of phosphate of lime. Causes: Rapid preceding preg- nancies of mother, nursing while mother is pregnant, too long nursing, too early weaning, poor, starchy food, too much starchy food, sterilized milk, want of sunlight, impure air and other unhygienic surroundings. Symptoms: Comes at about the first dentition. Nutrition usu- ally impaired. Slight fever, restlessness, and child sleeps badly, shows no inclination to walk. Body seems tender. Sweating is pro- fuse, especially at night, and about the head and neck. Nodules are felt first at the junction of the ribs and cartilages of the sternum and form the "rosary" of rickets. The sternum projects and forms the chicken breast. Spine is curved. Head looks large and the fontanelles are slow to close. Dentition is late, and the teeth are small and badly formed. The wrist and ankle joints are enlarged, the legs are bowed, or knock-kneed, abdomen enlarged. Treatment: Kali phos. if there be atrophy of bones and putrid bowel discharges. Calc. phos. with open fontanelles, sallow complex- ion, lateral curvature, diarrhoea and emaciation; nat. mur. in early stages, with thighs notably emaciated; silicea with open fontanelles, head large and body emaciated, abdomen hot and swollen, ankles weak, head-sweat and body dry, offensive diarrhoea, boils, abscess, stools contain undigested food. Diet as in scrofula. Cod-liver oil inunctions. Best of unsterilized milk with malt. Cold sponge bath daily if there is sufficient power of reaction. Barefoot, outdoor life. Rubeola.-A hybrid between measles and scarlet fever. The rash is deeper red than that of measles, and more in patches than that of scarlet fever. Throat more sore and cough less than in measles. Treatment: Good nursing. Rupture.-See hernia. Scarlet Fever, or Scarlatina.-A germ disease. Can be carried hundreds of miles in the air, clothing, mail; retains vitality for months or years; incubation one to eight or more days. Rash within twenty-four hours; chill, or con- vulsions, delirium, intense headache, sore throat, swelling of 530 THE SECRET OF HEALTH. glands behind jaw, nausea or vomiting, high fever, bounding pulse, dry skin. Rash on neck, shoulder, chest, abdomen, finally body, arms and legs. Rash and fever decline in three or four days. Skin peels ten to twenty days, may much longer. Treatment: As soon as the symptoms appear give three No. 4 (B 4) tablets and put on a shirt wrung out of hot salt water and cover warmly in bed for an hour; if the eruption is not perfect repeat the hot shirt wrap two or three times the first day. Then if the fever is high, sponge over rapidly with cold water, and, if necessary, repeat the sponging every hour. Bed in separate, well ventilated room; cover lightly; hot foot bath; warm milk and lime water often ; divest room of every surplus article; have one competent nurse; ventilate thoroughly, temperature 68°. Keep disinfectants exposed in room, oil of eucalyptus, tincture of iodine, etc.; and use for everything that touches the patient menthymos one dram to four or six ounces of water. One or two hours after the No. 4 (B 4) give three tablets of No. 5 (B 5), and soon alternately until the fever subsides; then every four hours give No. 6 (B 6) in place of the other two. Should there be drowsiness, twitching and vomiting of watery fluids, give No. 9 (B 9) every four hours. Should recovery be slow, glands swell and threaten to suppurate, boils, abscesses, or hardening of glands, give No. 12 (B 12) every four hours. Put one to three teaspoonfuls of hydrogen peroxide in tlie sponge baths twice a day. Move bowels with enemas contain- ing one-half to one teaspoonful, and gargle or wash the mouth with water containing ten grains of menthymos to four ounces, or stronger, or with carbolic acid twelve parts, salicylic acid one and one-half parts, peppermint oil one part, made into a one-half of one percent, solution by diluting ten drops in four ounces of water, and using the dilution. Throat compress, as for croup. After subsidence of fever use vinegar and water for the sponging, with every third one of hydro- gen peroxide. Examine urine often. Keep in same room two weeks after eruption has faded, then change to another and fumigate twenty- four hours. The menthymos gargle also may be sprayed into the nos- trils every hour or two. In severe cases give the medicines more frequently. Sciatica.-Pain in the sciatic nerve. Cause: Overex- ertion of muscles, exposure, injury, pressure of tumors, etc. Symptoms: If sudden, sharp pain along the posterior surface of the thigh and outside of leg to foot. Occurs again upon slight exer- tion, may become dull and constant, and worse at night. Pain on pressure, may be changed sensibility. Treatment: First day shower on lower back in the morning, on upper back and shoulders in the afternoon. Second day reverse. Sitz bath every other day. Kali phos. witli nervous complications. With spasmodic pains, mag. phos. Remittent pain in right hip joint and knee, relieved by heat, natrum mnr. Electrical: Sciatic rheumatism: Sponge electrode, negative pole, upper inside of thigh, positive pole over sacrum and down outside of the limbs, treating through and through as far down as the pain readies. Feet in warm water, with negative pole, positive from sacrum down outside as far as pain extends, fifteen minutes each day. Scrofula (king's evil).-A morbid condition of the sys- tem, one form of cachexia (which see), which, a few years ago, was a scape-goat for all ignorance, i. e., anything that could not be otherwise named was called scrofula. Usual symptoms, glands of the neck swell, and, after a while, inflame, ulcerate and discharge. Heal, leave scars, others follow. Treatment: DISEASES AND THEIR TREATMENT. 531 Alterative, tonic, nutritive, and hardening as energetically as strength will allow. For the swollen glands, fomentations of wild indigo. Scurvy (scorbutus).-Cause: A deprivation of vegeta- ble food. - Symptoms: Skin pale, sallow or muddy; listlessness, pains in limbs; face puffy ; constipation ; spots like flea-bites on arms and legs, changing to bruised appearance; skin now dry and scales rapidly; gums swollen and spongy; teeth may loosen; breath offensive; saliva profuse; slight bruises cause burrowing sores, may be exhausting hem- orrhage; difficult breathing; faintness. Treatment: Fresh vegetables, especially potatoes, onions and salads; fresh fruits, lime juice and tonic method. Sea-sickness (motion sickness).-Keep the face to the bow of vessel, or lie with head low and toward the bow. Bandage the abdomen. Cocaine one-tenth grain every three hours if necessary. Senility (senile atrophy)-Buttermilk and kumyss diet because their lactic acid dissolves the phosphate of lime and prevents ossification in tendons, arteries, etc. Liquor auri et arsenii bromidi (Barclay), or try tinct. of oats twenty-five to thirty drops three times a day. Shock.-A sudden nervous depression from some acci- dent or blow, or evil tidings. The coats of the vessels of the vaso-motor centers lose their contractile power, hence blood currents lose velocity and patient is faint, cold, pallid; has mental confusion, sometimes uncontrollable restlessness, pros- tration, unconsciousness, with pulse fluttering and body tem- perature low. Treatment: Recumbence, loosened clothing, external warmth. Heart stimulants are all-important, brandy or whisky if patient can swallow and there is no bleeding, or enemas of whisky one-half ounce, water at 110° three ounces, with friction, mustard on chest and abdo- men, or hot fomentations. But do not over-stimulate. Just enough to restore the circulation, and no more, lest congestion supervene. Am- monia to the nostrils, or pure oxygen gas inhaled, very desirable. Sub- cutaneously, nitroglycerine, or one-thirtieth of a grain of sulphate of strychnine. Raise bedclothes on half-barrel hoops; insert under them one end of an elbowed stove pipe, with a lighted lamp under the other end; at the same time two or more persons rub the surface toward the heart with salt or mustard on the hands. Not successful, tie patient's feet to foot of bed and raise the foot three or four feet from the floor, or bandage all the extremities. Only strong coffee and liquid diet by stomach or rectum when reaction has been well established. Sick Headache.-See headache. Sick Headache (nervous).-1. Sponge electrode, nega- five pole, back of neck, positive over the front of the ears and 532 THE SECRET OF HEALTH. lower forehead, very light current, five minutes. 2. Positive pole in one hand, negative in the other; strong current five minutes, then reverse the poles five minutes. 3. Positive at base of spine, negative over neck and base of brain, three min- utes, very light current. Skin Diseases are so numerous and complicated that their description and treatment would require more space than can be given in this work. Good general health, perfect diges- tion and freely-acting bowels and bladder, with cleanliness of the skin, are general rules for preserving the skin in good order. Sleeplessness.-Wrap abdomen and lumbar region of back in cloths wrung out of warm water, cover with oiled silk or rubber and bind on with flannel bandage. Smothering by Gas.-Symptoms: Swollen and pur- ple face, livid lips, and bloodshot and staring eyes. Treatment: Place patient in open air and remove clothing. Hold in a half sitting posture, with head higher than feet. Rub whole body briskly with flannel; restore breathing by artificial res- piration. From time to time dash cold water over body. Sore Throat.-See inflammation of larynx. Sores, Ohl, Sloughing.-See ulcers, old. Sour Stomach.-See dyspepsia. Spasms.-See cramps. Spasm of Bladder.-Give retained enemas of lobelia. Spinal Curvature.-If from diseased bones, employ the best physician that can be found. If from irregular action of the muscles, discard all braces, crutches, etc. Study the case until satisfied which muscles are weak, then apply regular, systematic, daily exercise to them followed by a cold, local sponge and general tonic method as needed. Of course, habits of lying, standing, carrying, etc., that perpetuate the trouble, must be corrected. Spinal Irritation.-Cause: Usually poverty of nerve vital fluid and irritation transmitted. Symptoms: According to the location of the irritation. If of the dorsal portion, tightness, suffocation, increased heart action, spas- modic cough. If of the lumbar, spasmodic action of the bladder, bowels, uterus, disturbed menstruation and cramps, numbness, tender- ness in lower extremities, DISEASES AND THEIR TREATMENT. 533 Treatment: Remove the irritation at its source. General treat- ment as for neurasthenia as far as the feebleness of the patient requires. Locally, cool compress thirty minutes twice a day. Revul- sive method as needed. Splenitis, inflammation of spleen, and induration of spleen are usually so connected with malarial poisoning that they are referred to ague. Sprains.-Lebelard and Ellaume, Rizet, and Dujuardin Beaumetz, have recommended massage. In the Prussian army it is obligatory, and the military reports of Starke, Gassner, Gerst, Brurberger and Korner, show that the average disability when massage is not employed is 27.3 days, but when it is used 8.9 days. Begin with long continued rubbing with hot, oily applications, followed by deep pressure and kneadings, and finally moving the joint, carefully at first, then more and more forcibly. If the time cannot be taken for this, apply hot fomentations of mullein leaf and tansy herb tea, or of mullein leaf and wormwood. Stiff Joints.-Massage treatment as for sprains. Stomatitis (cancrum oris).-Simple: See inflammation of mouth. Gangrenous: Cause: The streptococci of foot disease infecting milk. Symptoms: Great prostration, mel- ancholy, pale; membrane inflamed and tense, turns purple, sloughs; tongue swollen, offensive odor. Treatment: Same as for diphtheria and scarlet fever. Stone-bruise.-Soak foot in hot lye water, scrape off callous, and rest with cool compress. Not relieved-silicea and poultice; open and give cal. sulph. Strangury.-Constant desire to void urine; with burn- ing or cutting pain at the neck of the bladder and along the urethra. Cause: Irritation. Treatment: Remove cause of irritation. Soothe with warm hip baths, rest, retained enema No. 4, or No. 7 and 22 mixed. Revulsive method as needed. Demulcent drinks. If kidneys are at fault, a tea of parsley. Stricture of (Esophagus (gullet).-If spasmodic, mag. phos. If this fails alone, alternate calc. phos. with it. If from ulcerations or tumor, consult surgeon. Strumous Scrofulous Infants.-If inherited from the mother, she should not nurse her babe. If from the father, 534 THE SECRET OF HEALTH. she should nurse it, herself taking the most nourishing diet possible, until the double teeth appear. Anoint chest, abdo- men and back daily with olive oil. Then give animal and fruit diet almost exclusively. If preferred for days together may subsist on fruits alone. Stunning.-Concussion of the brain. Symptoms : Cold skin, irregular, weak pulse, eyes closed and con- tracted. Treatment: Rest, lying down, head raised, warmth to the extrem- ities, head kept cool by cloths wet with cold water. No stimulating drinks. Styes (hordeola).-Boils on the eyelids. Treatment: Correct the mal-nutrition. Apply solution or paste of boroglyceride. Sun-stroke (thermic fever).-Cerebral exhaustion with evaporation of the watery constituents of the blood. Cause: High temperature, exposure to the direct rays of the sun, aided by too much heating food. Symptoms: Pain in head, dizziness, opression, may be nausea and vomiting. Diarrhoea and frequent micturition is common. Insensi- bility (may begin with this), stertorous breathing, pupils contracted, skin intensely hot, pulse full and rapid, temperature 107° to 110°. Coma, pulse feeble, may be death within an hour from heart exhaustion. Treatment: Remove to cool room, recumbent position near open window; nat. mur. every ten to thirty minutes. Hot water to tlie head and spine, and tepid to the body and limbs, if the skin be hot and pulse full, but if the skin be cold and pulse feeble, a hot mustard bath or fomentations and drinks, or enemas of hot water with ten to thirty drops of water of ammonia. A little beef tea or hot coffee when able to swallow. Heat to feet if they are cold. Ammonia to the nostrils, or amyl nitrite. Suboxidation.-The absorption of an insufficient supply of oxygen to maintain the normal vital processes, as in the lactic acid urine of epileptics after a fit. Mantegazza says that a large quantity of ozone is discharged by odoriferous flowers, and that flowers destitute of perfume do not produce it. Cherry-laurel, clove, lavender, mint, lemon, fennel, etc., develop ozone largely on exposure to the sun's rays. Among flowers, the narcissus, heliotrope, hyacinth and mignonette are conspic- uous ; and of perfumes similarly exposed, eau-de-cologne, oil of bergamot, extract of millefleurs, essence of lavender and some aromatic tinctures. He also points out that the oxidation of the essential oils, such as nutmeg aniseed, thyme, peppermint, etc., are convenient sources of ozone, and concludes that the ozoniferous properties of flowers reside in their essences, the DISEASES AND TIIEIR TREATMENT. 535 most odoriferous yielding the largest amount of ozone. Hence some of these should always be in the sick room. Ozone may be liberated by half-immersing a stick of phosphorus in water in a wide mouthed bottle, or by gently mixing three parts of sulphuric acid with two parts of potassium permanganate. Swallowing-, Difficult.-See stricture of oesophagus. Swellings, Cold.--Treat as dropsy. Tartar, Salivary Calculus.-Different kinds depos- ited on the teeth. Always destructive. Keep teeth clean and employ a dentist. Tearfulness.-Tears are the result of a nervous storm in the central nervous system so affecting the vascular termi- nals of the tear-secreting glands that they excrete water freely. Treatment: Change of scene, out door life, mental diversion, nervous equipoise; nat. niur. If the case be urgent, lady's slipper in strong, frequent doses. Tenesmus.-Constant desire to evacuate the bowels. Treat as for inflammation of rectum. Tetanus.-See lockjaw. Liermann proved that animals inoculated from the arm of a man who had died of it and been buried two and one-half years, took the disease. Throat, Sore.-See laryngitis. Thrombosis.-The coagulation of the blood during life. May be in heart or blood vessels. Cause: Disturbance of the cell-salt that controls water in the blood. Often the result of taking some of the new coal tar preparations so freely prescribed by most physicians, such as exalgine, antipyrine, antifebrin, salol, antikamnia, etc. Should be used with great caution. Treatment: General, as for embolism. Thrush, Sprue.-Curd-like patches of inflamed mucus surfaces of the mouth and throat. Wash the mouth every two hours with borax and honey, one dram to one ounce; or with one dram of borax to one ounce of equal parts of glycerine and water, and attend to the diet. Tobacco Amaurosis.-Gradual loss of sight from the use of tobacco. Treatment: Abstain. Tobacco Heart.-A cardiac neurosis caused by the nicotine of tobacco. Tn smoking, carbonic oxide, several ammonias, and an empyreumatic oil containing nicotine, are. 536 THE SECRET OF HEALTH. absorbed. The ammonias render the blood alkaline and fluid, thus impairing its power of nutrition. The stomach becomes debilitated, and dyspepsia follows. The heart, not being prop- erly innervated, becomes weak and painful, palpitation, faint- ness and vertigo ensue. In the young, tissue becomes degraded and vision impaired. A majority of those rejected from the military schools are because of tobacco heart. Symptoms: Palpitation, intermittent pulse, tightness of chest, pain about the heart, nervous debility, hands tremble, depression, dif- ficult breathing, dizziness. Treatment: Inhibit tobacco in all forms. Tepid or cold sponge bath daily; full pack twice a week; head ablution daily; nutritive diet; much sleep; rest and open air. Tincture of oats, or cactus in full doses every three hours. Toe-nails, Ingrowing.-See feet, diseases of. Tongue, Inflammation of (glossitis).-Cause: Stings, acrid substances, sometimes no apparent cause. Treatment: Treat as for other inflammations. Tongue, Ulcers of.-Cause: Local irritation, fevers, digestive derangements, syphilis, mercury. Treatment: Con- stitutional according to the cause. Local. Lotions of hydro- gen peroxide, menthymos, or listerine, diluted to suit the case. Tonsilitis.-See inflammation of tonsils. Tonsils, Enlarged.-Acute: Apply powdered sali- cylic acid on a large camel's-hair pencil, and give a tablespoon- ful every two hours of salicylic acid thirty grains, mucilage of acacia one ounce, simple syrup one-half an ounce, water four and one-half ounces. If heavily coated, apply with a brush- pepsin thirty grains, dilute hydrochloric acid one dram, water five drams, glycerine four drams. Chronic: Pencil or gargle with tannin fifteen grains, ozonized iodine two drops, glycerine five drams, water one pint. Toothache.-Pain in the body of the tooth from the microbe of dental caries, or of the root from the amylobacta of rheumatism. Some others. Treatment: Soap tree bark, resorcin and peroxide of hydrogen sterilize tlie germs. Pain intense, shooting, relieved by pressure and hot liquids, worse by cold, mag. plios. From inflammation of gums or nerves, better by cold, worse by heat, ferr. phos. With swelling, kali DISEASES AND THEIR TREATMENT. 537 mur. in alternation with ferr. phos. Bright red line on gums, pale, nervous subjects, worn out, better by pleasant excitement, kali phos. Decayed, worse at night, calc. phos. Worse in evening or warm room, better in open air, kali sulph. With excessive saliva or tears, natr. mur. Loose, sensitive to touch, deficient enamel, calc, fluor. Abscess forming, better by pulling on tooth, violent at night, no relief from heat or cold, silicea. Same when caused by sudden suppression of foot sweat. General, apply three parts ichthyol to one of chloroform ; or carbolic acid crystals, with an equal quantity of collodion. If the tooth is decayed, and no dentist at hand, wash the mouth well with warm water, then paint the hollow of the tooth all over two or three times with tannin ten grains, gum mastic one-half dram, carbolic acid ten drops, sulphuric ether one-half ounce. Use camels' hair brush. Keep medicine in glass stoppered bottle. The painting will last a month or more, then repeat. Tubercles (tubercular bacilli).-Some defect in the vital force operating to transform the elements of food into normal blood plasma, evolves the tubercular bacilli instead, which is life upon a lower plane, therefore a diseased condition in the animal body. Tubercles may appear in bone, bowels, bladder, eyes and ears, hips, knees, lungs, larynx, mesentery, nose, pros- tate, peritoneum, rectum, skin, spine, testes and wrists. If any of these are not considered in their appropriate places it is because no advantage can be gained by it in a family doc- tor book. Symptoms: Paleness, debility, rapid pulse, loss of flesh, rising temperature, dry hair; may be swelling of lips, nostrils, tonsils, glands of neck and throat; fetid odors, purulent discharges. Treatment; In all forms. 1. Raise the standard of vital force, and thus stop production. 2. Kill the lower-life form, the bacilli, and thus deliver the system from its disturbing effects. How best to accomplish these is answered in consumption, which see. Tubercular Cystitis.-Symptoms of chronic cystitis preceded by slight hemorrhage from the bladder should lead to immediate examination by a good physician. Tuberculosis in Children.-If predisposed from the mother, she should not nurse the child; if from the father, and mother be healthy, she should. When teething begins add children's diet. If there are signs of strumous diathesis give ten grains of chloride of calcium in half a glass of milk after each meal to a child four years old. Tuberculosis of Hip Joint, Coxalgia and Knee Joint (white swell- ing)--Can only be diagnosed by a physician, but his examination should be had if child drags one limb after the other, has pain in knee, stands with the dragged foot forward with everted toes; or, if there be slight lameness, swelling and stiffness of knee joint and wasting of the muscles of the limb. 538 THE SECRET OF HEALTH. Tuberculosis, Laryngeal. - Must have the best professional treatment. Tubercular Meningitis (scrofulous meningitis).-Tills differs from simple meningitis, in that it comes on more slowly after signs of a scrofulous constitution, occurs nearly always in children, and is rarely cured. See meningitis, also brain, tubercular. Tubercular Mesenterica, Marasmus.-Early symptoms those of severe diarrhoea or cholera infantum. Later, fetid" stools, great ema- ciation, abdomen greatly swollen yet lumpy, like large eggs. The best of professional care. Tubercular Nasal.-Not distinguishable, by laymen, front coryza. Tubercular Peritonitis.-Can not be distinguished, by laymen, from acute peritonitis and typhoid fever. Tuberculosis of Prostate.-Cannot be distinguished, by laymen, from stone in the bladder. Tuberculosis of Rectum.-See ulcer of rectum. Tuberculosis of Stomach and Bowels.-Should be treated as if complications of tuberculosis of the lungs. Tumors.-New growths. Benign or malignant. Ascer- tain, by competent medical examination, to which class the case belongs, then, if benign, let it alone unless its size or loca- tion renders its removal important, in which case, as with all malignant tumors, secure the services of a good physician or surgeon. Typhoid Fever (typhus)-See fever, typhoid. Ulcers.-Gradual breaking down of tissues into pus, or liquid, constituting open sores. Ulcers, Old and Sloughing.-Calc. phos. every two hours. Apply every three hours of sulphate of zinc one ounce, dilute sulph. ac.d one-half ounce, water one pint. Must not touch healthy tissue; or, inject around the ulcer in several places, about an inch from its mar- gin, bovinine one part to boiled water three parts at 110°, one dram at each place, every other day, and increase the amount and inject nearer the edge as the ulcer heals. Wash it frequently witli hot boiled water and cover with sterilized absorbent cotton. Vaseline dressing when healed until firm and sound; or, cleanse the ulcer with warm water and peroxide of hydrogen, lay in three pieces of lint sat- urated with bovinine, and covered witli a larger piece smeared with vaseline or lard, extending one-half to one inch beyond the edges all around, to prevent evaporation, and bind on with light cotton bandage. Change two or three times a day. This is greatly aided by head vapor once a week for twenty minutes. Body bandage an hour and a half for two weeks. Whole ablution everyday. Apply to the sore a linen rag dipped in the boiled water. Change several times a day. The third week body bandage half hour twice a week, and upper shower every day. Ulcers of Anus.-Treat as fissure of anus. Ulcers of Bones.-Calc, fluor, often, and calc, phos occasionally. Ulcers of Bowels,-Cleanse with sigmoid or cajcal flush containing boroglycoride, hydrogen peroxide by mouth three times, and retained enema once a day, and general water treatment as above. If neces- sary, fluid diets, and avoid all seeds, coarse fiber, etc., if solid diet is allowed. Ulcers of Eye.-Apply to an oculist. Ulcers of Glands.-Calc, sulph. Ulcers, Gangrenous.-Poultice with yeast; or, one ounce of bread soaked soft in five ounces of hot water, five drams of powdered flax- seed and two drams of powdered charcoal. Ulcers, Inflamed, Irritable.-Hot fomentations of lobelia, then dress with linseed poultices and laudanum. When irritation is sub- dued treat as for ulcers of tibia. DISEASES AND THEIR TREATMENT. 539 Ulcers, Indolent.-Fomentations of bayberry (myrica cerifera), Hydrastis canadensis, or bitter root (apocynum androsoemifolium) applied three times a day for thirty minutes. In the interval, dust on the powder of prickly ash bark (xanthoxylum fraxineum) or pulver- ized aloes, and give general tonic and alterative treatments, which see. Use capsicum freely internally. If this fails, mix the juice of wood sorrel (oxalis acetosella) with cerate, and apply as a plaster once a day as long as the patient can endure it. In the interval, emollient salves; or, swab out the ulcer, then flood it ten minutes with solution of permanganate of potassa, then sponge dry and loosely pack with strips of gauze soaked in the solution, and cover with a large perman- ganate poultice dripping wet, cover again with oiled paper and band- age lightly with cheese cloth. Ulcers of Larynx.-Can only be determined positively by profes- sional examination, and should have such treatment. Ulcers of Nose.-Treat locally as for ozena, and constitutionally the syphilis, or scrofula from which it springs. Ulcers Containing Proud Flesh.-See proud flesh, or apply to it chromic acid ten grains to the ounce of water. Ulcers of the Rectum.-Treat as for fistula of rectum. Ulcers of the Stomach (gastric).-Distinguish from dyspepsia and cancer. If there is vomiting of blood, pain soon after eating, ceasing when stomach is empty, seek professional advice. Ulcers of Tibia.-Wash in hay tea and give silicea, or, if the dis- charge be yellow, calcarea sulph. and apply eucalyptus one-half dram, lanoline one-half ounce, twice daily. Ulcers, Varicose.-Place four thicknesses of wet cloth over the ulcer on which rest the negative pole, positive pole at base of the spine five minutes, at the foot five minutes, strong current as can be comfortably borne. Cleanse with castile soap suds and apply follow- ing: Fl. ext. hamamelis two drams, fl. ext. Hydrastis one dram, fl. ext. calendula one dram, cosmoline two ounces. Bandage with cotton from foot upwards; or, wash once or twice daily with acetic acid one part, water ninet een parts. Ulcers with white, thick, mild secretions, kali mur. Uraemia.-A condition of poisoning caused by the reten- tion in the body of the elements of waste that are normally excreted by the kidneys. Cause: Structural disease of the kidneys or occlusion (stoppage) of the ureters. Symptoms: Neuralgia, delirium, blindness, coma, convulsions, vomiting, diarrhoea, pallor and puffiness of face, uraemic odor of breath. Treatment: Remove the cause. Give oxygen freely and fre- quently. Excernent treatment strong or very strong. Urethra, Neuralgia of.-Consult a surgeon. Urethra, Stricture of.-1. Spasmodic, from weak- ness of its circular rings. 2. Inflammatory, usually from spe- cific poison. 3. Permanent, from the effusion of lymph con- tracting the caliber of the channel. Symptoms: 1. Difficulty of urination; comes on suddenly from cold, damp exposure, or from nervous Influences. 2. Has the usual symptoms of inflammation. 3. A few drops of urine are retained; soon escape and wet the clothing. May be itching heat and pain in micturition ; stream is forked, spiral or scattered. At last can only be voided drop by drop and bladder is irritable. Treatment: Apply to physician. 540 THE SECRET OF HEALTH. Uric Acid.-In the process of removing the nitrogenous wastes from the system, far the larger proportion appear nor- mally as urea. But if the oxygen-supply from respiration be insufficient, that which would have formed urea stops short in uric acid, which in abnormal quantities is extremely deleterious. Cause: Deficient oxygen. As normally existing in the urine it is combined with alkaline bases into urates, but is often deposited as cayenne pepper-like crystals (brick dust) from its free state. If this red precipitation occurs before the urine cools there is reason to fear gravel or stone. Urea is the ashes of the tissues and is produced to the extent of five hundred to six hundred grains daily, while only six to nine grains a day of uric acid are normal. Treatment: If to one atom of uric acid six of oxygen and four of water be added, it is resolved into urea and carbonic acid. Therefore, in all conditions of uric acid excess, use oxygen and water freely. If medicine be required give tinct. theaspi bursa pastoris five to thirty drops, three to five times a day. Urine, Continence of.-Retention : Stool bath of hot vinegar and water and hot fomentation of the same over blad. der for two hours. Urine, Continence of.-From stricture: A warm bath of lobelia tea and a rectal injection of the same. While in the ball: pass a cath- eter and retain it two or three days, then change to larger size and soon for ten days, having the last catheter the natural size of the passage. If this fails, see Stricture, urethral. From spasmodic stricture: Mag. phos., or three drops of tincture of gelsemium every four hours for a few days. From enlarged prostate: See prostate. Urine chylous: Finns canadensis, one-half to one teaspoonful three times a day. Urine bloody: Requires medical attention. Urine dribbling: Erigeron oil, one-half to one drop threeorfour times per day; or better first try mullein oil three drops three times a day. Urine, Incontinence of.-Inability to hold. Cause unknown: Water tread three to five minutes in fifteen inches of water, followed by an arm plunge, one minute daily. With smart- ing, cantharides. With pain in glans penis, copaiva and apis mel., or uranium nitrate one-sixth to one-half grain every two to four hours. From partial paralysis of sphincter of bladder: Pod., or kali phos. and cal. phos. From excessive acidity of urine: Fruit diet and acetate of potassa, one-third to one dram, three or four times a day. From irritability resulting from over-distention: Ferr. phos. alter- nated with calc, fluor. From too great flow of urine: Restrict the consumption of liquids. From contraction due to hypertrophy of walls of bladder: Treatment: Long continued alterative method. Local compress of mullein thirty minutes daily. From reflex irritation: Treat the disease which'causes it. Sitz baths three to six times a week tepid to warm. Passiflora inc. in doses sufficient to subdue the reflex action. Urine, Retention of.-Its forcible imprisonment in the bladder because of temporary paralysis of the bladder or spasmodic or mechan- ical urethral obstruction to its outflow. Treat its cause; if unknown treat as continence of urine. Urine, Suppression of.-This is lack of secretion of urine by the kidneys. Extremely dangerous. Uraemia may be very near. Treat as for inflammation of kidneys until physician can be called. DISEASES AND THEIR TREATMENT. 541 Urination, Painful.-Tf from urethritis, inflammation of bladder, or prostate, or other ascertainable cause, treat the cause. If unknown, althea off.; or with dropsy of eyelids, apis, mel.; or with scanty brown urine, without sediment, asparagus. Dark brown, with white sediment, putrid; calc. carb. Scald- ing, drop by drop, constant desire, great pain; cantharides. Urging and burning, turbid soon after voiding; chainomilla. Dark brown, hot and burning, throbbing pain; digitalis. Clear, Fig. 81. profuse, light color, burning, scalding; helonius, or tereb. Urging, must wait long, pain before voiding; lycopodium. Coffee-like urine, stitches, smarting, burning; nat. mur. Ammoniacal, can only be voided on knees and head; parei. brava. Uterus, displacement of.-See prolapsus, anteversion, anteflexion, etc. Fig. 81 shows the uterus and appendages seen from in front. A, body of uterus; b, divided peritoneum; c, 542 THE SECRET OF HEALTH. cervix cr neck of uterus; d, os or mouth projecting into vagina; e e, broad ligaments which attach to the pelvis on each side; f f, round ligaments that connect with the pubis; g g, fallo- pian tubes; h, fringe-like extremity of fallopian tube, right side. The left shows the extremity ready to grasp an ovule from the ovary; i, ovary; k, vagina laid open through its front wall. For its relation with other pelvic organs see Fig. 72. Uvula Elongated.-See palate. Vaccination.-Inoculating with the cow-pox or vaccinia in order to prevent small-pox. It causes a small, red pimple, which on the eighth day becomes a vesicle filled with clear lymph which is surrounded by a ring of inflammation. After the tenth day, the ring fades and the vesicle dries, and on the twenty-first or twenty-second day the scab falls off. Should be repeated every five years and whenever there is special liability to exposure to the small-pox. If done within three days after exposure it will protect in most cases. Care should be taken to procure good virus, and not to rupture the pock. Varicella.-See chicken-pox. Varicose Veins (varix).-Cause: Debility; sedentary habits, pregnancy, certain occupations. Symptoms: Veins relaxed, dilatable, purple; knotty and become filled with blood which often coagulates. Strengthen the system with tonics and best of diet ; learn from a nurse or physician bow to bandage them evenly and smoothly from t he ankles to the knees ; then, twice a day, wet a muslin bandage in witch hazel (distillation) one part and soft water two parts, and wrap with llannel just enough to be comfort- able. Three times a day take three grains of calcium fluorine. After six weeks, if there is no improvement, get rubber stockings. Varicose Veins.-Positive to the foot, treat affected part with neg- ative twenty minutes. Also, if the ease be bad, apply an ointment of fl. ext. of hamamelis four drams, lard two ounces, rub in the morning and bandage with cotton through the day. Variola.-See fevers, small-pox. Voice, Loss of.-See aphonia. Vomiting.-Weak lobelia tea, one to two teaspoonfuls every twenty or thirty minutes; or, ten drops tincture of ipecac in a glass of water, one-half to one teaspoonful every ten to twenty minutes as needed; or in bad cases ten to thirty drops of fl. ext. of adrue every thirty minutes till relieved. Mustard on stomach. Warts (bacterium porri).-An elongation of the cutis yera, or of follicles of the mucous membrane. Treatment: DISEASES AND THEIR TREATMENT. 543 Internal and local administration of thuja occidentals, or locally, lactic or acetic acid, or peroxide of hydrogen. Water on the Brain.-See tubercular meningitis. Waxy Liver.-See liver. Weeping Eye.-Transient or chronic stricture of the tear-passages. Apply to a surgeon. White Swelling.-See tuberculosis of knee joint. Whitlow.-See felon. Whooping Cough (pertussis)-A contagious disease of childhood, usually occurring but once. Cause: Micrococci in the blood locating in and around the cervical portion of the spinal cord. Symptoms: A convulsive, paroxysmal cough, beginning with a deep, loud inspiration, followed oy a succession of short, sharp expira- tions, repeated several times. This has been preceded seven to ten days by the symptoms of cold and catarrh. The coughing paroxysms, usually four to ten a day, may reach twenty or thirty; last three or four weeks. Complications, as measles, small pox, bronchitis, pneu- monia, cholera infantum, etc., very dangerous. Treatment: Careful diet. No food between meals. No candies, sugar, sweetmeats, etc. The warm bath to restore circulation to sur- face and extremities every evening, if necessary. Rubbing, careful nursing; if the patient is feverish, the wet abdominal bandage re-wet and repeated every four hours. Short, spasmodic cough, white tongue and thick white expectoration, kali mur.; with vomiting of blood, ferr. phos.; mucus frothy, clear and stringy, nat. mur.; very nervous, timid children, or exhausted, kali phos.; weakly children, or teething, or emaciated, calc. phos. In all cases, magn. phos. all through. Worms.-Symptoms: Irritation and pain in the bowels, fretful, peevish, restless, skin white, eyes partially open in sleep, dark circles around them, grinding of the teeth, clinch- ing of the jaws, offensive, fetid breath, coated tongue, itching of nose, mouth, capricious appetite, cough, wasting, diarrhoea or constipation, shreds of mucus or pieces of worm, perhaps blood, tympanic abdomen; reflex symptoms, convulsions, chorea, spasm of glottis, hysteria, insanity, fever, nausea, vomiting; not all found in any one case. Ascaris Tumbricoides.-Common round worms. Inhabit the small intestines, but sometimes ascend to the throat. Treatment: Santonine every other night, followed by a cathartic the following morning. Repeat six to ten times; or, one teaspoonful of grated raw carrots the first thing in the morning. Naphthol in two- grain doses, repeated three times, has proved very good. Diet exclu- sively of chopped broiled steak, and good ripe fruits with little sugar. Drink hot water before meals and on retiring. The only drink for three days, beside the hot. water, should be onion tea, made by slicing an onion into two pints of water and standing twelve hours. Sweeten with honey. Oxyuris Vennicularis (pin or thread worms).-Inhabit the colon and rectum, causing much irritation. 544 THE SECRET OF HEALTH. Treatment: Rectal injections of salt water; or, infusions of hydro- tis, or gold thread; or, give a strong dose of rochelle salts, and as soon as they have operated, follow with a strong tea of quassia as an injec- tion. Diet tor pin worms, mutton, beef, fowl and white fish, with salt freely. Avoid veal, pork, sweetmeats, sweet-made dishes and pastry. Tape Worm (taenia solium).-Occupies the intestines. Treatment: Clear out the intestines with a strong dose of castor oil, then feed for a day on onions, garlic and salt herring. Next morn- ing before breakfast one to four teaspoonfuls of fl. ext of male fern, and follow with one and one-half ounces of castor oil at intervals of an hour; or, bruise to a paste three ounces of pumpkin seeds with the shells. A supper of milk and tea or coffee. A dose of salts at bedtime, and the paste the next morning. No breakfast until after the bowels have moved, then two hours later an ounce of castor oil with one-half drop of croton oil. Stools to be passed into a bucket of water to float the worm and prevent breaking. If the head has not passed, wait three months and try again. If the kind of worm is unknown, soak an onion cut up in two pints of water. Drink the juice in the morning, fasting. Do this for several days; or, a tablespoonful of honey boiled in two pints of water, drank freely, and half an hour afterward a half cup of wormwood tea. Wounds.-See accidents. Wrinkles are smoothed out by the daily rubbing in of lanolin, a daily sponge bath, and preserving a "conscience void of offence toward God and man," and a countenance ever sunny with content. Writer's Cramp.-From over-use of one set of mus- cles in writing. Treatment: Crampy pain, hand trembles, wrists ache, nat. phos. Hands get stiff while writing, kali mur.; or, the thermo-ozone battery, rest of the affected mus- cles, sea-bathing, or other hygienic means to increase nervous tone. Wry Neck (torticollis-caput obstipum).-The head drawn toward one shoulder, with the face toward the opposite side. Cause: Spasmodic contraction of the muscles. Treatment: If they are inflamed and rigid, fomentations of lobelia; if nervous, mag. phos.; if from unequal strength of muscles, or partial atony of those on the yielding side, strengthen them by appropriate exercises. If from injuries consult a surgeon. Yeast Fungi.-Tn catarrh of all the hollow organs of the body, as the stomach, bowels, bladder, uterus, the yeast fungi grow side by side with the sarcin'e, Yeast torula con- sist of spherical or oval cells of many species, varying in size and in. action on different fluids, but all split up sugar into alcohol and carbonic acid. Torula cerevisise, ordinary brewers* yeast, is found in the stomach in gastric catarrh ; in the bowels in intestinal catarrh; in the uterus and bladder in catarrh of DISEASES AND THEIR TREATMENT. 545 both organs, causing great uneasiness and pain. In chronic cases the fungus is changed into the oidium albicans, produc- ing ulceration. Treatment: Peroxide of hydrogen, or sul- phide of lime in the stomach, Virginia stone crop in the bow- els, iodol or resorcin in the uterus and bladder. Yellow Fever.-A streptococcus, or fungus abounding at the mouths of great rivers and on the seashore of tropical countries, which, when inhaled, changes the primary bioplasm into a diseased fungus. The location and season are the chief means of diagnosis at outset. Symptoms: Three stages. 1st. Chills, prostration, fever; hard, rapid pulse, violent thirst, red face, restless; nausea, vomiting slimy, greenish, coffee-ground matter; cerebral congestion, with pain; eyes red. 2d. Add to the above, gastric disturbance much worse, the tongue heavily coated, dry, cracked, irritability; much vomiting, persistent, of brown mass, with coffee-ground-like flakes. 3d. Face very yellow and livid, eyes dull, sunken, nose or lips flinched, tongue brown or black, intense burning pain in stomach iver and spleen; suppression of urine, oppression of chest, difficult dreathing, pulse small and tremulous, skin cold, clammy, great pros- tration; vomit, brown turbid matter, mixed with dark clotty blood. Treatment: The most rigid sanitary measures as for scarlet fever, diphtheria, etc. Upper room, free from noise and excess of light. 1st Stage. Treat each symptom as it occurs, and the general germ- smitten condition witli body-spongings of water acidulated with nitro- muriatic acid, and by stomach, full doses of pilocarpine one-sixth grain in hot water, in alternation with one-half teaspoonful doses of peroxide of hydrogen in water; one medicine every one-half hour until profuse perspiration. This should be preceded by a mild lobelia emetic and a full colon flush. Warm water to head. 2d Stage. Three times a day a bowel injection of eight ounces- water six and one-half ounces, hydrogen peroxide one and one-half ounces. Mustard on stomach. Teaspoon fill doses of the peroxide, one-half pure glycerine, every one to three hours. Nutritive retained enemas every three hours. 3d Stage. Increase the strength of the peroxide in the bowel injec- tions to two ounces to six of water. Separate packs of body and limbs in cayenne water. Every two hours hot milk and brandy retained enemas. Sprays of pure peroxide frequently into the mouth. Conva- lescence to be dieted with the same care as dysentery. ZPJLZRT ZXL. APPENDIX. 1. Quantities to be Taken by Adults of Remedies Named in the Foregoing Pages, where the Amount of Dose was not Prescribed-2. Special Foods Omitted from their Proper Place but Named in the Dietaries-3. Index of Contents and Glossary of Terms Used. Adult Doses of Remedies named, but not dosed when prescribed, in the preceding pages: Althea.-Fluid extract, one to two teaspoonfuls every one to four hours. Arnica.-Fluid extract of flowers, five to fifteen drops; of root, five to thirty drops every four to six hours. Amyl-nitrate.-Two to ten drops. Stop if face flushes. Aftermath.-The second mowing of hay. Aconite.-Fluid extract of leaves, two to five drops; of root, one- half to two drops. Better to put seven drops in two-thirds glass of water, and give one teaspoonful as a dose every twenty to one hun- dred and eighty minutes. Aromatic Sulphuric Acid.-Ten to thirty drops in wineglassful of water three times a day. Protect the teeth. Alkaline Water.-Vichy, Bladon, Fachingen, Ems. Aromatic Phosphates.-One-fourth teaspoonful three times a day. Atropia or Atropine.-See belladonna. Ammonia, Chloride of.-As an expectorant five to ten grains every two hours in sweetened mucilage. For liver torpor twenty grains thrice daily. As a spray ten to twenty grains to one ounce of water. Ammonia, Carbonate.-Five grains every two hours in mucilage. Agrimony Tea.-One ounce to sixteen ounces water, simmered an hour in an earthen vessel; two ounces every one or two hours. Angelica Root Tea.-One ounce to sixteen ounces water infused in covered vessel; one to two ounces, as needed. Althea Off. Tea.-One ounce to sixteen ounces water; one to two ounces, as needed. Ambrosia Eeaves.-One ounce to thirty-two ounces water and one dram ginger; one to two ounces every two to four hours. Belladonna.-Fl. ext of leaves one to four drops; of root one to three drops. Active principle, atropine, one-two hundredth to one- fiftieth grain, solution of once or twice a day. 546 APPENDIX. 547 Boroglyceride Paste.-Five to ten grains every hour until crystals of boric acid appear in the urine, then less. Solutions of three per cent for bladder injection. Bath, Sponge.-Nitro-muriatic acid. Water acidulated to the strength of strong vinegar. Black Willow.-Fl. ext. one-fourth to one teaspoonful three times a day. Boneset (eupatorium perf.)-One ounce powder to one quart boil- ing water; one to three ounces, as needed. Berberis A qui folium .-Fl. ext. ten to thirty drops; solid extract two to six grains three times a day. Blue Flag.-Fl. ext. ten to twenty drops; solid extract two to four grains (not iridin), cathartic. Bryonia.-Fl. ext. ten to sixty drops; bryonin one-twelfth grain every one-half hour until it purges. Bitter Boot.-Fl. ext. as a tonic and diaphoretic ten to twenty drops; as an emetic thirty drops; solid ext. one to four grains. (Con- centration) Apocynin one-half to two grains, tea one-half ounce to twenty-four ounces waler; one to two ounces two or three times a day. Butternut.-Fl. ext. of bark of root one to two teaspoonfuls; solid extract three to ten grains. Concentration, juglandin one to five grains every two to four hours. Brewer's Yeast.-One ounce three to sixteen times a day. Yeast poultice. See poultices. Biochemic Remedies.-Calcaria phos.; calcaria sulph.; calcaria fleur.; ferrum phos.; kali mur.; kali phos.; kali sulph.; magnesium phos.; natrum mur.; natrum phos.; natrum sulph.; silicea. Dose of each three grains every four to six hours in chronic cases, and every one-fourth to two hours in acute cases. Usual form, powders or one grain tablets; latest form three grain tablets. Caulophyllum (blue cohosh).-Fl. ext. ten to thirty drops ; solid ext. two to four grains; (conc.)caulophyllin one to five grains. (Infusion, one-half ounce, water sixteen ouncesone-half hour covered; one ounce every hour or two. Cimicifuga (black cohosh).-Fl. ext. fifteen to sixty drops; solid ext. three to ten grains; cone, cimicifugin (macrotin), one to four grains. Infusion one-half ounce powdered, water eight ounces tepid; stand one-half hour; two teaspoonfuls every hour. Cinchona (peruvian bark).-Fl. ext. one-half to one teaspoonful; solid ext. five to twenty grains every four to six hours. Cinchona, Compound Tinct.-Huxham's tinct.; one to four tea- spoonfuls every four to six hours. Cinchona Tea.-Boil yellow bark one ounce ten minutes in covered vessel in one pint water. Strain, add water till one pint is obtained; one to two ounces three or four times a day. Codeine (alk.)-One-sixth grain every three or four hours for cough; one-half to one grain at bedtime for insomnia. Codeine, Syrup of.-Three grains in one ounce of simple syrup; dose one-fourth teaspoonful. Coca.-Fl. ext. of leaves one to two teaspoonfids; solid ext. ten to twenty-five grains one to four times a day. Caffeine (coffee).-Fl. ext., one-half to one and one-half teaspoon- fuls; solid, one to three grains; citrated, two to five grains; efferves- cent, one to three grains every three to six hours. Calcium, Lacto-phosphate.- One and one-half grains three to six times daily. Copaiba (balsam).-One-fourth to one teaspoonful every four hours. Chloroform Liniment.-Commercial chloroform four and one-half ounces, soap liniment eleven and one-half ounces; apply and cover with waxed paper or oiled silk, 548 THE SECRET OF HEALTH. Chestnut Tea.-One ounce leaves steeped in two pints boiling water; use freely. Calcium Sulphide.-One-twelfth grain three to twelve times daily. Conium (hemlock).-Two to five grains; fl. ext. five to twenty drops every two hours. Colocynth.-Fl. ext. two to five drops; powdered extract one to two grains. Chamomile (anthemis).-Thirty to sixty drops of fl. ext.; eight to twelve grains of solid three or four times a day. Chamomile Tea.-One-half ounce flowers to sixteen ounces water; one-half to one ounce four times a day as a tonic; two to four ounces at pleasure as a gentle relaxant three or four times a day. Chionanthus (fringe tree).-One-fourth to one teaspoonful of fl. ext.; five to twenty grains solid two to four times a day. Capsicum.-Five to fifteen drops of fl. ext.; solid one-half to two grains; tinct. thirty to sixty drops as needed. Capsicum Tea.-Twenty grains to sixteen ounces water; one to three ounces every two hours. Cactus Grand (cereus grandiflorus).-Fl. ext. two to five drops every two to six hours. Cathartics, Saline.-Epsom salts one ounce; Glauber's salts one- half to one ounce; Hunyadi Janos; Friedrichshall; seidlitz; Crab Orchard; Estill; Harrodsburg; Kissingen, a sufficient quantity. Catnip Tea.-One-half ounce steeped ten minutes in sixteen ounces water, and strain with pressure. Must not come near the boiling point. Catnip Juice.-Put fresh plant under moderate pressure and add a little thirty per cent, alcohol for a day, then press powerfully; a tea- spoonful for nervous convulsions of children, repeated hourly. Cleavers Tea.-Digest two ounces in a quart of tepid water thirty minutes, strain witli pressure; one to three ounces every two or three hours. Dandelion.-Fl. ext. root one to three teaspoonfuls; solid, ten to thirty grains three or lour times a day. Dandelion Tea.-Digest four ounces of bruised root in twenty-four ounces hot water for an hour, boil a few minutes and strain; two to four ounces three times a day. Flavor with Wintergreen. Dwarf Elder (arabia hisp.)-Fl. ext., one to two teaspoonfuls every four hours. Dwarf Elder Tea.-Two ounces bark of root to one quart water; two or three ounces three times a day. Dusting Powder.-Strongly antiseptic, one part of menthymos to three parts of starch; mildly antiseptic, one part menthymos to seven parts starch. Epsom Salts (sulph. magnesium).-One ounce; often better in one- fourth ounce doses, repeated. Eyebright (euphrasia off.) Tea.-One ounce to sixteen ounces hot water; two ounces every two hours. Euouymus (wahoo).-Fl. ext. one to two teaspoonfuls; powdered ext. five to fifteen grains. Decoction, crushed bark two ounces, boil- ing water one quart, one hour, strain with pressure, add two ounces sugar, and water enough to make a quart; two ounces every four hours, to break an expected chill. Elderberry Syrup.-One quart of berries to one pint of honey, boiled to a syrup; one to two dessertspoonfuls in a glass of water, as needed. Emetics.-Lobelia and composition equal parts, two tablespoonfuls in a quart of hot water; two to four ounces every five to thirty min- utes. Lobelia emetics should always be preceded by warm drink of soda or bicarbonate of potassa. APPENDIX. 549 Enemas.-Opiate. Opium one grain, to water three ounces; or, laudanum thirty drops, to water three ounces every four to twelve hours. Enemas.-Stimulating. Capsicum one-half to four grains in four ounces of elm water; or, whisky or brandy one to two ounces in three ounces of water; or, water of ammonia one dram, in three ounces of mucilage or elm water every three to six hours. feverfew (wild chamomile) Tea.-One-half ounce of dried herb to one quart nearly boiling water in covered vessel; two ounces every one-half hour; 11. ext. one-fourth to one teaspoonfnl. False Bittersweet (celastrus scand.)-Fl. ext. bark of root, one to two teaspoonfuls; tea, two ounces to thirty-two ounces water; two or three ounces every four hours. Fomentations.-Wild Indigo.-One-half to one ounce to one pint of water, boiled a few minutes. Peroxide of hydrogen.-Saturate a thin layer of cotton with the peroxide, lay it upon the part, and cover with hot water fomentation. Permanganate of potash.-One to ten grains to the ounce of water; used the same as the peroxide of hydro- gen. Smart weed (polygonum hydro.).-Dip the fresh herb in hot vin- egar and water equal parts; apply and cover with hot flannels. Hops.-Steep one ounce in a pint of boiling water, covered, ten min- utes, then add one-half pint of hot vinegar. Put the hops into a bag and apply hot and cover with hot flannel. Ke-dip in the hot fluid every ten'to twenty minutes. Golden Seal (hydrastis).-Fl. ext., no alcohol, ten to thirty drops; colorless ten to sixty drops; solid or powdered ext. two to ten grains; (cone.) hydrastin one to three grains; berberine hydrochlorate one to four grains; (alk.) hydrastine one-sixteenth to one-fourth grain three times a day. Germicidal Ointments.-One ounce of vaseline, or lanoline, or cerate, medicated with iodine, eighteen grains, and iodide of potas- sium four grains; or, iodoform forty-eight grains; or, salicylic acid eighteen grains; or, carbolic acid forty-eight grains; or, resorcin one dram; or, oxide of silver forty to eighty grains; or, glycozone one ounce, and many others. Gelsemium.-Fl. ext. one to ten drops; solid one-fifth to two grains ; (cone.) gelsemperin, or gelsemin, one-eighth to one grain: (alk.) gel- seminine one-two hundred and fiftieth of a grain every three to six hours. Gravel Root (eup. purp.)-Fl. ext. ten to thirty drops; powder thirty grains three times a day; tea one-half oz. root digested twenty minutes in a pint of hot water, covered. Acute cases one ounce every two hours; chronic two ounces four times a day. Hamamelis (witch hazel).-Fl. ext. of leaves one to two teaspoon- fuls; solid ext. five to fifteen grains; distilled ext. one to twro teaspoon- fuls; (cone.) hamamelis one to three grains; tea two drains in one-half pint warm water, one-half to two ounces every two to four hours. Hair Cap Moss.-FI. ext. one to two teaspoonfuls; tea, steep one- half ounce in a quart of water; one to three ounces every two to four hours. Helonias (false unicorn).-Fl. ext. one-half to two teaspoonfuls; (cone.) helonin two to four grains; powder five grains every four to six hours. Hensels' Tonicum (ferric and ferrous salts of iron).-One teaspoon- ful to eight ounces sweetened water one-half to one hour after meals. Inunctions.-Olive oil, one-half to one ounce rubbed into the skin daily; or olive oil six drams, soap liniment two drams; or one-half to one ounce of olive oil one pint, oil of sassafras and oil of lavender each one ounce; or cod-liver oil, pale, used as olive oil; or quinine two drams, oil of cinnamon one dram, lard eight ounces; one-half to one ounce, rubbed in once a day. Inhalations.-To be used by drawing the inhaled air through the solution five to fifteen minutes, two to six times a day. Creosote twelve drops, boiling water eight ounces; hydrogen peroxide one to two 550 THE SECRET OF HEALTH. drams In four ounces. Renew every time. Comp, tinct. benzoin, one dram in four ounces. Renew when necessary. Iodine tinct. one hun- dred and twenty drops, glycerine and water each one ounce. Iodol Lotion.-Iodine one part, alcohol sixteen parts, glycerine thirty-four parts; applied with a brush. Ipecac.-Fl. ext., expectorant, one-fourth to one drop; diaphoretic, one to two drops; emetic, twenty-five drops; repeated if necessary. Ipecac Syrup.-Thirty grains in each fluid ounce; wine, dose fifteen to sixty drops. Ipecac Tincture.-Fl. ext. two ounces, fifty per cent, alcohol four- teen ounces; dose forty to eighty drops; one to six drops for nausea, often. Ignatia.-Fl. ext. of seed, one to ten drops; solid or powdered, one- sixth to one grain three times a day. Iodoform.-Locally not over one-half dram applied at one time. Iodine Lotion.-Three grains iodine and six of iodide of potassium dissolved in a pint of water, applied one to three times a day. Injections.-Bowel or vaginal (antiseptic), menthymos. one-half to two drams to the pint; salicylic acid one-half dram dissolved in a little boiling water, and when cool added to one pint of water; peroxide of hydrogen one-half to four ounces to the pint; carbolic acid, one per cent, to four percent.; boroglyceride one to three drams to the pint; boracic acid, one dram to the pint. Ingluvin (gizzard of the fowl).-Ten to twenty grains before meals. Jaborandi.-Fl. ext. of leaves of pilocarpus sell, ten to thirty drops; solid or powdered, three to ten grains. Pilocarpine (alk.) one-twentieth to one-sixth grain, hourly. Kola.-Fl. ext. of nuts, ten to thirty drops on retiring. Lobelia.-Fl. ext. expectorant, one to ten drops; emetic, ten to sixty drops; solid or powdered ext., one-half to two grains; powdered herb, one dram; powdered seed, one-half dram. Lobelia (cone.) Lobeliin.-Emetic one to three grains, repeated if necessary; expectorant, one-twelfth grain, hourly. Lobelia (alk.) Lobeline.-one-one hundred thirty-fourth grain ten times daily; increased if desirable. Lobelia Tea.-One dram to four ounces water, not boiling, for emetic; one-half dram to sixteen ounces water, not boiling, two to four teaspoonfuls every one-half hour, as a relaxant. Lobelia Oil.-Five drops or more as a powerful external relaxant. Lobelia Embrocation.-Relaxing, one pint saturated tinct. of lobe- lia seeds (ninety per cent, alcohol), two ounces essence of wormwood and two ounces hard soap. Lead Water.-Distilled water boiled and cooled, five ounces, add one teaspoont'ul of solution of subacetate of lead. Lotion. Lime, Sulphide 'of.-One-twelfth grain three to twelve times a day. Leptandra.-Fl. ext. fifteen to sixty drops; solid or powdered ext. three to ten grains; (cone.) leptandrin, in acute cases, one-fourth to one grain; chronic, one to four grains one to three times daily. Lady's Slipper.-Fl. ext., fifteen to sixty drops; solid ext., three to ten grains. (Cone.) cypripedin, one-half to three grains every two hours as needed. Tea.-Powder one-half ounce, warm water sixteen ounces, steep below boiling in covered vessel one-half hour; one-half to two ounces every two hours. Double the dose if necessary. Lithium Carbonate.-Five to fifteen grains, best in carbonic acid water two or more times a day. Male-Fern.-Fl. ext. one-half to three teaspoonfuls; solid, nine to fifteen grains; powder, one hundred to one hundred twenty-five grains before breakfast; oil, thirty to sixty drops in an ounce of thick muci- lage of gum arabic and four ounces of fresh milk given before break- fast. followed in two hours with a large dose of castor oil. APPENDIX. 551 Menthol.-See menthymos for substitute. Menthymos.-Standard solution, one ounce to one pint of pure soft water; drinking solution, ten to thirty drops of the standard solution in a goblet of water; syringe solution, one teaspoonful of standard solution to two quarts of water; spray or inhalation, dilute the stand- ard solution until the desired effect is reached; eye solution, five to ten grains to an ounce of water, strain through cotton. Nux Vomica.-Fl. ext., one to ten drops; solid or powdered, one- tenth to one grain three times a day. Ox Gall.-Solid extract five to ten grains ; powdered the same. Oats, Tincture of.-Concentrated, ten to twenty drops; ozonized, fifteen to thirty drops three to six times a day. Pain Suppositories.-Two grains lobelia seeds and three of pow- dered lady's slipper made into a conical suppository with simple cerate stiffened with pulverized gum arabic. One in rectum every four, six or twelve hours for any pain that relaxation will relieve. Poultices.-Charcoal: Soak two ounces crumbed bread ten minutes in ten ounces boiling water, stir, add gradually one and one-half ounces of linseed meal and one-fourth ounce wood charcoal and sprinkle one- fourth more charcoal on the surface of the poultice. Linseed: L. meal four ounces gradually stirred into ten ounces boiling water. Iodine: Use lime water for iodine lotion which see and thicken with powdered elm. Alkaline: Soft soap thickened with Indian meal or powdered elm. Yeast: Mix six ounces of beer yeast with six ounces of water at one hundred degrees F. and stir in fourteen ounces wheat flour. Lin- seed and yeast: Make as yeast, using a sufficient quantity of linseed meal instead of flour. Permanganate of potash: See fomentations. Passiflora Incarnata.-Fl. ext. fifteen to sixty drops every two to six hours. Pancrobilin.-Pure ox gall two grains; pure pancreatin one-half grain ; one to three pills before meals. Pancreatin.-Pure, one to two grains; saccharated, four to eight grains before meals. Peroxide of Hydrogen.-Fifteen vol. solution, eone-half to thre teaspoonfuls; "ozonized water," six drams to a pint of water; three goblets a day. Podophyllum.-Fl. ext. of mandrake ten to twenty drops; solid or powdered two to four grains; (resin) podophyllin, laxative one-eighth to one-fourth grains; purge one-fourth to one grain; podophyllotoxin one-sixteenth to one-half grain. The trituration one to one hundred of sugar of milk is the preferable form of use, one to five grains. Phosphate of Soda.-Twenty to forty grains in water after meals. Phosphorus.-One one-hundredth to one-twentieth grain three times a day. Pepsin.-Saccharated, five to thirty grains; pepsin, one to three grains; lactated, one to five grains after meals. Papoid.-Papaw juice, one to five grains; solution, one part to two parts each of water and glycerine for dissolving diphtheritic membrane. Phosphoric Acid.-Twenty to sixty drops largely diluted three times a day. Phytolacca (poke b.erry).-Fl. ext. ten to sixty drops ; (cone, of root) phytolacein one-fourth to one grain three to six times a day. Pleurisy Root.-Fl. ext. one-half to two teaspoonfuls. Pleurisy Root Tea.-One ounce to one quart boiling water; four ounces every sixty to ninety minutes. Perchloride of Iron (ferric chloride).-Solution one and one-half to six drams to the ounce of water. Permanganate of Potash.-Wash, three grains to one ounce water. Parsley.-One ounce to one pint hot water; one ounce every two to four hours. 552 THE SECRET OF HEALTH. Quebracho.-Fl. ext. of bark fifteen to sixty drops; powdered five to thirty grains every four to six hours. Quinine Inunction.-See inunctions. Quinine.-One to two grains every one to six hours; usually best with a dose of capsicum. Khus Aromatica.-Fl. ext. of bark five to thirty drops; solid ext. one to five grains every four hours. Resorcin.-Pure, two to five grains; solution for mucus membrane one per cent, to twenty per cent.; in ointments for the skin five per cent, to thirty per cent. Pure, three times a day. Solutions, Per Cent. of.-One drop of a liquid or one grain of a powder to ninety-nine drops of fluid make a one per cent. sol. Hence as there are four hundred eighty drops, or four hundred and eighty grains in an ounce, four and eight-tenths drops or grains will make one ounce of one per cent, solution, and the required multiple of this will give a solution of any strength. Sulfonal.-Fifteen grains, then five grains every hour until sleep is induced. Sumbul.-Thirty to sixty grains every three hours. Sassafras.-Bark of roots one-fourth to one dram three times a day. Sassafras Oil.-Two to four drops on sugar. Sassafras Tea.-Two ounces to sixteen of water. Use freely. Saw Palmetto.-Fl. ext. of berries one-half to two teaspoonfuls; solid ext. five grains and upward three times a day. Sanguinaria.-Fl. ext. as expectorant two to five drops; as emetic, ten to twenty drops; powd. and solid ext. one to five grains; (cone.) sanguinariin one-eighth to one grain; (alk.) sanguinarine nitrate, one- eighth to one-twelfth grain every two to four hours. Saracenia Flava.-Fl. ext. ten to twenty drops three times a day. Shepherd's Purse.-Fl. ext. of herb, fifteen to sixty drops three times a day. Sulphur.-One to three drams one to three times a day. Santonin.-Active principle of levant wormseed, one-fourth to one- half grains; santonin-oxim is the preferable form, one to five grains; one or two closes fasting, and no more until next day. Scull-cap.-Fl. ext. of leaves one-half to one teaspoonful; solid or powdered ext. four to fifteen grains; (cone.) Scutellaria one to three grains every one to four hours. Sprays.-Menthol, one per cent, to ten per cent, in fluid vaseline; resorcin, five per cent, to twenty-five per cent, in water; terebene sixty drops in one ounce fluid vaseline; eucalyptus oil, six drops in six drams of glycerine; beechwood creasote, thirty drops in one ounce oil of sweet almond, and one of peroxide of hydrogen; oil of tar, thirty drops in one ounce of alcohol; hydrogen peroxide fifteen vol. sol. clear or diluted. Soda, Bicarbonate.-Ten to sixty grains. Tartaric Acid.-Five to thirty grains. Thymol.-See menthymos for substitute. Tansy. - One to two ounces to one pint boiling water. Use externally. Tooth Powder.-Antiseptic and elegant, one part of menthymos to three or four of chalk precipitate. Virginia Stone Crop.-Fl. ext. of herb, ten to thirty drops three or four times a day. Wood Sorrel.-Juice evaporated in the sun to a soft extract, stif- fened into an ointment with simple cerate. For cancer apply once a day as long as can be borne, then remove and dress with some healing salve. For indolent ulcers apply often enough and strong enough to awaken life. Wintergreen.-Fl. ext. one-half to one teaspoonful every four hours. APPENDIX. 553 Wintergreen Oil.-Ten to twenty drops. Wintergreen Tea.-One ounce to sixteen of water. Use freely. Wormwood.-Powder, five to fifteen grains three times a day. Wormwood Tea.-One-half ounce in sixteen ounces boiling water; two to four teaspoonfuls. Wormwood Oil.-Used externally to stimulate and strengthen. Special Foods omitted from their proper place, but used in the dietaries : In Diet No. 38.-Graham Gems: Mix two cups flour, one-half tea- spoonful salt, one tablespoon sugar. Add one cup milk to the beaten yolks of two eggs, then one cup water and stir into the flour, etc., then stir in the whites beaten still, and bake thirty minutes in hot gem pans. In Diet No. 41.-Egg and Brandy: Eggs six ounces, water four ounces, sugar three-fourths ounce, brandy tour ounces. Whole Wheat Crisps;-Whole wheat flour eight ounces, sugar two ounces, cream eight ounces, salt spoon of salt. Knead fifteen minutes, roll out thin and bake in ungreased tins. "Specially good for children."-Mrs. Lincoln. In Diet No. 34.-Chicken Salad: Chicken sixteen ounces, celery sixteen ounces, cream four ounces, yolks of two eggs, one lemon, oil of olive sixteen ounces, sugar one-eighth ounce. In Diet No. 31.-Baked Indian Pudding : Milk sixteen ounces, Indian meal four ounces, two eggs, sugar four ounces, cream six ounces. Simple Pudding: Bread sixteen ounces, cream sauce six ounces. In Diet No. 42.-Snow Drift Sauce: Butter four ounces, sugar eight ounces. Cream Sauce: Cream eight ounces, yolk of egg two ounces. LIST OF AUTHORS CONSULTED. A few of the following list are pamphlets; named because of some important matter contained in them. An Index of the Practice of Medicine, W. M. Carpenter, M. D. Anatomy, Gray. A Compend of Human Anatomy, S. O. L. Potter, M. D. A Compend of Human Physiology, A. P. Brubaker, M. D. A Hand-book of Invalid Cooking, Mary A. Boland. A Manual of Dissection of the Human Body, L. Holden, M. D. Abridged Therapeutics, founded upon Histology and Cellular Pathology, W. H. Schussler, M. D.; tr. by M. D. Walker, M. D. Brain Work and Overwork, H. C. Wood, M. D. Body and Mind, Henry Maudsley, M. D. Cerebral Hyperaemia, W. A. Hammond, M. D. Cheap Dinners for School Children. Consumption, N. S. Davis, Jr., M. D. Chemistry of Foods, James Bill, Ph. D. Diseases of Children, J. L. Smith, M. D. Diseases of Women, G. H. Taylor, M. D. Diseases of Women, Alex. J. C. Skene, M. D. Digestion and Diet, Sir Wm. Roberts, M. D. Diet in Relation to Age and Activity, Sir H. Thompson. Diseases of the Lungs, W. R. Amick, M. D. Eating for Strength, M. L. Holbrook, M. D. Essentials of Diet, E. H. Ruddock, M. D. Electrical Medication, Tipton, M. D. Electro-Therapeutics, C. M. Haynes, M. D. Encyclopedia of the Practice of Medicine, based on Bacteriology, J. Buchanan, M. D. Esoteric Anthropology, T. L. Nichols, M. D. Eclectic Practice of Medicine, J. M. Scudder, M. D. First Aid in Illness and Injury, J. E. Pilcher, M. D. Food in Motherhood, Ephraim Cutter, M. D. Foods (Various articles in current literature. Very valuable), Prof. W. 0. Atwater. Fruits, How to Use Them, Hester M. Poole. Fruit and Bread, A Scientific Diet, Gustav Schlickeyser. Family Physician and Household Companion, M. L. Byrne, M. D. Hygiene of the Nursery, Louis Starr, M. D. Health Hints for Travelers. J. C. Sundberg, M. D. Homeopathic Practice, M. Freligh, M. D. How Nature Cures, Emmet Densmore, M. D. Heredity, Th. Ribot. 554 LIST OF AUTHORS CONSULTED. 555 How to Feed the Sick, Ch. Gatchell, M. D. Household Manual of Medicine, Surgery, Nursing and Hygiene, Henry Hartshorn, M. D. Hygienic Physiology, J. D. Steele. Human Physiology, J. W. Draper, M. D. Health by Exercise, G. H. Taylor, M. D. How to Get Strong, Wm. Blaikie. How to Marry and Live Well on a Shilling a Day, Wm. Coushman. Health Primers: Winter and its Dangers, H. Osgood, M. D.; Sum- mer and its Diseases, J. C. Wilson, M. D.; Sea Air and Sea Bathing, J. H. Packard, M. D. Light Gymnastics, W. G. Anderson, M. D. Lessons in Mechanics of Personal Magnetism, Edmund Shaftesbury. La Grippe and its Treatment, C. Edison, M. D. La Grippe, its Origin, History and Treatment, V. H. Gayle, M. D. Milk Analysis and Infant Feeding, A. V. Meigs, M. D. Maternity, Infancy and Childhood, J. M. Keating, M. D. Midwifery, Wm. T. Lusk, M. D. Materia Medica, Pharmacy and Therapeutics, Drs. Shoemaker and Aulde. Manual of Medical Electricity, Wm. White, M. D. Medical Common Sense, E. B. Foote, M. D. Medical and Surgical Electricity, Drs. Beard and Rockwell. Modern Materia Medica, H. Helbing, F. C. S. Manual of Dietetics for Physicians, Mothers and Nurses, W. B. Pritchard, M. D. Manual of Treatment by Active Principles and New Remedies, W. F. Waugh, M. D. Man and Woman, H. C. Pedder. Medical Journals. The current issues of many. National Medical Dictionary, J. S. Billings. New Medications, Dujardin-Beaumetz. Translated by E. P. Hurd, M. D. Notes on New Remedies, E. B. Shutterworth. Nervous Diseases, A. L. Ranny, M. D. Natural Method of Physical Training, E. Checkley. New Cure of Consumption, J. C. Burnett, M. D. On Disordered Digestion and Dyspepsia, Frank Woodbury, M. D. Official Formulae of American Hospitals, C. F. Taylor, M. D. Oxygen in Therapeutics, C. E. Shinger, M. D. Our Family Physician, H. R. Stout, M. D. On Examination and Diagnosis, R. Hazen, M. D. Purpura, G. W. Winterburn, M. D. Palatable Prescribing, R. W. Palmer, M. D. Ptomaines, Leucomaines and Bacterial Proteids, Drs. Vaughan and Novy. Principles and Practice of Medicine, A. Flint, M. D. Principles and Practice of Medicine, Wm. Osler, M. D. Physio-Medical Dispensatory, Wm. H. Cook, M. D. Painless Childbirth, John H. Dye, M. D. Physiological and Pathological Chemistry, C. Bunge. Physical Culture, Founded on Delsartean Principles, Caroline Le Favre. Practical Home Doctor for Women and Children, David Wark, M. D. 556 THE SECRET OF HEALTH. Physical Culture, C. W. Emmerson, M. D. Reports of Mich. State Board of Health, 1889. Students' Manual of Diseases of the Skin, L. D. Bulkley, M. D. Sleep and Sleeplessness, Mortimer Granville. Specific Diagnosis, J. M. Scudder, M. D. Sexual Science, Prof. O. S. Fowler. Summer Complaints and Infant Feeding, W. S. Christopher, M. D Science and Practice of Medicine, W. H. Cooke, M. D. Swedish Movement and Massage, Prof. H. Nissen. Secret Nostrums and Systems of Medicine, C. W. Oleson, M. D. The Food Question, The Century, Edward Atkinson. Treatise on Food and Dietetics, F. Pavy. The Chemistry of Foods, James Bill, Ph. D. The New Hand Book of Dosimetric Therapeutics, Dr. A. D. Burg- graeve. Therapeutic Key, or Practical Guide for the Homeopathic Treat merits of Disease, J. D. Johnson, M. D. The Neuroses of the Genito-Urinary System in the Male, with Sterility and Impotency, R. Netzmann, M. D. The Woman and Her Accusers, W. A. Muhlenberg, D. D. The Power of Thought in the Production and Cure of Disease, D. Holcombe, M. D. Tokology, Alice B. Stockham, M. D. Therapeutic Key, J. D. Johnson, M. D. The Two Hundred Year Club, Everett Ralston. Text Book of Hygiene, Geo. H. Rohe, M. D. The New Method, W. E. Forest, M. D. The Edenic Diet, A Christian Theosophist. The Edenic Diet, A Pagan Theosophist. The Physiology of Vegetarianism, Anna Kingsford, M. D. The Influence of Food on Character, Reuben Perry. The Chemistry of Food, A. W. Duncan, F. C. S. The Vegetists' Dietary, Domestica. The Pharmacology of the Newer Materia Medica, G. S. Davis, Pub.' The Better Way, A. E. Newton. The Relation of Alimentation and Disease, J. H. Salisbury, M. D. The Natural Cure, C. C. Page, M. D. The Water Cure, Sebastian Kneipp. Text Book of Physiology, M. Foster, F. R. S. The Primitive Diet of Man, F. R. Lees, M. D. The Daughter, W. M. Capp, M. D. The Laws of Generation, Sexuality and Conception, H. M. Gour- rier, M. D. The Science of Nutrition, Ed. Atkinson, LL. D. The Best Diet, R. E. O'Callaghan. The Household Physician, Ira Warren, M. D. The Human Temperaments, W. B. Powell, M. D. The Biochemic System of Medicine, G. W. Carey, M. D. The Twelve Tissue Remedies, Drs. Boericke and Dewey. Woman's Book of Health, W. H. Cook, M. D. Weak Lungs, and their Remedy, Dio Lewis, M. D. Why Not ? R. H. Storer, M. D. INDEX AND GLOSSARY. Page. Ab-circulation (d) 78 Abdominal Part Pack (d) 327 Ab-excretion (d) 78 Abnormal-unhealthy, unnat- ural Abort-to bring to naught Abortion (d) 389 Abscess (a cavity or tumor containing pus) 390 Ab-secretion (d) 78 Absorption (the process by which the chyle is taken out of the intestines into the blood, through the villi, blood vessels, lacteals and thoracic duct), 67; physiological func- tions of 321 Absorbents (a substance that absorbs), 16; external, 67; in- testinal, the lymphatic and lacteal vessels 321 Absorbo-as tr i n ge n t (a sub- stance combining the proper- ties of an absorbent and an astringent) Abstinence cure 268 Acetates-salts and ethers of acetic acid Acetic acid 160 Acids contained in food 160 Acidulated-slightly acid Acrid-biting, hot; substances that irritate when applied to the skin or mucous mem- brane Actinomycosis 390 Actinism-that power in the sun's rays by which chem- ical changes are produced, as in photography Addison's disease 390 Adenitis (bubo) 391 Adhesions-the growing to- gether of surfaces not de- signed to adhere Aesthenia 391 Ague 392 Air-amount in each respira- tion (the accepted view) 2; (d) signifies that the word is defined on the page named. Page, spoiled in respiration, 2, 3, 18; spoiled by gas burners and kerosene lamps, 3; vi- tiated by red-hot surfaces, 9; capacity of lungs, 61; purity of, 311; clearness of, 314 314 Albumen, a basic albuminate of soda, C48 Hse 0m N8 .Albuminoids-a group of pro- teids soluble in water and precipitated by boiling Albuminuria (the existence of albumen in the urine) 394 Albumen water 204 Alcoholism (delirium tremens) 394 Alcoholic drinks affect diges- tion 39 Alcohol-effects of on life, 114; per cent, in wines, 201; food value of, 204; vapor bath 333 Ale and beef peptonized 253 Alkaloids-organic bases exist- ing in the tissues of plants and animals Alkaline drink 205 Alopecia (loss of hair) 395 Allopaths 264 Alpine milk biscuit 254 Altitude. 308, 313 Alterative method 357 Alternating (d) 336 Alum powders prohibited 160 Alvine-relating to the intes- tines Amaurosis 395 Amenorrhea 395 American waste of food 120 Ammonaemia 396 Ammoniacal-like smelling salts Amyloids-resembling or con- taining amyl or starch Amyl-a radical consisting of 10 parts of carbon and 11 of hydrogen. With one part of oxygen added, it forms amy- lic ether, and with a further addition of one part of water, amylic alcohol, or fusel oil.. 557 558 THE SECRET OF HEALTH. Page. Amyloid degeneration 396 Anabolism (see metabolism)... Anaemia (impoverished state of the blood) 397 Anaesthetic (a substance that deadens sensibility) Anaesthesia (loss of sensibility by the use of an anaesthetic) 398 Analytic (a method of physical research in which compound substances are resolved into their elements) Anasarca (dropsy) 455 Anchylosis 398 Aneuria (coma) 398 Aneurism 398 Angina pectoris (neuralgia of heart) 399 Angina tonsillario (quinsy).... 526 Angina gangrenosa (quinsy)... 526 Anglo-Swiss milk food 254 Anodynes-medicines that re- lieve pain Anosmia 399 Anorexia (loss of appetite) 399 Anthrax 400 Anthelmintic-antagonistic to worms Antipyrinism 400 Antiseptic bath, containing an antiseptic, e. g., menthymos one dram to oiie quart Antiseptics and disinfectants, 45 Antiseptic-preventing putre- faction Antispasmodic-that which al- lays spasms or pains Antiphlogistic-th at which subdues inflammation Anti-ferment diet 299 Antiseptics 201 Anteflexion (d) 400 Ante version (d) 401 Anus-fissure of, 401; fistula of, 401 Aphonia (loss of voice) 402 Appendicitis (perityphlitis).... 402 Appetite, unnatural* 402 Apples,-baked Nos. 1, 2 and 3, 205; bread and milk, 205; ori- gin 179 Apple-snow, 205; water 205 Apoplexy 402 Apricots 179 Apthe 403 Aqueous vapor (containing water) 1 Arachnitis (d) 410 Arachnoid-applied to the mid- dle membrane of the brain .. Arrow-root-uses and adulter- ants, 159; jelly 206 Arteries 58 Artificial fibrin 206 Ascites (abdominal dropsy).... 405 Asparagus 159,199 Assimilation - the conversion Page, of food into the tissues of the body Asthma 404 Astringency, law of 319 Astringents 177 Astringent method 368 Atelectasis (pulmonary col- lapse) 406 Atheroma 406 Atom, the smallest portion of an elementary body that can go into combination and out of it and yet preserve its chemical properties Atrophy (d), 406; of brain, 406; of heart, 406; of lungs, 406; of muscles 406 Avenola 254 Axillary - pertaining to the armpit Backache 406 Bacillus-a rod-shaped vege- table bacterium Bacterium - a microscopical vegetable organism found in putrefying organic infusions Bacteria - once used for all disease germs, now restricted to that of malassimilation identical with the bacillus megatherium found on spoiled vegetables Bacon 194 Baking powder- composition and use, 160 ; good recipe, 161; strength of various brands... 161 Baked potatoes 206 Baked Indian pudding 553 Baldness (alopecia) 395 Bananas 179 Banana sauce 206 Barley, 169; gruel, 206; water.. 206 Bases-certain organic bodies which have the property of uniting with an acid, neutral- izing it and forming a salt... Basic-acting as a base Baths, 19; alcohol vapor, 333; cold, when to avoid, 324; re- action from, 324; domestic Turkish, 333; general rules for, 23; hot, when to avoid, 325; medicated, 331; objectof, 19; spray, 326; temperature of, 324; various kinds 19-23 Beans 162 Bed-sores 341, 407 Bed-aired and sunned 19 Beefsteak broth 207 Beef, 162; broth No. 1 and No. 2, 206; essence, 207; extract, 254; juice, 207; preparations, 252; poisonous, 162; peptone, ana peptonoids, 254; panada, 207; pulp, 207; scraped 207 Beef tea, 163; (stimulating), 207; INDEX. 559 Page. (Dr. Porter's), 208; (nutritive) 208 Beer- composition, adultera- tion of 164 Beets-digestibility of 166 Berries-blood purifiers, 165; various kinds 165 Biardot's concentrated prepa- rations for invalids 255 Biliousness(d) 407 Biochemic Cure 304 Biochemic-1 ife-chemistry, used of the mineral salts nor- mally existing in the blood.. Birds-how to cook 184 Blackberries165, 179 Blackberry cordial, 208; cream 208 Blancmange 209 Bladder-inflammation of (cystitis), 446; irritation of, 408; paralysis of 408 Blood diseases, 409; poisoning, 409; described, constituents of, 56; course of 57 Blood-cleansing method 357 Bluefish 176 Body97, 98 Boils, furuncles and carbuncles 409 Bones, of frame 206,49; of head 29,50; of spine 26, 50; of ribs 24,51; of limbs 126,51; hinged together by joints 53 Bovinine 255 Bowels-anatomy of, 280; coats of, 281; gas in 88 Brain, 73; concussion of,(shock) 412; congestion of, (hyper- aemla) 411; fag, 411; inflam- mation of, 410; starvation, 411; shock, 412; tubercular... 412 Bran bread, 209; soup No. land No. 2 209 Bran water No. 1 and No. 2209 Brazil nuts 192 Breasts - acute inflammation of (mastitis), 412; develop- ment of 507 Breath-fetid 413 Breathing-as related to pulse and weight 346 Bread adulterants, 168; coffee, 209; graham, 167; jelly, 209; requisites of, 166; rye 170 Bronchi 59 Bronchitis - acute, 413; acute capillary, 414; chronic, 414; membranous, 415; old folks'. 415 Bronchocele (goitre) 415 Bronchorrhcea 416 Brunner's glands86, 281 Bubo (adenitis) 391 Buckwheat 169 Bullock's blood 255 Bunions 416 Butter 168 Buttermilk 209 Buttered toast-(our toast)210 Page. Butyric acid-an acid having a strong rancid smell and acrid taste, derived from butter, or the fermentation of sugar with putrid cheese Butyric fermentation -a fer- mentation producing butyric acid Cabbage168, 199 Cachexia-a state of impaired nutrition and impoverished blood caused by some specific poison Cachexias 416 Caecum - the large intestine below the ileo caecal valve... Caffeine-a feeble organic base, obtained from tea or coffee.. Calorie-a heat unit represent- ing the heat that would raise a kilogram of water one de- gree Centigrade, or 1 pound 4 degrees K. -1.52 foot tons, 133- 137; table of95, 119 Calves feet milk210 Calculi - biliary, 416; oxalic, 417; phosphate, 417; renal, 417; uric acid 417 Camp Cure 272 Cancer - (carcinoma lupus) (malignant tumor), 417; gas- tric 418 Candle power-the intensity of the light of a standard candle at the distance of one foot... 2 Canned goods, precaution in using 168 Cane sugar-the sugar of cane, maple, beet-root, and Indian corn Capillaries(d) 59 Capillary - hair-like, pertain- ing to the capillaries Carbuncle 418 Carbonic acid -amount re- spired, 1; expired, 2, 70; high- est permissible quantity 3 Carbonic oxide 4 Carcinoma - a hard tumor affecting the glands, ending in an ulcer Cardialgia 419 Carditis (inflammation of the heart) 419 Care of the sick 338 Caries (fever sores) and Necro- sis 419 Cardiac-belonging to the heart Carbon-an elementary com- bustible substance, riot me- tallic in nature, which pre- dominates in all organic com- pounds and forms the base of charcoal and mineral coals.. Carbohydrates - starches and 560 THE SECBET OF HEALTH. Page, sugars containing exactly enough oxygen to saturate the hydrogen Carbon wafers 255 Carnrick's diet 210 Carnrick's food 255 Carrots 169, 199 Cartilages 53 Casein-the proteid of milk, nearly pure in the curd of skimmed milk Cassava-a kind of starch or fecula, obtained from the root of the Janipha Manihot Catabolism (see metabolism)... Catalepsy 420 Cataract 420 Catarrh, 420; aural, 421; of bile ducts, 421; of bladder (cysti- tis), 446; bronchial, 422; cer- vix, 422; duodenal (intestin- al), 424; gastric, 422; laryn- geal, 423; intestinal (duoden- al), 424; acute nasal (coryza), 424; chronic nasal, 425; of prostate gland, 426; of rec- tum, 426; uterine (endome- tritis), 426; vaginal (leucor- rhea) [427 Catamenia-the monthly peri- ods Catheter-a rubber or metal tube to pass into the bladder and draw off urine Celery, 199; toast 210 Cellar 17 Cellulose-the woody fiber of plants; the walls of vegeta- ble cells Cellular-made of cells Centimeter, cubic, 30 equal 1.01 ounces. Practically to reduce C. to ounces divide them by 30 Cereals, 169; nutritive value of 156 Cerebellum (the little, lower brain) 75 Cerebrum (the upper part of the brain) 75 Cerebro-spinal meningitis 428 Cess pools, how to make 16 Chafing of young children 428 Chamber-vessel closets 19 Chalybeate-impregnated with salts of iron ... Chancre-a sore resulting from syphilitic poison Cheese 171 Chemism-the force which holds molecules and atoms together, and cannot be over- come mechanically Cherries 179 Chest (thorax) 60 Chestnuts 192 Chicken pox 428 Chicken panada, 211; use and Page. proportion, 171; broth, 210; jelly, 210; milk No. 1, 210; milk No. 2, 211; salad 553 Children's food (infant's food) 232 Chilblains 429 Chlorosis (green sickness) 429 Chlorine-a heavy gas of a greenish color, having a dis- agreeable suffocating odor, and destructive of life Chloroform-an oily liquid, of an aromatic, ethereal odor, consisting of carbon, hydro- gen and chlorine. Valued chiefly as an anaesthetic Chocolate 172 Cholesterin-a crystallin body in the bile resembling sperm- aceti. Sometimes forms bil- iary calculi in the gall blad- der Cholera (Asiatic) 429 Cholera and the drink habit, 38; infantum, 431; morbus 432 Chordee 432 Chorea (St. Vitus Dance) 432 Chyle (d) 67 Chyluria 433 Chyme-the product of stom- ach digestion, before the ad- mixture of the pancreatic and bile secretions Christian science cure 266 Circulation-the blood, 56; pul- monic, 59; systemic 59 Cisterns, how to build 13 Citric acid 160 Clabbered milk 211 Clams, 172; broth, 212; bouillon 256 Climate cure, 307; of various places 314-316 Climacteric disorders 433 Closets-earth, 15; absorbents for 16 Clothing-use of, 24; non-in- flammable, 25 Cloves 172 Coagulum-a clot of blood Cocoa 172 Cocoanut 172 Coccyx-the tip end of the spine : Coccygeal-pertaining to the coccyx Coccyodynia (painful coccyx). 434 Cod 176 Cod liver oil 176, 212 Codfish creamed 212 Coffee, 173; adulterants, 173; cream, 212; syrup 213 Collapse-(failure of strength; loss of vital power), 524; pul- monary (atelectasis) 405 Colloids-forms of food that will not readily permeate through animal membrane, INDEX. 561 Page. e. g., gelatine, starch, albu- men, gum arabic, etc Colds 434 Colic 434 Colitis(dysentery),456; chronic (chronic dysentery) 457 Colon, 64; flush described279 Colostrum-the first milk se- creted after delivery Colliquative -melting; exces- sive discharge Coma(d) 435 Comatose-resembling coma... Commissure-the place where two parts of a body unite in a seam Compresses, 21,328; ice-cold ,329; chest, 329; neck, 329; sweat- ing 329 Concomitant-accompanying.. Condensed milk 256 Condyloma 435 Confluent-running into each other; united Congestion-overfulness of the blood-vessels 435 Congenital-an y peculiarity developed before birth Coni unctiva-t h e membrane which covers the eye and lines the eyelids Conjunctivitis435 Connective tissue, (cellular or areolar tissue) a meshy tissue consisting of yellow and white libers with blood ves- sels and nerves and used to bind together other struct- ures Constructive energy -the building and re-building powers of the system Consumption, pulmonary (pul- monary tuberculosis, phthi- sis), 435; diet in 373 Constipation, 284; remedy for, 286; flush 297 Contagion from wall papers, 44; household pets, 44; kiss- ing the dead, 44; bowel dis- charges 44 Convulsion-violent, involun- tary contraction of any mus- cles Cooling, how done, 10; method (antiphlogistic) 365 Co-ordination-holding equal rank, or standing in the same relation to something higher or lower, or a state of harmony Corpuscles-atoms or minute bodies, as cells, red blood, from to of an inch in diameter; composed of oxy- haemoglobin 86.8 to 94.3 parts Page, in 1000 of organic matter, nor- mal quantity 130 parts in 1000; white, (leucocytes) of an inch in diameter. Ratio to the red 1 to 400 after a meal to 1 to 1500 some hours later.. Corn, 169; coffee, 213; meal gruel 213 Cornea-the horny, transpar- ent coat of the eye ball Coryza (catarrh, acute nasal).. 424 Corrosive-substances which destroy the flesh Cosmetics and skin ointments, 41 Cottage cheese No. 1 and No. 2, 213 Cottonseed oil 174 Cough, whooping (pertussis)... 445 Cow's milk, indigestibility overcome, 245; substitutes for 246 Cracker gruel 213 Cranberries 165 Cramp 445 Cream, 174; milk, 256; High- land Brand Evaporated, 256; sauce 553 Crowd poison 2 Cross eyes 445 Croup 446 Crystalloids-food substances which are diffusible through animal membrane, e. g., min- eral salts, cane-sugar, glu- cose, and peptones Cucumbers 199 Currants 165 Custard, 213; French, 213; and egg powder 174 Cuticle-the scarf skin Cyanosis (blue disease) 446 Cystitis, acute (inflammation of the bladder), 446; chronic, 447 Dandruff 448 Dash, the 335 Dates 179 Date pudding 213 Deafness 448 Death-rate from poorly con- structed dwellings 4 Death-rate from poorly venti- lated dwellings, 4; corre- sponds with density of popu- lation 45 Deaths, preventable 130 Debauch 449 Decoction-the liquor in which any medicinal sub- stance has been boiled Deglutition (swallowing), diffi- cult 449 Degenerations 78 Delirium tremens (acute alco- holism) 394 Demulcent drink No. 1 214 Demulcents-bland substances that soothe inflamed and ip- 562 THE SECRET OF HEALTH. Page, rltated parts Dengue 449 Densmore Preliminary treat- ment 304 Deodorize-to neutralize foul effluvia by chemical agents.. Dermatalgia(neuralgia of skin) 449 Desserts, when to take 149 Dextrin or dextrine-same composition as starch, but very fluid and soluble in cold water; formed by the action of heat, acids or dias- tase on starch Dextrose-grape-sugar, or dex- tro-glucose, the sugar of grapes, honey, etc., and found in the animal body.... Diabetes Insipidus, 449; Melli- turia 450 Diagnosis - determining the nature of a disease; some landmarks of 346 Diaphragm (one of the chief muscles by which we breathe) constituting the floor of the lungs 60 Diaphoretic (sweating) method 362 Diaphoresis-perspiration Diabetic food 256 Dietetic cure 268 Diaphoretics - medicines which cause perspiration .... Diathesis-a state of the sys- tem peculiar to certain dis- eases Diarrhoea 451 Diastase- a nitrogeneoiis fer- ment found in germinating grain and some animal fluids. Dietary (A prescribed regimen of food and drink), 92; basis for, 132; examples of, 142-145; how to make, 122; necessity for, 122; rules for home, 146; working table, 133-137; work- ing table, its availability ill- ustrated 138 Diet, 93; a remedy for disease, 351; adjusted to oxygen in- take, 104; anti-ferment, 299; anti-o$alic, steak 16 ozs, fish 8 ozs, eggs 4 ozs, milk 16 ozs, gluten bread 2 ozs, sour ap- ples 12 ozs, butter 2 ozs ; anti- rheumatic (No. 61), 385; cor- rect, general principles of, 146; changes of, 151; defec- tive, table of, 131; governed by circumstances, 118; ideal, 145; not ideal, 145; National examples of, 144; of fruits and nuts, 159; of common people (Old World), 154; of the Minister's widow, 142; of the young studept, 143; tq- Page. bles, 119; tables (Vauglwin's), 139-142; vegetable and meat, relative cost 155 Diets, convalescent, 380; fluid, 377; semi-fluid, 378; solid, 379; how to select, 203; fiber, 382; fat, 382; force-foods, 383; mix- ed 386 Digestants 372 Digestant-ours, 372; No. 1, No. 2 and No. 3 214 Digestion-a chemieo-vital pro- cess by which food is made semi-fluid, its inappropriate elements rejected and its appropriate elements chemi- cally changed and fitted for nutrition Digestion abnormal-failure of because of disease or defi- ciency of proper ferments, so that the chemical process goes on more or less out of the control of vitality Digestion, 81; affected by food, 112; chemistry of, 89; gastric, 83; machinery of, 62; organs of, 84; pancreatic, 86; related to lung capacity, 110; sys- temic, 86; time required tor different articles of food 152 Digestive ferments and their action 85 Dilated-expanded, made larger Dinner-poor, 124; rich 125 Diphtheria, 453; false 455 Dipsomania (a 1 c o ho 1 i s m, chronic) 394 Disease from wrong feeding... 129 Diseases and their treatment, 388; important notes 388 Dislocation 455 Disinfectants - (substances that destroy the virulence of infecting materials) 45 Disintegrating-s eparating into parts Distilled water - (good clean rain water can be used in- stead) Diuresis 455 Diuretics-(remedies which in- crease the activity of the kid- neys) 177 Domestic Turkish bath 333 Doses of remedies 546 Drainage311, 314 Dress and breathing 110 Dropsy - abdominal (ascites), 405; cellular (anasarca), 455: of brain (hydrocephalus),455; of chest (hydrothorax), 456; of scrotum (hydrocele), 456; post-scarlatinal456 Drowsiness 455 INDEX. 563 Page. Drunken stupor 455 Drug-dosing, 41; discussed by physicians 42 Dry sheet - wrap dry sheet around after a bath, and not dry by rubbing Duck-wild 175 Dukehart's fluid extract of malt, and hops 256 Dwellings-poorly constructed 4 Dysentery 456 Dysmenorrhea (painful men- struation) 457 Dyspepsia, 458; apeptic, 459; atonic, 460; ab ill ary, 461; apancreatic, 461; boulimic, 463; complete, 463; duodenal, 462; gastric, 460; intestinal, 462; molecular, 463; nervous, 463; superpepsia 461 Dyspepsia crackers, 214; plain 260 Dyspnoea-(difficult breathing) 463 Earth-closet 15 Earache 464 Ear diseases, 464; deafness, 465; foreign substances in, 466; wax in 466 Eating-right, 148; too much... 120 Eclectic, the 264 Eels 175 Effete-worn out, not capable of further production. Effluvia-a foul exhalation from animal or vegetable matter Effusion-the pouring out of the blood or other fluids into any portion of the body Eggnog-No. 1,214; Vo. 2 215 Eggs-albumen in, 175; and milk, 214; ami brandy, 553; boiled, 214; scrambled 215 Egg-coffee, 214; how to test, 175; lemonade, 214; toast 215 Elderberry syrup 215 Electrical cure 278 Elements in a human body .... 97 Elevator dizziness 466 Elimination 89 Emaciation, (becoming lean by a gradual waste of flesh).... 466 Embolism 466 Embryo-the earliest stage in which animal organization may be discerned; in the human being, limited to the first two months of gestation Embryonic-belonging to the embryo Emunctories-applied to ves- sels or outlets of excretion... Emesis-the act of vomiting... Emetic method 364 Emmenagogue tonic-recipe... 396 Empiricism-a practical famil- iarity with medicine and the Page, treatment of disease, without a thorough theoretical knowledge of the same, or excluding the theories Empyema (pleurisy, chronic).. 519 Emphysema 467 Emulsify-to soften a fat or resin into a solution holding it suspended in minute globules Emulsionizing or emulsifying -the sub-division of oil glob- ules until they become milky instead of oily in ap- pearance. Usually effected by the action of some alkali Encephalitis-(inflammation of brain) 410 Endometritis - (catarrh, uter- ine) 426 Endocarditis-acute .. 467 Enema - retained, 290; re- tained nutritive, 291; siphon, (</) 476; elm-bark, (in dysen- tery treatment) 456 Energy-conservation of, the law of the perpetuity of the sum total of all potential and all kinetic energy; expended, 94; evolved, 235;'units of, see calories; kinetic, work being done; potential, work possi- ble to be done Enlarged veins (pregnancy).... 522 Enteritis-(inflammation of the large intestines), 468; muco, 468; peritoneal and muscular coat inflamed, 468; chronic... 468 Enteralgia (neuralgia of tire intestines) 468 Enteric fever 479 Entozoa (worms) 543 Epilepsy (falling sickness) 469 Epistaxis (bleeding from tire nose) 469 Epidemics - diseases, the poison of which is diffused through the atmosphere Epithelial-relating to the epithelium Epithelium - the thin cuticle that covers the lips, nipples, etc., that are destitute of the ordinary skin Epigastrium-the upper region of the abdomen, below the sternum, and between the costal cartilages Epidermis-t he cuticle or scarf skin of the body Epizooty (farcy and glanders). 473 Equivalent - the amount by weight of any element that can replace one part of hy- drogen by weight in a com- pound 564 THE SECRET OF HEALTH. Page. Eradicate-to thoroughly de- stroy Erysipelas 470 Evacuate-to make empty; to discharge Excoriate-to wear off the skin and make raw Excernent (d), 347; method .... 360 Excreted-any matter thrown out of the living body as use- less Excretion-the throwing off of useless matter from the body Excretions, 69; bowel, 71; kid- ney, 71; lung, 70; poisonous, 90; skin, 69; table of 90 Exercise, 29; bicycle, 36; how to take, 29; special, 30-35: special, when to use 35 Exhaustion - temporary pros- tration of vigor 472 Expectorants-medicines that increase the secretions of the respiratory membranes Extra-uterine gestation; preg- nancy outside the womb Extractives-about 1% of nitro- genous substances extracted from animal tissue. They constitute the substance of most beef teas and beef ex- tracts, but are stimulants only Extravasation-forcing or let- ting out of the proper vessels Exudation-sweating or soak- ing out of a liquid through the membrane that contains it Eyes-diseases of, 470; ectro- pion and entropion, 471; granular lids, 470; inflamma- tion of cornea, 471; ophthal- mia, 471; infantile, 472; gon- orrheal, 472; granular, 472; purulent, 472; rheumatic, 472; tubercular 472 Faeces, impacted 473 Fainting. . 473 Faith cure 264 Falling sickness (epilepsy) 469 Fallopian tubes-the tubes be- tween the womb and ovaries Farcy and glanders. 473 Farina, 177; gruel 215 Faradization-the interrupted current of the electric bat- tery ; general, positive at feet, negative ©ver whole surface Fasting cure 267 Fat-an oily, solid substance, the chief part of the adipose tissue; fat nitrogenized and phospnorized-protogon, lec- ithin, cerebrin, etc.; sup- posed to be the physical ba- Page, sis of mentality Fat diet373 Fatty degenerations-a condi- tion in which the place of t he muscular fibers is usurped by fat Febrile-pertaining to fever... Fecundated-made fertile Feet - blistered, 473; frosted, 474; perspiring, 474; malodor- ous, 474; nails ingrowing, 475; tender 475 Felons 475 Ferments, digestive or organ- ized-substances which have the power, when mixed with food, to break up its chemi- cal combinations, out of which other combinations are formed, without being permanently changed them- selves; unorganized - the lowest order of microscopic- al fungi Fetid-having a strong, offen- sive smell. Fever sore (ulcer, old) 538 Fever, 476; bilious, 477; catarrh- al, 477 ; cerebro-spinal menin- gitis, 477; constipation, 477; dengue, 449; exhaustion, 477; enteric (typhoid), 479; ephem- eral, 477 ; fatigue, 477; gastric, 478; hay (acute nasal catarrh), 424; intermittent (ague), 392; malarial (ague), 392; measle (measles), 509; phthisical,478; puerperal (childbed fever, parturition), 518; pernicious (ague), 392; remittent, 478; re- lapsing, 478; scarlet (scarlet fever), 529; smallpox, 478; sur- gical,479 ; typhoid,479; typhus, 480; yellow, 545; treatment for cold stage, 393; hot stage, 393; sweating stage 393 Fibrin-the proteids of food or- ganized into flesh Flbrillated-having a fibrous structure Figs.... 180 Fig pudding, 215; water 215 Filberts 192 Filters 12 Fish,175,215; boiled,215; broiled, 216; creamed, 216; when in season 216 Fissure (a crack), 480; ani, 480; lachrymal480 Fistula 481 Fits (epilepsy) 469 Flaccid-soft, weak and flabby Flatulence (dyspepsia) 458 Flatulent-the production of an undue amount of gas in i the stomach or bowels INDEX. 565 Page. Flaxseed lemonade 216 Flour, 177; graham 177 Flour-ball 216 Flooding (hemorrhage).490 Flushes, heat 489 Flushes-classified, 288; caecal, 289; colon, 279; effects of, 291; Nos. 1 to 49, 294-299; No. 50 (in dysentery treatment), 456; po- sitions for, 289; rectal,288; sig- moid, 289; various tempera- tures, 293; when needed 293 Fluorine-an element in the form of a yellowish, brown gas, with the odor of chlorine and burnt sugar; one of the acidifying and basifying principles of organization. The only element that forms no compound with oxygen... Foeces-excrement Foetus-the child in the womb Foetal-belonging to 1 he foetus Follicle-a tube-shaped gland or cavity Fomentation-the application of cloths which have been dipped in hot water, or water containing medicine Fomentations, 329; dry 330 Fontanelles-soft places on the top of infants' heads Foods, 92, 98; average composi- tion of, 98, 99; adulteration of, 159; American waste of, 120; classified, 98, 100; cost of, 125; comparative expensiveness, 126-128; description of, 101-104; ejements required for adult, 119; extractive, 117; for the sick, how to serve, 341; in- fants', 232; needed to sustain waste, 98; our nomenclature of, 100; prepared, 251; semi- liquid, 153; special, 204; sub- sidiary or incidental, 112; starchy-those that contain over 15 per cent, of starch; sweet -those that contain over 12 per cent, of sugar Force diet 373 Foot pound-the work done In raising a pound weight through one foot Fruit, 177; canning, 182; crack- ers, 256; cure, 270; and bread cure, 271; how to serve, 217: minute pudding, 217; oatmeal soup, 217; pudding,217; pastes 182; stewed, 218; sulphuring and bleaching of, 178; tem- perance beverage, 218; tapi- oca 218 Fundus-the large part of the womb Fungus -plants of the mush- Page, room tribe Furuncles (boils) 409 Gall-bladder 67 Galvanism, central, the gal- vanic current applied through the great nerve cen- ters down to the feet; gener- al, the galvanic current ap- plied generally to the surface Gallstones (calculi biliary)416 Game 183 Gangrene481 Gangrenous - mortifying, de- caying Ganglionic-knotted, enlarged Gastralgia 481 Gastric-belonging to the stom- ach; ulcer 482 Gastritis 482 Gelatine (all makes) 257 Gelatinoids-nitrogenous mat- ters which are changed to gelatine (glue) upon heating with water. The body is 6% gelatinoids, i. e., resembling gelatine Generation 79 German measles, (measles) 509 Germination-growing of a seed Gestation-pregnancy Ginger 184 Giving medicine 341 Glanders (farcy and glanders) 473 Glaucoma 482 Gleet (urethra, stricture of).... 539 Glottis, spasm of 483 Glucose-see grape sugar Gluten-the proteids of wheat flour chemically identical with fibrin, remaining as a tough mass after washing the flour in water; bread, 218; cake, 218; gems, 218; wa- fers 256 Glycosuria (diabetes M.) 450 Glycocin-a crystalline sweet- ish compound found in bile, called also, glycocoll, glycin, glycoine, etc Glycogen-a white, mealy compound found in animal tissues and called animal starch; the form in which excess of carbohydrates is stored up for future use when food is deficient Goflo 256 Goitre (bronchocele) 415 Gooseberries165, 180 Goose 184 Gout 483 Graham crackers No. 1 and No. 2, 257; crackers plain, 260; grits, 257; gems 553 Gram-one equals 15.432 grains. 566 THE SECRET OF HEALTH. Page. Practically to reduce grams to grains multiply them by 15%. There are 28.35 to the oz Grape sugar-the sugar of grapes, fruits and honey; cure, 270; juice No. 1, 218; juice No. 2 219 Grapes 180 Granula 257 Granular eyelids (eyes)470 Gravel (calculi, renal) see kid- neys 417 Grave's disease 483 Green sickness (chlorosis) 429 Growth 54 Gruels, 219; fortified 219 Gums, 184; bleeding 484 Gum arabic219 Gum-boil 484 Gypsum-sulphate of calcium. Habit, drink, 37; opium and chloral, 39; tobacco 39 Haddock 176 Haeinatine (hematine)-the col- oring matter of the blood de- composed by acids into a brown pigment Haemoglobin-the red coloring matter of the blood; con- tains 0.049 to 0.051 % of iron and has at least 700 atoms of carbon in its molecule. An albuminoid Haematidrosis 484 Haematuria 484 Haematemesis 484 Haemoptysis 484 Hair, diseases of (baldness), 484; dandruff, 485; premature graying 485 Hallucinations 485 Hall treatment, see Errata, last page of book278, 287 Halibut 176 Ham 184 Hands, sweating of, 485; chap- ped 485 Hangnail... 485 Hardening method 367 Hares 184 Hay fever 485 Hazel-nuts 192 Head1 50 Headache, 486; acid, 487; anae- mic, 486; bilious, 486; crown, 487; Foul air, 487; hyperaemic, 486; malarial, 486; miscellan- eous, 487; nervous, 486; sick, 486; sun, 487; uterine 487 Health, 1; affected by wall pa- per, 44; affected by carpets, 19; its triple counterpoise.... Ill Heart, 57; atrophy of, 406; burn, 489; daily work of, 94; dis- eases of, 487; enlargement of, 487; failure, 488; neuralgia of Page. (angina pectoris), 399; palpita- tion of, 488; pang (angina pec- toris), 399; valvular disease of 489 Heat, body, the heat generated by the chemical transforma- tions which food undergoes in digestion, assimilation, elimination and excretion; produced by the living ma- chine, 96; produced by oxy- gen, 111; flushes, 489; rash, 489; stroke, 489; equivalent, 772 foot pounds, or the energy that will lift 772 pounds one foot transformed into heat will raise one pound of wa- ter 1° F.; units of, the quan- tity of heat required to raise one pound of water at 29.1° F. 1° F Heat equivalence-the amount of mechanical energy that will produce 1 heat unit-772 foot pounds Heat unit (see calorie) Hemiplegia (d) 490; anaemic, 490; congestive 490 Hemorrhage, (d) 490; from rec- tum, 490; uterine, 490; uterine in change of life 491 Hemorrhoids (piles) 491 Hepatic-belonging to the liver Hernia (rupture) 491 Herring 185 Hiccough492 Hickory nuts 192 Hoarseness (aphonia)402 Hoff's malt extract. 257 Homesickness 492 Home Turkish bath333 Homeopath 264 Honey, 185; tea 219 Horlick's malted milk257 Horseradish 186 House building, 17; warming.. 18 Hydrocephalus, 492; spurious.. 492 Hydrochloric acid-commonly called muriatic acid, and composed of equal volumes of hydrogen and chlorine united by chemism Hydrophobia492 Hydrothorax 493 H y d r o-c a r b o n s-any com- pound consisting of hydro- gen and carbon alone Hydroleine 257 Hygiene 1 Hygienic-belonging to health, both of the individual and of communities; cure 267 Hypodermic-under the skin .. Hyp er semi a (congestion of brain)411 Hyperaesthesia 493 INDEX. 567 Page. Hypermetropia 493 Hypertrophy, 493; of heart, 493; of liver, 493; of muscles . 493 Hysteria 494 Hysterical fit 494 Huckleberries 165 Humidity9, 308, 312 Ice-cream 186 Ichorrhaemia 494 Idiosyncrasy-a peculiarity of constitution or temperament Ileo-caecal-pertaining to the ileum and caecum Ileum-the part of the small intestine between the jeju- num and the colon Impact (packed together) 320 Imperial granum 257 Impinging-striking against... Imperforate-having no open- ing Inanition - being empty for want of food; usually means exhaustion from partial star- vat ion 494 Incontinence of urine 494 Indigestion 495 Infants' foods, 232; compared, 237; human milk correct standard, 233; marketable ideal, 244; our own formulae, 246; prepared, table of, 253; physiology vs. chemistry, 243; quantity required, 234; re- cipes for, 247-249; substitutes, 234; table of, 238-239; conclu- sions from table, 240; which to employ 242 Infuse-to'make tea by steep- ing in hot water Infectious-a disease which is communicated from one per- son to another Infection-the virus of an in- fectious disease 44 Inflammation, 495; of bone, 495; of bone covering, 496; of brain, 410; of brain, chronic, 496; of bowels (enteritis) 468; of bladder (cystitis), 446; of breast,412; of cellular tissue, 496; of cornea, 471; of eyTj.see eye, diseases of, 470; of heart (carditis), 419; of kidneys, 497: of liver, 498; of lungs, 498; of middle ear, 497; of mucous membrane of larynx, 497; of mouth, 499; of nails, 499; of nose (catarrh, acute), 424; of pituitary mucous membrane, 499; of parotid gland (mumps), 499; of pleura, 500; of peritoneum, 500; of rectum, 500; of retina, 500; of stomach (gastritis), 482; of spinal cord, 500; of tonsils, 501; of tongue, Page. 501; of veins 501 Influenza 502 Inhalation cure 300 Inhibition-act of prohibiting Injections, 336 Innervation - invigorating with nervous energy 350 Insanity(d) 502 Insomnia, (sleeplessness) 503 Intestinal juice or fluid, the fluid secreted by the intes- tinal glands Intestinal obstruction 503 Intestine-large, 64; small.. .63-281 Intercostal-lying between the ribs Intussusception-the falling or sliding of one portion of an intestine into another 515 Inunction-the act of anointing Invertin-a chemical ferment, produced by some yeast plants, which changes cane sugar into invert sugar Invert sugar, equal parts of dextrose and levulose, the chief constituent of honey... Jaundice 504 Jejunum 64 Jelly 219 Jelly water 219 Joints 53 Jug inhalations(d) 413 Kefir219, 257 Kidney diseases 504 K o u m y s s, 258; cream, 258; homemade 219 Koumysgen 259 Kneipp cure 305 Knee-chest position-the body resting on the left side with the knees drawn up to the chest Labium-the folds of integu- ment at the opening of the vulva Lacteals-lymphatic vessels that convey chyle from the small intestines through the mesentery to the thoracic duct65, 67 Lactates-salts of lactic acid Lactation deficient 505 Lactic acid-the acid of sour milk. Formed also by the fermentation of some vege- table juices, and the putre- faction of some animal mat- ters Lactated food 259 Laeto-preparata, 259; cereal food 259 Lactation-wet nursing Lacerated-a torn or mangled rent or wound Larynx60 568 THE SECRET OF HEALTH. Page. Laryngitis of larynx) 497 Laryngismus stridulus 505 Lard 186 Lardaceous-resembling lard.. Laxative-a gentle cathartic... Laxatives 177 Lead 12 Leanness-being without fat- ness or plumpness 505 Lecithin-a nitrogenous phos- phorized fatty substance, especially abundant in brain and nerve tissue Leeks 187, 199 Leguminous-pertain ing to two valve, pod-bearing plants, as peas, beans etc.; seeds 199 Lemons 180 Lemonade-barley, 220; cream, 220; egg, 220; elm, 220; flax- seed, 220; gum, 220; hot 220 Lesion-any morbid change in the texture or functions of organs Lettuce 199 Leucorrhea (the whites) catarrh, vaginal 427 Leucomaines-alkaloids ap- pearing during life, in dis- tinction from ptomaines or alkaloids appearing after death. They result from tis- sue-metabolism, and may be physiological or pathological Leucocytes (d) 391 Leucocythemia (d) 391 Levulose-fruit sugar Liebig's food 258 Ligature-a string with which to tie anything; tightly banded Lightning stroke 505 Limes 180 Lime water 221 Limed milk 220 Linseed tea 221 Liquid diets 373 Liver, 66; cancer of, 505; con- gestion of, 506; enlargement of, 506; fatty, 506; gallstones, (calculi, biliary), 416; waxy, 506 Lobelia suppositories, how to make 458 Lobster 187 Lochia -the discharges after childbirth Lockj aw 506 Locomotor ataxia 506 Locucin -a white crystalline substance in composition and properties much like sugar of gelatine Lumbago,.,...., 507 Page. Lungs, 60; atrophy of, 406; bleeding from (haemoptysis), 484; capacity and digestion, 110; cancer of, 507; congestion of, 507; dropsy of (hydro- thorax) 493; inflammation of, 498; gangrene of 481 Luncheon 150 Lymph - a fibrinous fluid exuded from the blood ves- sels in inflammation 67 Lymphatics-glands or vessels containing or conveying lymph 67 Machine-our living, 49, 53, 93; our living, work done by, 94- 97; repair shop within 100 Macaroni 187 Mackerel *. 176 Macerate - to steep in water until soft... Magnetic cure 277 Malt, 187; and milk, 221; infu- sion 188 Maltine 259 Mal-generation-(g en eration aside from, or below the nor- mal type) 79 Mal-assimilation-1 m perfect appropriation by the tissues of the nutritive materials brought to them by the blood 507 Malaria (ague) 392 Malformation - wrong c o n- formation or structure de- formity Malates -salts of malic acid and a base Malic acid-an acid found in the juice of rhubarb stalks, unripe apples, gooseberries, etc Malignant-a disease of a very serious character, threaten- ing the life of the patient.... Maltose - a crystalline sugar formed from starch by the action of diastase; resembles dextrose Malic acid 160 Mammary undevelopment 507 Mania-a-potu (alcoholism) 394 Manganese-an elementary substance of steel-gray color when crystallized Marasmus 509 Mastodynia (neuralgia of breast) 512 Masturbation-artificial ex- citement of the sexual organs 508 Mastication 116 Massage treatment 275 Maternal - belonging to motherhood Maturation-the formation of INDEX. 569 Page, pus or matter in any part of the body Matzoon 259 Measles 509 Meat-broiled a n d chopped, 221; infusion, 188,221; powder, 188; use of 154 Medicines, doses of 546 Medication, 344; the value of.. 344 Medium oatmeal crackers 259 Medulla-short for medulla ob- longata Medulla oblongata 75 Mellin's food 259 Melons 188 Melancholy (insanity) 502 Menopause (the change of life) 509 Meningitis (inflammation of brain), 410; spinal (inflamma- tion of spine) 500 Menstruation, painful (dys- menorrhea) 457 Menstrual - belonging to the monthly periods Mesentery-a thick sheet of membrane attached to the spine and holding the bowels in place; has many glands between its layers called mesenteric glands Methomania (alcoholism, chronic) 394 Metamorphosis of tissue-the process of metabolism in both forms, anabolic and cata- bolic 62, 100 Metabolism-the process by which living cells transform the nutritive elements of food into themselves; also by which they change their own protoplasm into secretions for special functions or ex- cretions to be expelled. The first process is called anabo- lism; the second is called catabolism Metamorphosis-c hanges of form Metastasis-transfer of a dis- ease to another organ Micrococci - bacteria in the form of dumb-bells, or globu- lar or oval cells without the power of motion Milk-leg (parturition, diseases of) 523 Milk, 189,221; adulterants, 190; clabbered, 211; diet, 221; for infant feeding, 190; gruel, peptonized, 222; peptoniza- tion of, 250; peptonized, 222; punch, 222; sterilized, 190; substitutes Nos. 1, 2 and 3, 222; sterilization of, 249; thickened 223 Page. Mind cure 265 Miscarriage (abortion) 389 Mixed diet 373 Moisture 317 Molecules-the smallest parti- cles of matter that can exist in a free state Monomania (insanity) 502 Morphiomania-a diseased craving for morphine caused by its use Mosquera's beef cacao, 191; jelly, 260; meal 260 Mouth, 62; diseases of, 510; aph- thae (apthe), 403; gangrene, 481; salivation of pregnancy (pregnancy), 523; salivation, mercurial, 510; thrush, 510; ulcer 510 Movement cure 275 Mucous-a fluid secreted or poured out by the mucous membrane, serving to pro- tect it Mucous membrane-the mem- brane lining some of the nav- ites of the body, as the mouth, throat, bowels Muco-purulent-res e m b 1 i n g both mucous and pus Mumps (inflammation of parot- ids) 499 Slurdock's liquid beef 260 Muscles, 52-53; atrophy of, 406; beater, how to make 517 Mushrooms 191 Mustard, 191; dressing 223 Mutton, 191; brot h, Nos. 1 and 2 223 Myelitis (inflammation of spine) 500 Myosin-the clot formed by the coagulation of the muscle- plasma in death Myosis-unusual contraction of the pupil of the eye Myopia (nearsightedness) 511 Narcotics - medicines which relieve pain and produce sleep Nascent-elements just freed from chemical combination; then their chemical affinity is most active Natural cure 272 Nectarines 180 Nephritis (inflammation of kid- neys) 497 Nerves 71-73 Nervousness 511 Nestle's food 260 Neurosis 511 Neurasthenia 511 Neuralgia, 512; of anus, 512; of breast, 512; cervico tracheal, 512; cervico occipital, 512; of coccyx, 512; crural,512; of ear, 570 THE SECRET OE HEALTH. Page. 512; facial, 512; of heart (angi- na pectoris),399; hemicranial, 513; hysterical, 513; intercos- tal,513; of kidneys, 513; rheu- matic. and gouty, 513; sciat- ica, 513; stomach (gastralgia) 481 New method cure 299 Night sweats 513 Nightshirt wrap 327 Nipples, excoriated, 513; fis- sured 513 Nitric acid-a combination of N O« with hydrogen, making H N O3. One of the stronger caustic acids, Nitrogen-an element of the atmosphere, and constitut- ing a large portion of all or- ganic bodies Noises in head 513 Nomadic-wandering Normal-natural, healthy Nose, 59; bleed (epistaxis), 469, 513; red 513 Nostalgia (homesickness) 492 Nuclein -kernel or central point Nurse, the 338 Nutrition (the vital process by which the chemical constitu- ents of food are transformed into living tissue), 89, 155; units of, 96; standards of 119,120, 371 Nutritive ratio-one part by weight of fats equals 2| of carbo-hydrates Nutritive enema and embro- cation No. 1, 223; Nos. 2 and 3, 224; method 354 Nuts 191 Nut and fruit pudding 223 Oatmeal, 170; and fruit, 224; bis- cuit, 260; gruel, 224; mush,224; porridge, 224; pudding, 224; tea, 224; water.... 225 Oats 170 Obesity 513 Obstruction of bowels (intus- susception) 515 Obstetrics (midwifery) Obstetrical-belonging to ob- stetrics Occipital-related to the back part of the head Oidium albicans-a disease germ found on the mucous membrane of the mouth, tongue, tonsils Olives 192 Olive oil 192 Olein-the pure oils, as olive oil, oleate of glyceryl Omentum-the folds of the per- itoneum that cover the bow- els Page. Onions192, 200 One meal cure 268 Opacity-want of transparency Oranges 181 Orange cream, 225; sherbet .... 225 Organic-animal or vegetable existence dependent upon or- ganization Organization-an arrangement of parts for the performance of the functions necessary to life Organic disease-disease of the structure of an organ in dis- tinction from its functions... Organism-a living body com- posed of different organs with separate functions, but mutu- ally dependent and essential, to the life of the individual.. Os-opening Osseous-relating to bone Ossification-turning into bone Our coffee No. 1 and No. 2 225 Our flush, 287; essentials of, 288; modifications of 288 Our colon flush, 279; digestant 372 Our Doctor's water cure, 316; milk punch, 222; toast, 210; tea 230 Overwork 516 Oxaluria 516 Ozcena 516 Oxidation, 61; deficient, 108,109, 111 Oxygen, 90, 104-107, 109-111, 307; required daily, 94; required by infants, 235; treatment.... 274 Oxygenating capacity-see air, and respiration109, 386 Oxyhaemoglobin-a loose com- pound of haemoglobin with oxygen 1 gram to 1.59 c. cen- timeters. The red blood cor- puscles contain in 1000 parts 86.8 to 94.3 parts of oxyhaemo- globin ; the oxygen carrier of the body Oxygen units, the number of molecules with which it al- ways combines with other substances15, 96 Oxygenate or oxidate, to com- bine a substance with oxygen Oxidized, the condition of a substance after oxidation.... Oysters, 193; broiled, 226; creamed, 226; roasted 226 Oyster broth No. 1 and No. 2, 225; stew 226 Ozone (a form of molecular ex- istence of oxygen by which one molecule contains three atoms of oxygen, by the agency of electricity; weight 47.88)311, 314 Pabulum-food in the widest INDEX. 571 Page, sense; sustenance Packs, 326; part 327 Pain, 516; urethral 517 Palate, elongation 517 Palpitation (heart) 488 Palmetic or oleic acid - the acid of fluid oils Pancreatic digestion 86 Pancreatinize-the change ef- fected in food by the action upon it of pancreatin Papayotin-the watery part of the milk of the papaw tree contains 10.6 % or more of ni- trogen called p. or papain; used as a digestant.. Papoid-a form of papayotin.. Paralysis 517 Parasite-animals living upon other animals Paresis, 517; atonic-lack of power without paralysis Parotids-glands secreting saliva Parotitis (inflammation paro- tid gland) 499 Parturition, diseases of, 518; child-bed fever, 518; colic, 518; convulsions, puerperal, 518; flooding 518 Paroxysm-a periodical fit of a disease Particular methods and spec- ial diets, 353; diets, 368; diets, standard of construction 369 Paretic dysuria-impeded and painful urination Pastry 149 Patient, the 342 Pathological-relating to dis- eases ; their nature and re- sult Pears 181 Peas 193, 199 Peaches 181 Peach bread pudding, 226; foam, 226; paste, 227; pie. ... 227 Pectic acid 160 Pelvis-the cavity containing the womb Pelvic-belonging to the pelvis Pepsin 83 Pepper, 193; adulterants, 193; red (cayenne) 194 Peptones-(1) The end product into which the albumens of the food are converted by the digestive process-albu- minose. (2) Dextrose, grape sugar. (3) Diastase, allied to gluten-made by macerating sprouting malt 24 hours at • 100° F. in double its weight of water, filtering, replacing the filtrate with alcohol, fil- tering the deposit and dry- Page, ing. Called also maltine and vegetable ptyaline Peptogens-soluble substances which excite the formation and excretion of pepsin. Among the best are dextrine, soup, green pea soup, bread, gelatine and peptones Peptonization (d) 250 Percolating-filtering Pericranium-the membrane covering the skull Pericarditis 489 Peritoneum-the membrane lining the abdomen and cov- ering the bowels Peritonitis (inflammation of peritoneum) 500 Perityphlitis (appendicitis).... 402 Persimmon 181 Peristaltic-undulatory, wave- like motions Perspiration, offensive 518 Pertussis (whooping cough).... 543 Pessaries-instruments to sup- port the womb Petit mal 518 Peyer's patches (d) 281 Pharyngitis 519 Phthisis (consumption), 435; fe- ver of 519 Ph os ph or us-an elementary substance obtained from bones, very inflammable, poisonous, and must be pre- served beneath water and handled carefully Pickles 194 Pie crust, hygienic, No. 1 and No. 2 227 Piles (hemorrhoids) 491 Pin-worms (oxyuris vermicu- laris) 543 Pineapples 181 Pipette-a small open glass cylinder with a syringe noz- zle at one end and a rubber bulb at the other; used for dropping fluids Placenta-a roundish flat sub- stance that forms in the ute- rus in conjunction with the foetus, and to which the um- bilical cord is attached, con- stituting the medium of com- munication between mother and child Plain graham or dyspepsia crackers, 260; oatmeal crack- ers 260 Plasma-the liquid in which the blood corpuscles float, the liquor sanguinis Plethora (fulness of blood) 519 Pleurodynia (neuralgia) 512 Pleurisy 519 572 THE SECRET OF HEALTH. Page, Plexus-network of nerves, or blood-vessels Plums 181 Plunge, the 336 Pneumonia (inflammation of lungs) 498 Point, the fundamental 107 Pointing (d) 390 Poisons-agents that pathologi- cally extinguish vitality; corrosive, agents that trans- fer the tissues from the con- trol of the vital to that of the chemical force; narcotic, agents that destroy sensibil- ity and nerve-vitality Poles, the balanced 107 Poluboskos, a gluten food 261 Polypus, nasal (a soft tumor) .. 521 Polypoid-like a polypus Polyuria-an excessive flow of urine from some irritation of the back part of the brain ... Pomarius 227 Pomegranates 177 Pons-varolii 75 Post-partem-after child-birth Post-mortem-after death Portal-belonging to the circu- lation entering the liver Pork 150, 194 Potatoes, 194; creamed 227 Pour, the 335 Pregnancy, diet of, 521; dis- eases of, 521; albuminuria, 521; appetite morbid, 521; burning feet, 521; constipa- tion, 521; cramps, 521; diar- rhea (treat as diarrhea), 451; enlarged veins, 522; fainting, 522; heartburn, 522; head- ache,522; insomnia, 522; itch- ing, 522; longings or craving, 523; milk leg, 523; miscar- riage, loss of the foetus be- tween the sixth and ninth months, 389; morning sick- ness, 523; nervous cough, 523; neuralgia, 523; palpitation of heart, 523; pigmentation, 523; piles, 523; rigid abdomen, 523; salivation, 523; signs of, 521; swollen limbs, 524; urine, in- ability to retain, 524; urine, inability to void, 524; vomit- ing, 524; vomiting of blood, 524; when it will end 521 Prescription, landmarks for ... 349 Privy should be abolished 16 Prolapsus-falling; ani, (d)524; uteri (d) 524 Propeptones-a compound oc- curring in the course of the conversion of proteids into peptones Prostration, excessive (col- Page lapse) 524 Proteids-albuminoids, muscle- formers Protein-the sum total of all the constituents of a food containing nitrogen; used chiefly as the first word in compounds, e. g. protein-bod- ies; diet 373 Protoplasmic - pertaining to first growth or formation Protoplasm-the colorless cell- nucleus which shapes itself into the formed material of tissues Prognosis-the opinion formed concerning the termination of any case of disease Proud flesh 525 Proximate principle-a definite chemical compound existing in an organic body, and sepa- rable from it by analysis Prunes 181 Prunelies 181 Pruritis, (d) 525; ani 525 Ptomaines (chemical com- pound, basic in character, formed by the action of bac- teria in the putrefaction of organic matter) 525 Ptyalin-an albuminous prin- ciple in saliva Pubic bones - those at the lower part of the abdomen... Pudding, strawberry 228 Puerperal-relating to child- birth Pulse and respirations per minute 346 Pulmonary-belonging to the lungs Pulpat ion-reducing to a pulp. Pulsation-throbbing like the pulse Pumpkin 195, 200 Puree 228 Purulent-full of pus; having tiie nature of pus; ophthal- mia 52C Pustules-pimples filled with pus-like matter Putrescent-putrid or rotten state Putridity-a state of rottenness Pyaemia-a purulent condition of the blood, resulting in abscesses Pylorus-the lower aperture of the stomach Pyloric -appertaining to the pylorus Pyrosis (d) 526 Pyroligneous-generated or procured by the distillation of wood INDEX. 573 Page. Quartian (d) 392 Quinsy (inflammation of ton- sils), 501; malignant 526 Quotidian (d) 392 Rabies (hydrophobia) 492 Raisins 195 Rapid blood-making method .. .354 Raspberries 166, 182 Raspberry shortcake, 228; syrup 228 Raw diets, No. 1 to No 7, inclu- sive 228 Rectum (tlie lower bowel) 526 Recuperation 56 Recreation, Commodore Van- derbilt 27 Reflex (d) 78 Refrigerant (that which re- duces the heat of the blood or body) 177 Reforms necessary, 110; in schools 28 Regurgitate-to throw or pour back Relaxing method 359 Relapsing and remittent fe- vers 478 Remedy, how to select 347 Rennin-milk clotting ferment Rennet ferment-an infusion of the lining membrane of the stomach of the calf Rest, 54; cure 273 Rest, how to take, 28; why needed 27 Respiration 59 Respiration, 147; muscles used in, 29; average too low in books, 109; average correct- ed, 109; difficult, 526; function of, 61; of the people, defi- cient, 107; of students, defi- cient, 108; the fundamental point, 107; suspension of (asphyxia) 527 Respiratory diseases, 526; quo- tient, the proportion of ex- pired volume of carbonic acid to the inspired volume of oxygen Resorb-to swallow up Restorative jelly 229 Retained enemas 290 Retrogression-the act of going backward Retroflexion and retrover- sion (d) 527 Revulsive method 366 Rheumatism, 527; acute arthri- tis, 528; sub-acute,528; chronic 528 Rhubarb 200 Rice, 195; boiled, 229; bread, 229; gruel, 229; jelly, 195; milk No. 1 and No. 2, 229; water.... 229 Rickets (rachitis) 529 Ridge's food 261 Page. Roach 176 Rose's peptonized beef 261 Rubeola 529 Rumford soup No. 1 and No. 2.. 156 Rusk 230 Rupture (hernia) 491 Rye-bread, 170; wafers 261 Sabbath-rest a law of nature... 28 Sago 195 Salt 195 Saliva-the fluid secreted by the glands of the mouth Saliva, effect in stomach 152 Salivary digestion, 82; glands . 82 Salmon 176 Saline-impregnated with salt Saline and chalybeate tonic, recipe for 397 Saprogenes-bacillus, the germ of caries and necrosis Saponification-conversion in- to soap Sarcinae ventriculi, the fungus of catarrh of the stomach.... Sardines 176 Saturated-water or other liq- uids filled with as much of a soluble body, salt for in- stance, as it will dissolve.... Sauer kraut 168 Sausage 196 Saulisbury cure 269 Scarlet fever, or scarlatina.... 529 Scarification-m a k i n g small cuts Sciatica 530 Scirrhus-a hard tumor affect- ing the glands, often ending in cancer Sclerotic-the outer covering of the eyeball Scrofula 530 Scurvy (scorbutus) 531 Sea-sickness, 531; weeds 196 Secretions, 68, 69; solvent 86 Secernents (d) 347 Secernent method 363 Segments-divisions Semi-fluid diet 373 Senility (senile atrophy) 531 Septic-tending to promote pu- trefaction Septicemia-blood poisoning.. Serum-the watery portion of the blood Serum-albumin-the albumin of the blood-serum Sero-purulent-serous fluid and pus Serous fluid, dilute albuminous solutions secreted by serous membranes Sewerage 15 Sewer gas 4 Shelter 310, 314 Sherry, effects on digestion.... 113 574 THE SECRET OF HEALTH. Page. Shock 531 Shoulder sprinkle 334 Sick headache, 486; nervous... 531 Sick room, the, 339; bed, bed- ding and clothing, 340; the water supply 340 Sight 73 Silica, decarbonized white peb- ble; flint, silicea Silicon-the chief constituent of silica...., Simple pudding 553 Simple syrup-a solution of 5 lbs of sugar in 2 pints of wa- ter with heat, cool and water enough to weigh 7% lbs Sink spout, a source of death.. 17 Sirocco-an oppressive relax- ing wind from the Libyan deserts, chiefly experienced in Italy, Malta and Sicily Sitz bath 327 Skin ointments and lotions, 41; diseases 532 Sleep, imperative, 25-26; habit of semi-sleep, 28; why recu- perative 54, 56 Sleeplessness 532 Sloughing-peeling or falling off of dead flesh Smell 73 Smothering by gas 532 Smoked beef broth 230 Snow-drift sauce 553 Soil 310, 313 Solid diet ... 373 Soluble-capable of being dis- solved in fluid Sordes-matter cast out of ulcers, or that collects on the teeth during some fevers Sore throat (inflammation of larynx) 497 Sores, old, sloughing, (ulcers, old) 538 Sour stomach (dyspepsia)..... 458 Soup, 196; cheap, 157; without flesh 153 Spasms (cramps) 445 Spasm of bladder 532 Special note, 386; treatments.. 263 Sphincter-applied to muscles that surround natural open- ings, and close by contrac- tion Spices 197 Spinach 200 Spinal cord, 77; curvature, 532; irritation, 532; pack 327 Spirometer-an instrument for ascertaining the amount of air breathed into or from the lungs at one time Splenitis 533 Spores-small round or ovoid Oodles formed in certain or- Page. ganisms by germination giv- ing rise to a new organism... Sporulatio n-evolving from spores Sponge, The 335 Sprains 533 Sprinkle, The (shower), 334; knee, 335; loin, 335; shoulder 334 Starch-irregular granules of white substance insoluble in cold water, but yields to heat Starch 197 Starch foods 233 Sterility-state of being barren Stertorous-breathing heavily. Sterilization (d) 249 Stiff joints 533 Stimulating method 358 Stomach, 62; digestion, 83; strength of 149 Stomatitis (cancrum oris) 533 Stone-bruise 533 Strangury 533 Strawberries, 166; and whipped cream, 230; pudding 228 Streets, necessary width of.... 8 Streptococcus-a long or short chain of micrococci more or less curved Stricture of oesophagus (gullet) 533 Stridulous-creaking, croupy.. Strumous scrofulous infants... 533 Stunning 534 St. Vitus dance (chorea) 432 Styes (hordeola) 534 Subcutaneous - 1 ocat ed be- neath the skin Sub-nutrition 78 Sub-oxidation 78, 534 Submaxillary-applied to a gland under the lower jaw... Sudoriferous-producing sweat Sugar (vegetable substance containing carbon with oxy- gen and hydrogen in the same proportion that these form water) 197 Sulphureted hydrogen 4 Sunlight, 8; needed for growth 9 Sunshine 310, 313 Sun-baths 8, 9 Suppuration-formation of matter Supra-renal - above the kid- neys Swallowing difficult 449, 533 Swellings, cold 535 Swim, The 336 Syncope-fainting Syntonine-the acid albumen into which myosin is convert- ed by dilute acids Synthetic-the opposite of an- alytic. Synthesis builds out of elements; analysis reduces to elements ■ INDEX. 575 Page. Syrup, 197; maple 198 Tallow 198 Tamarinds 182 Tamarind water 230 Tannin-an astringent princi- ple of certain plants; obtain- ed in its purity from galls.... Tapioca, 198; jelly 230 Tartar, salivary calculus 535 Tartaric acid 160 Taste 73 Tearfulness 535 Tea, 112, 113, 198; our 230 Temperature, 308,313; of sitting room, 10; to equalize 7 Tenesmus (d) 535 Tendons 53 Tertian -..(d) 392 Tetanus 535 Therapeutics - the science of the curative powers of med- icines and their uses in treat- ing diseases Thermal unit, see heat unit.... Thorax-chest Thoracic-relating to the tho- rax Throat, sore (laryngitis) 497 Tissue, any part of the sub- stance of the organism made up of aggregations of similar cells and cell-products into a definite fiber Thrombosis 535 Thrush, sprue 535 Tibia - shin-bone, or largest bone of the leg Tic douloureux (neuralgia fa- cial) 512 Toast, our, 230; water No. 1 and No. 2 231 Tobacco amaurosis. 535; heart. 535 Tocsin-an alarm bell, or the ringing of a bell for the pur- pose of alarm Toe-nails, ingrowing 475 Tomatoes, 199; soup 231 Tonic method 355 Tongue, inflammation 'of, 536; ulcers of 536 Tonsilitis (inflammation of ton- sils) 501 Tonsils, enlarged 536 Toothache 536 Touch 73 Toxic-poisonous Tractor cure 306 Trachea 59 Transudation-passing of flu- ids through a membrane or texture Traumatism -state of injury produced by causes external to the body Tread, The 335 Triturate-rubbing together in Page, a mortar Trout 176 Trypsin-the ferment which constitutes the active princi- ple of the pancreatic fluid.... Tn bercles-small aggregations of morbid matter 537 Tubercular -belonging to tu- bercles; cystitis 537 Tubercular meningitis, 538; mesenterica, marasmus, 538; nasal, 538; peritonitis 538 Tuberculosis of hip joint, 537; knee, 537; prostate, 538; rec- tum, 538; stomach and bow- els 538 Tuberculosis in children 537 Tumors 538 Turkey 199 Turbot 176 Turnips 199 Tympanitic -a flatulent dis- tension of the abdomen Typhoid fever 479 Ulcers, 538; old and sloughing, 538; anus, 538; bowels, 538; bones, 538; containing proud flesh, 539; eye, 538; glands, 538; gangrenous, 538; inflam- ed, irritable, 538; indolent, 539; larynx, 539; nose, 539; rectum, 539; stomach, 539; tibia, 539; varicose 539 Umbilicus-pertaining to the navel Unfermented bread 231 Unleavened wafers 231 Units-any known quantity by the repetition of which any other quantity of the same kind is measured Universal food 261 Uraemia 539 Uraemic-relating to uraemia... Urethra-the tube that carries the urine from the bladder; neuralgia of, 539; stricture of 539 Urea-an important constitu- ent of urine, by the forma- tion of which ttie nitrogen of food is eliminated from the body Uric acid (d) 540 Urine, constituents of, 71; con- tinence of, 540; incontinence of, 540; retention of, 540; sup- pression of 540 Urination, painful 541 Uriniferous-pertaining to the urine U. S. army ration tested by "ideal diet" 145 Useful things learned by per- sonal sickness 343 Uterus-the womb; displace- ment of 541 576 THE SECRET OE HEALTH. Page. Uterine-b elongin g to the uterus Uvula-elongation (palate) 517 Vacations 28 Vaccination 542 Vapor, alcohol, 333; bed, 333; clear and medicated, 332; foot, 332; stool 333 Varicella (chicken pox) 428 Varicose veins 542 Variola (small pox) 478 Vagina-the passage from the vulva to the uterus Vaginal-belonging to the va- gina Vaginitis-inflammation of the vagina Vaso-motor-pertaining to the muscular coats of the blood- vessels Veal 199 Vegetative process 54 Vegetables 199 Veins 59 Ventilation, 2; best method, 7; fireplace, 3; how to secure in bedroom, 27; necessity for- deathrate 4 Ventilating orifices 5 Venison 184, 200 Vermifuge-a medicine to de- stroy worms Vertebra-one of the bones of the spine Vertigo-dizziness Vesicle-a small bladder or blister in the skin Vinegar, 200; distilled 200 Viscera-the internal organs of the body Viscid-glutinous; sticky; not readily separating Vital force-the animating power in plants and animals that controls chemical affini- ties to the production of organic structures Vitiated-depraved ; rendered impure Voice, loss of (aphonia) 402 Page. Vomiting 542 Vulva-tiie external female genital organs Wagner's infant food 261 Walnuts 192 Warts 542 Water on the brain (tubercular meningitis) 538 Water, average need of, 11; dressing-cool compress of water; hard, 200; health pre- server and restorer, 10; purity of, 11; poisoned by lead, 12; qualities of, 316; supply, 310; solvent properties, 321; tread 335 Waxy liver 506 Weeping eye 543 Wells often but drain pipes.... 14 Wellesley female college.. .108, 110 Wheat, 170; gluten, 261; prepa- rations 261 Whey 201 Wheal-an elongated elevation of the skin, like that caused by a stroke from a rod White swelling (tuberculosis of knee joint) 537 Whitlow (felon) 475 Whisky drink 231 White sauce 228 Whole wheat crisps 553 Whortleberries 165 Whooping cough (pertussis).... 543 Wines, 201; sweet.... 201 Wine whey 231 Womb, diseases of. See ante- version, anteilexion, prolap- sus uteri Worms, common, 543; pin or thread, 543; tape 544 Work done by the human ma- cl i in (3 94-97 Wraps, 327; body, 329; shawi.. 329 Wrinkles 544 Writer's cramp 544 Wry neck (torticollis-caput obstipum) 544 Yeast fungi 544 Yellow fever 545 Zwieback No. 1, 2 and 3 262 Errata. Page 278, fourth line from bottom, read warm instead of " cold." Page 287, ninth to fourteenth lines mistakenly copied from a med- ical journal. They do not apply to the Hall system.