■^^s} "<**/; *.'-<••.:■-J, HYDROPATHY; OR, THE WATER-CURE . 1 '•• <.V&S<£>>>* ■■.:,.{ ! "I .':•-■• I ' HYDROPATHY; OR, THE WATER-CURE: ITS PRINCIPLES, MODES OF TREATMENT, &c. KUu0tratrtr tottf) mans ©ases. COMPILED CHIEFLY FROM THE MOST EMINENT ENGLISH AUTHORS ON THE SUBJECT, BY JOEL SHEW, M. D. NEW-YORK: WILEY & PUTNAM 1844. / \: B F 3554-oe EMered Kcrtiog to »n ncl of Conjren, to Hie year IBM, BY WILEY & PUTNAM, In the Clerk's Office of the District Court for the Southern District of New-York. Wright's Power-Press, 122 Fulton street, New-York. INDEX Abdomen, inflammation of..p. 124 -------■ diseases of...........130 Abreibung.......................... 48 Accouchment..............„.....134 Air and Exercise.................. 57 Apoplexy............................143 Appendix, on Diet................275 Apparent Death...................146 Bandages, Warm..................53 -------Cold.................... 51 Baths. ByClaridge.............62 Billing's Theory of Disease.... 13 Blood, spitting of..................133 Bowels, inflammation of........124 Brain, inflammation of..........112 Burns................................120 Cancer............................... 98 Cases. By Sir Chas. Scudamore 148 Cases. By Dr. Ed. Johnson....211 Paralysis....................213 Sciatica......................216 Sciatica with Lumbago...218 Constipation............... 518 Dyspepsia...................219 Dyspepsia and Rheuma- tism.......................222 Gout, Rheumatism, &c. 224 ----in hands and knees.225 Rheumatism with Psoria- sis.........................226 Psoriasis................... 227 Skin Diseases...............229 Fistula in Ano.............232 Gonorrhoea.................. 234 Cases. By Dr. Ed. Johnson. Urinary Fistula.........p. 234 Consumption................236 Case of Mrs. J. B. S......239 Deafness.............241, 258 Hip Disease................242 Scarlet Fever...............244 Symptomatic Fever.......245 Catarrh......................246 Baldness.....................247 Head-ache, &c.............247 Secondary Symptoms.. .249 Impuissance with Gout...253 Contracted Joints........254 Hernia.............,.........254 Hsematuria..................254 Cerebro-Spinal Diseases.255 Suppressed Measles......256 Ague.........................257 Epilepsy.....................259 Hypochondriasis, &C...259 Cases, By Dr. Shew........... .262 Catarrh..............................118 Chest, pain of.....................119 ----inflammation of.............106 Chilblains..........................105 Cholera..............................100 Cholic...............................132 Clothing............................ 58 Cold..................................118 Cold, torpor from..................147 Cold Feet...........................106 Congestions of blood.............132 Constipation........................124 VI INDEX. Cough...........................p. 119 Cough, Hooping...................112 Cramp of Stomach...............135 Crisis................................. 60 ----by Scudamore...............148 Deafness............................121 Delirium Tremens...............138 Diarrhoea............................131 Diet..............................59,275 Diseases to which the water- cure is especially applicable. 76 Diseases, treatment of............85 Douche.............................. 72 Drinking............................45 Drop Bath..........................71 Dropsy, remarks on............... 74 ----treatment of..................98 Drowsiness.........................133 Dysentery..........................104 Dyspepsia...........................124 Ear-ache............................121 Epilepsy............................130 Erysipelas..........................Ill Exercise........................... 57 Eye Bath........................... 69 Eyes, weakness of................114 ----inflammation of............113 ----sore...........................120 Fainting...........................145 Feet, foetid perspiration of......106 Feet, cold..........................106 Fever, treatment of.............. 94 ----intermitting..................98 Finger Bath........................69 Foot Bath........................... 66 Fractures..........................122 Gout and Rheumatism..........85 Gripes...............................118 Half Bath.......................... 64 Head Bath......................... 68 Head-aehe..........................126 Heartburn.....................p. 129 Hemorrhage, Uterine............134 Hooping Cough...................112 Hydropathic Laconics............265 Hydropathy........................ 1 Hysterics.........,...............125 Indigestion........................,124 Injections........................ 47 Itch and Ringworm..............115 Laconics...........................265 Leg Bath........................... 70 Lein-tuch......................... 49 Lock Jaw..........................137 Loss of Sleep....................130 Measles..............................109 Menstruation, irregular........134 Mercurial Diseases..............11G Nasal Baths........................ 48 Nausea..............................132 Nervous weakness...............125 Nose Cold...........................120 Nose Bleed........................127 Observations, &c..................294 Obstructions of Articulations, 105 Oral Baths........................ 48 Paralysis............................140 Piles.................................122 Propositions and Principles. By Drs. Wilson and Gully....... 39 Quinsy..............................ng Rheumatism........................ 85 Rickets..............................108 Ring-worm.........................115 Scarlatina......................... iQ9 Scrofula............................jgg Sitz Bath.......................... yg Small Pox..........................JQ9 Sprains............................. j 22 Stiff Neck ........................119 Stiff Joints ....................... T22 Stitches in Side ................ 123 index. vii .. p. 54 ..p. 51 ......117 .... 44 .....135 ....127 Throat, inflammation of... .....119 Wet-sheet, or Lein-tuch.. .....49 .....127 .....48 .....121 ..... 51 Treatment of Diseases..... .....85 .....116 .....120 ERRATA. Page 46, 15th line, for " venal" read " renal." Page 35,4th line, for " Tod" read " Todd." Page 275, last line, for " men" read " man." PREFACE. It will at once be observed, that in the following pages there is little claim to originality. The compiler has for a time had his attention directed to the water-cure, and has with interest witnessed its progress. Having been perfectly convinced of its value, and of its superiority as a system for the treatment of disease, he has been engaged in writing with a view to publicity; but as different works upon the subject have from time to time appeared in Europe—works of merit—some of which are of very recent date, he has thought best to adopt the maxim that "amidst counsellors there is safety," to substitute in a great measure portions of those works in such a way as it is hoped will render the present work one of value. The writings of the several authors will show for themselves. Let it be understood, however, that the compiler does not intend that it shall be inferred that he agrees with all that is said. Various have been the objections urged against hydropathy. By high authority, we have it classed among the various delusions that are, and that have been, and of which it is said, they "In turns appear, to make the vulgar stare, Till the iwoll'n bubble bursts, and all is air." So it has been ranked in this country; but nearer the retired spot of the " primitive philosopher," it is different. There, in abundance, are to be found the " hard telling facts." The actual cures have been performed. There has been raised the cry of danger! danger! instead of delusion. As to the dangers in the practice of the water-cure, what are they 1 Precisely not greater than are to be found elsewhere. Not greater than to open a vein or an artery—and draw out that fluid upon which life so much depends—or to introduce into the stomach or the circulation, the most virulent and deadly poisons in nature—things of X PREPACK. • every-day practice. The administration of pure clean water cannot certainly be attended with more danger. That, by thousands, astounding cures have been performed in the treatment, no one can question. And so was it in tractoration. But there the mistake was as to the how. The objector who would class the water-cure with that delusion has not examined the subject—does not even know what the water-cure is. In the case of tractoration, where the cures were performed, the subject exercised unbounded faith in the mysterious agency of the tractors. It is true, too, that Priessnitz inspires his patients with confidence and courage, and so must any and every practitioner of the healing art, to obtain success. But more. Let the objector, professional, or non-professional, get a little way into the secrets of the water-cure (for to him as yet they are secrets.) If he be an invalid, let him awhile, leave, of every kind, his vile narcotics and stimulants—in every respect, his hours keep regularly. Let him " daily wash and be clean," and be throughout regular and temperate in his meals, and in all his habits. Let him di- minish, if need be, the amount of fluids in the body, by most profuse per- spiration, or, by the wet sheet, reduce the temperature of the body, and the velocity of the circulation and heart's action, to any required extent. Let him purify the blood, not by any of the thousand-and-one of the nostrums of the quack, or of the multitudinous forms of drugs innumer- able, but by the cleansing effect of Nature's own best pure fluid. Let him, if he can command courage, go to the bath, to the douche; climb among the hills and breathe freely the pure mountain air of heaven—and all in proportion to his increasing strength; let him be cheerful always; and at evening, according to his inclinations, let him join in some of the social exercises—the music and the dance; and when in time he finds his body has become amazingly strengthened, and his mind active, cheerful, vigorous and blithesome, and that his old ailments inveterate are cast off, it will be a thing not easy to convince him that all is de- lusion—a work of the imagination. By this time he finds that though he will, as if to bring spirits from the " vasty deep," against the effects of the water-cure, it would be willing in vain. There is at least something of physical truth in it. A greater mistake cannot be than to class this with the tractors, Sir Kenelm Digby's sympathetic powder, or Hahneman'a decillionth grain doses of charcoal, flint, silica or cuttle-fish juice, made PREFACE. XI too potent by ten shakes instead of two. A wider difference can- not be. The unprofessional manner in which the water-cure is intro- duced, has been a matter of objection by some. According to Dr. Rush, a medical man should be a student his life long: he should gath- er information from any and every source—should even lay under con- tribution the experience of the old woman, whom he might meet in a stage-coach or elsewhere, to add to his stock of facts in the healing art. " Life is short, art is long," said " the old man of Cos." Should an old woman, or any one, discover a drug of which it should be said, on good authority, that it was capable, in one dose, of producing the most powerful sweating, and in another, of reducing the temperature of the body most efficiently, and of retarding the velocity of the circulation to any required extent, and which consequently could be made to fulfil every intermediate indication, the student-like physician would most certainly set to work and test fairly and fully the power of the old wo- man's drug. The great physiologist and physician, Magendie, makes the strong assertions, that " the science of medicine is almost the only one char- acterized by uncertainty and chance,"— that "the existing system of medical study confers trifling good on society,"—that" there is scarcely a sound idea on physiology abroad,"—that " the plan hitherto pursued in the study of medicine, has been too narrow ever to lead to those happy results that dignify an age by improving the condition of hu- manity,"—and that " the prevalent mode of treating disease, harmoni- zes admirably with, and is quite as senseless as, the method of reasoning in pathology." The practitioner mixes, combines, and jumbles together vegetable, mineral and animal substances; administers them right or wrong, without for a moment considering the cause of the disease, and without a single clear idea on the why and wherefore of his conduct. Another says, " all things considered, it were better for mankind if not a particle of medicine existed on the face of the earth ;" and the learned Hoffman of the seventeenth century said, " avoid medicine and physi- cians, if you value your health !" However strong and sweeping these assertions may at first appear, if we carefully examine, we shall find that there is vastly too much of truth in them. The study of the mere relation between symptoms and reme- I XU PREFACE. ! dies, without sufficient reference to the removing of the causes of disease, has been too much the case in medicine. Hippocrates used but lit- tle medicine, and his remedies were few and simple. His principal business was to discover and remove the causes of disease. Medicine has likewise been followed too much as a mere business— a means of livelihood, or a source of emolument. And then again, if we may hazard the opinion, it is too true that the existing system of medicine is often found going in direct opposition to its fundamental principles. This it is claimed cannot in truth be said of hydropathy. The practice in the water-cure is consistent; rational and explainable. Let us not be misunderstood in this matter. Far be it from vs to depreciate, in any way, the value of the profession. It is error, and not men, or any class of men, that we have to contend with. The noble profession of our choice, we esteem,—a profession, than which there is none of more importance to society and the race. But we could sooner doubt our very existence, than that the healing art comes far short of doing its best work, of conferring its best good upon society. That the profession is a body of worthy and intelligent men, and that of this body are those who are to be ranked among the highest benefactors of the human family, society fully acknowledges. It is therefore the height of folly for any one to act against the profession. The water-cure, and improvements of whatever kind, wherever they may originate, must be introduced to the public generally, through this profession. As if perfection were to be found, and as if all medical men, unlike those of other professions, were to be perfect moral beings, we hear in glowing colors, by some, not a little said about the persecutions in me- dicine. We hear the grave questions, " Who denounced Harvey, the glorious discoverer of the circulation of the blood V " Who ridiculed vaccination and persecuted its discoverer, Jenner 1" And then, again, when Lady Mary Montague inoculated her child with the matter of small pox to mitigate the severity of the disorder, it is said that on the part of some there was manifested such an unwillingness to have the experiment succeed, " that she never cared to leave the child alone with them one second, lest in some secret way it should suffer from their inter- ference." Admit this all true—and more, and we have that which will but poorly compare with the witch manias, and the violent persecutions elsewhere. And be it remembered, too, that among the ignorant puepace. xiii traducers of the profession, are to be found those who are ever most ready to lend their names and influence to quackery of every form, but when anything serious comes upon them, they are equally ready to avail themselves of the gratuitous services of the insulted profes- sion. The water-cure presupposes that all due attention be given to the re- moval of the causes of disease ;—to the prevention as well as the cure. The great ignorance that exists as to the causes of disease, the means of prevention, and the best methods of curing, is an ever fruitful source of quackery of every kind. Teach people to understand the laws of life, health and disease, and then they are incapable of the imposition of the mercenary and villanous quack. And then, and not till then, will the profession attain its true dignity. And then will the labours of the true physician be rightly valued. Then will the physician's pay be more than now, like that of Boerhaave, when he practised among his best patients. The writer has high hopes in reference to what will yet result in this country from the introduction of the water-cure. If he is mistaken in his enthusiasm, in this new world, in the healing art, (for Captain Cla- ridge says, Priessnitz, like Columbus, discovered a new world,) so it is: he will trust to the intelligence of his country and the profession—to time and maturer experience, to convince him of his error. He is young, and can improve. When a better way is shown, he will follow it. But from what he has heard, seen and knows, as yet he must be in his humble way an advocate of the water-cure ; and, in doing this, he has incomparably more regard for the good which it is destined to bring about in society, than for fame, reputation, or emolument. As a matter of course, that always convenient word, " quackery," will, by some, be applied to the water-cure treatment. But let it be remembered that it is not Priessnitz, or any one, that such are to contend with, but the thing itself. A method of treatment of itself in perfect accordance with the laws of nature. A natural remedy, only inten- sified by art. Real quackery will have but little to do with hydropathy. There is in its very nature too much of primitiveness and simplicity— not enough of mysticism—of the wonderful and marvellous. Besides, the practice is too laborious—often severely so, both for patient and practitioner. Let the water-cure be generally understood and practised, XIV PREFACE. and the very considerable firm of Messrs. Humbug, professional and non-professional, will turn bankrupt outright. If the water-cure treatment were quackery, we have quackery unique. With his vile preparations, and specifics infallible, the quack may delude the ignorant, and, villain-like, drug mankind to death—employ- ing in every direction, his compeers, to practise upon his thousands of patients whom he never sees or cares for, if he can but cheat them out of their substance; but to stand by the sufferer in disease, to guide the remaining energies of life, in accordance with its own laws, in such a manner as to " remove obstructions, relieve oppression, subdue diseased action," and strengthen and invigorate the system, thus " placing the body under the most favorable circumstances for resisting disease," re- mains for another besides the quack to perform. And this we contend can best be done, when in competent hands, by the primitive natural treatment, the water-cure. Than this to quackery, nothing can be more perfectly, more specifically antipodal. The simplicity or oneness of the remedy will be with some a matter of objection. It should be understood that nothing is easier than by the water-cure to produce, to any given extent, directly opposite results; therefore its simplicity is greatly in its favor. Why have drugs been multiplied without number 1 Precisely because not one of them is to be always depended upon. Not so in hydropathy. It is contended that the remedy here can be relied upon, and is always in competent hands, not only in all curable cases safe and efficacious, but will ahoays do some good—which is not true of drugs. To the non-professional inquirer, let it be said no remedy can be powerful for good that may not be made powerful for evil. It may ap- pear a simple thing to " wash and be clean,"—but even this must be done rightly. Although the " sleeping in wet sheets is by no means the disagreeable thing that it is usually conceived to be," yet it must be done in the right way, or most disastrous may be the consequences. The Russians find their snow-bath exceedingly delightful after their sweating, but they know that it can be continued but a few minutes. The Englishman finding it at once pleasant, remained too long, and thus sacrificed his life to his ignorance. The water-cure implies temperance in detail. Those who wish to adopt the better plan, prevention ratlier than cure, may be assured, that PREFACE. XV in changing habits, mere feelings must not be taken as a guide. If they do, a blind leader of the blind it will prove. The invalid mendicant, while asking alms, declared that as long as God should let him live/he would drink every day a dram, because it gave him strength. The minister of the Gospel (not a physiologist) said he would enjoy his tea and coffee and his pipe, even if they did cut short life, rather than be deprived of the good things which God gives us. But whenever the drunkard reforms, however uncomfortable at first he may feel, we soon find nature is true to herself. He feels like death, but yet he does not die. Soon like life from the dead he is a new and renovated man. J. S. Broadway, New-York, February 13, 1844. HYDROPATHY. The word Hydropathy, as used to denote the Water-Cure, has been objected to, as not being etymologically correct in signification. It is derived from two Greek words, togeth- er meaning, water disease. It is, however, a term well un- derstood. Hydrotherapeutics,—which means, healing with water,—has been substituted, and is decidedly a better term, as far as etymological correctness is concerned. Hydria- tics has also been used. The best term is the plain English one, the Water Cure. But whichever term is used, it is not less correct than many others in common use among the best speakers and writers. That parts of the Water Cure have, to some extent, been practised in the healing art, no one will pretend to deny. As a general thing, water was used to a greater extent, as a remedy, in the earlier periods of the history of medicine, than in later times. Hippocrates, the father of medicine, determined that, in certain kinds of baths, warm water would produce a chill, while cold water would produce a contrary effect. We are also told, that to produce diaphoresis, or sweating, he did not resort to the use of internal remedies, but merely poured 1 2 HYDROPATHY ; OR, warm water over the head and body, and then heaped clothes upon the patient, which would produce the desired effect, without the irritation of the internal organs, consequent upon the administration of powerful diaphoretics. This, as will be seen hereafter, somewhat resembled the sweating process of the water-cure. He also recommended the use of water in various ways, and in the most serious diseases. Celsus and Galen also recommended the use of water, both in sickness and health ; and many similar examples might be quoted. The honor of making certain various discoveries, in the application of water to the human body as a remedial agent, is due Vincent Priessnitz, a peasant and native of a small colony called Graefenberg, situated two miles from the town of Freiwaldau, and about half way up one of the mountains of the Sudates in Austrian Silesia, Germany. This has always been his place of residence, and was also that of his father before him. His discoveries were at first the result of accident. He was, in the common acceptance of the term, " unlearned," having at most only a very limited education, but possessed naturally a strong and observing mind. He tells us it was in the year 1816, when he crushed one of his fingers, and, as it were, by instinct plunged the in- jured part into water until it ceased bleeding. He felt the coolness agreeable to the benumbed part, and found that by repeatedly holding it in water, without the least inflamma- tion or suppuration, after secreting only a little white mu- cous matter, it healed in a very short time. Then he was told, as he says, by some old men of the neighborhood, that they could relate many instances where cold water had the water-cure. 3 been used in similar cases, and had always proved salutary above every other remedy. In the year 1819, he met with the misfortune to break the ribs upon one side, by a loaded waggon. The physician, called from the nearest town, de- clared the injury incurable thus far: that there would be lumps formed, which, on the least exertion, would cause pain, and thus continue through life. He prescribed some herbs, a decoction of which, in wine, was to be laid upon the injured parts. These fomentations gave him so much pain that he was obliged to tear them off. Recollecting his cured finger, he commenced using swathings of cold wa- ter, and thus obtained immediate relief. Then, to press out his ribs to their natural position, he stretched himself, with the abdomen over the edge of a chair, thus leaving the up- per part of the body free; and then, by repeatedly holding in the breath, he was able to extend the ribs towards the natural position. He persevered in this way, and with the wet sheets, and in a few days, without having any wound fever, he was able to walk, and finally effected a perfect cure. Having thus gained a little experience, he afterwards, from time to time, found opportunity for performing cures among his neighbors and kinsfolks, until he had finally adopted all the various forms of applying water to the hu- man body, and which has enabled him to practise the heal- ing art with greater success than any other individual that has ever lived in any age. Gaining thus at first a kind of celebrity among his im- mediate neighbors, it gradually spread until his house began to be frequented by considerable numbers of sick persons from adjoining parts. And although his cures were often 4 HYDROPATHY ; OR, of the most astonishing kind, and generally performed gra- tuitously, there were not wanting those who were anxious to put an end to the " mischief," as it was called. The laws of the country are particularly severe upon quackery of every form; and no one is allowed to sell medicines of any kind except those who are regularly certificated for that purpose. One physician alleged that the sponges used by Priessnitz contained some remedial property, which, if true, would have placed him under the jurisdiction of the law. His sponges were accordingly dissected and examined, and of course nothing found. Another prosecuted him for quackery, pretending that he, and not Priessnitz, had cured a certain miller of the gout. Accordingly both the physician and Priessnitz, to- gether with the miller, were summoned before the court. The miller, in answer to the question, who had relieved him, answered, " both"—-the doctor of my money and Priessnitz of my gout. And thus Priessnitz was acquitted from this charge. His government afterwards sent a com- mission of medical inquiry to Graefenberg, and finding that there was no quackery about the establishment, that the only agent used was pure water, with attention to air, exer- cise and diet, and that his practice was not only entirely safe, but highly beneficial, he was, on their favorable report, allowed to continue his operations. He has thus continued to go on, using only the simple agent, pure water, for the treatment of all curable diseases, and the relief of those that are incurable. Persons of all ranks, grades, and professions, have placed themselves under his charge ; a large proportion being such as had failed by THE WATER-CURE. 5 very attempt to get relief in any other way. At present, says Captain Claridge (1841), there are under his treatment an archduchess, ten princes and princesses, at least one hundred counts and barons, military men of all grades, se- veral medical men, professors, advocates, &c,—in all about five hundred. At first his numbers were comparatively small. In 1829 the number was only 45. In 1840, it was 1576. Between 1830 and 1842, he had treated in all 7500 patients, and of this number Captain Claridge informs us he lost but 36. This will appear remarkable, when it is remembered how large a proportion of the whole number go there only as a last resort, and whose diseases had withstood every other kind of treatment, and, in many instances, for a great length of time. Since 1840, his numbers have been a little lessened. by the numerous similar establishments that have been formed in different parts. Austria and Prussia have af- forded him the largest number. The water-cure has now stood the test of more that twenty years' experience. Some ten years ago the estab- ishment of Priessnitz was the only one of the kind in exis- tence. Since that time they have increased in all to about one hundred. They are scattered all over Germany. Austria Prussia, Russia, and Belgium, all have their water-cure establishments. The government of France, like that of Austria, sent an efficient medical officer to the Graefenberg establishment to inquire into its merits, and accordingly they are rapidly multiplying there ; and, latterly, England is following the example of her continental neighbors. Of the correctness of the reports respecting the cures at 1* 6 HYDROPATHY ; OR, the Graefenburg establishment, and of the great power of water, there can be no sort of question whatever. Dr. Edward Johnson, for years a pupil of Sir Astley Cooper, a practitioner of more than twenty years, in which time he has had occasion to write at different times as many as twenty thousand prescriptions in a single year, a man well known as an author as well as a practitioner, after remaining at Graefenberg during a whole winter, trying the various processes upon his own person, and after having abundant opportunity of witnessing the cures per- formed there, says, " Priessnitz in his practice has met with an amount of success perfectly unparallelled in the history of disease and its treatment." And he further says, " I am perfectly convinced that I can cure a greater number of diseases, and in a shorter time, by the hydro- pathic treatment, than I can by the exhibition of drugs ; and that there are many diseases which I can thus cure which are wholly incurable by any other known means." Again : Dr. Johnson says, " There is no well-educated man in England, who dare for his reputation's sake, refuse to admit that a remedy which can produce (at will) the most profuse perspiration, and which can also (at will) lower the temperature, and the velocity of the heart's action, to any given degree, even to the extinction of life—I say there is no well-educated man in England who dare deny that such a remedy must possess an immense power over diseases of every kind." Sir Charles Scudamore, in his valuable work on Hydro- pathy, says, " The principles of the water-cure treatment are founded in truth and nature, and rest, therefore, on an immutable basis. The practice may be occasionally abused, and then evil, instead of good, will result. If I could think THE WATER-CURE. 7 that such a consequence was necessary, I would not for one moment be its advocate. But, convinced as I am, that we have in our power a new and most efficacious agent, for the alleviation of disease in various forms ; and in proper hands safe and effectual, I should be no friend to humanity nor to medical science, if I did not give my testimony in its re- commendation." The Rev. John Wesley, A. M., published a work in 1747, which went through thirty-four editions, called " Primitive Physic, or, An Easy and Natural Method of Curing Most Dis- eases." After deprecating the manner in which drugs were employed in the healing art, he proceeds to speak of the healing virtues of water ; and it would seem, by the list of diseases given by him, as curable by the use of water, that his observations were strikingly correct as to its powers as a remedy. Of medicines, he says, " The common method of com- pounding and decompounding medicines, can never be re- conciled to common sense. Experience shows that one thing will cure most disorders, as well as twenty put to- gether. Then why do you add the other nineteen ? How often, by thus compounding medicines of opposite qualities, is the virtue of both utterly destroyed ? Nay, how often do those joined together destroy life, which singly might have preserved it ?" This occasioned that caution of the great Boerhaave, against mixing things without evident necessity, and with- out full proof of the effect they will produce when joined together, as well as of that they produce when asunder; seeing that several things which, separately taken, are safe and powerful medicines, when compounded, not only lose their former powers, but become a strong and deadly poison. 8 HYDROPATHY ; OR, As to the merits of the discoveries of Priessnitz, there seems to be some difference of opinion, even among those who admit his great and unexampled success in the treat- ment of disease. Some would appear to inculcate that he is only wisely, ingeniously, and energetically carrying out principles and practices which have been understood and practised from the time of Hippocrates down. On this point, Sir Charles Scudamore holds the following language:—"I think that some writers on Hydropathy have not expressed sufficient praise and acknowledgment to Priessnitz, as the inventor of a treatment constituting a complete, systematic plan. To follow in a path, is always comparatively easy. It is quite true, that parts of the whole plan, and the principles, have been known and practised since the time of Hippocrates, and by none more ably and scientifically than the late Dr. Currie of Liverpool. But all that can be quoted from history, bears no comparison with the regular and systematic whole which Priessnitz has so happily constructed, and by which he has raised himself an imperishable fame." Of the abilities of Priessnitz, all are agreed, that for good judgment, clearness, and decision of character, he is pecu- liar. To the phrenologist, a few admeasurements of his head will be interesting. As given by R. Beamish, Esq., they are as follows :— Circumference across brows.............................. 22 inches. Circumference across causality........................... 21^ " Lateral arch from root of nose to occiput.......... 13£ " Transverse arch, from ear to ear......................... 14 " Anterior arch, from ear to ear............................ 12 •• Posterior....................................................... Ill " Anterior lobe................................................. 7 " Height from root of nose to comparison............... 3 M THE WATER-CURE. 9 No line divides the perceptions from the reflecting pow- ers, marking rapidity in forming a judgment on what the perceptions take cognizance of. The middle line is well developed, viz: Individuality, Eventuality, and Compari- son. The perceptions are large ; so, also, Constructive- ness and Acquisitiveness ; reflecting organs full. Of the sentiments, Firmness, Benevolence, and Hope, are large ; Conscientiousness is full, but Veneration only moderate. Self-esteem and Approbation are large, Concentration full, the domestic group moderate, Secretiveness very large, De- structiveness large, Combativeness and Caution moderate. The eyes are small, and are in constant motion ; the lips are frequently compressed. The temperament is highly nervous. Priessnitz, notwithstanding his accumulation of wealth (upwards of £50,000), his astounding success, and the manner in which he is courted and respected by the first nobles of Germany, is said to retain the humility of his former station of life, that of a peasant. " Some complain that he says too little," says Captain Claridge; " and some who go there merely to learn the treatment, complain that he never explains any thing to them." "It must be evident," he continues, "that a man who has the whole year round from 500 to 600 patients, be- sides the peasantry of the neighborhood that may requii e his aid, cannot have much breath to throw away. Let auy person speak to him of his own, or of his family's case, and they will find his reply that of a man of profound sense— a reply which he never wishes to retract, and for which I_e will give his reasons in the most unaffected manner pos- sible. But in respect to the second complaint, it must be 1* 10 HYDROPATHY ; OR, avowed that he has no very great regard for medical men, because no one has suffered more from their vindictive feel - ings than himself; besides, he has ever found it a work of supererogation to endeavor to disposses them of their pre- judices ; nor has he time or inclination to enter into disputes upon a mode of treatment which he knows, as directly emanating from nature, to be always true to herself." As to theories respecting the action of water upon the system, it cannot be expected that Priessnitz would be able to give them in a very scientific form or mode of ex- pression. He deals more in facts than in theories. His assertions are short, comprehensive, and full of mean- ing. He says that the application of cold water cures diseases by strengthening the general health and fortifying the system; and this is precisely in accordance with Liebig, when he says that the abstraction of heat cures diseases by exalting and accelerating the transformation of tissues. And again, when Priessnitz declares, as he does, that cold water has a tendency to bring " bad stuff" out of the system, it is in exact accordance with Liebig's declaration, that it pro- motes the union of certain matters with oxygen, by which they are carried out of the system, and which matters, if not so carried out, become causes of disease. And the same kind of reasoning on the nature of things has taught Priess- nitz, as it has Liebig, and all ether, medical philosophers, that all diseases must be cured by the inherent energies of the living system itself. According to Dr. Gregory, " all remedies are merely to be employed with the view of placing the body under the most favorable circumstances for resist- ing diseases." According to Scudamore, he has " one single theory of THE WATER-CURE. 11 disease, which serves for all persons and all disorders; that, viz., of the humoral pathology, upon a general principle, not attempting any division of the humors, according to the ancient physicians, but contented to believe, that in every disease the blood is more or less charged with morbid mat- ter ; and which nature is always ready to throw out of the system, if properly assisted in her efforts. He considers that the use of medicine of every kind is a false interference with nature, and tends to interfere with her efforts ; and that, on the other hand, if fortified and assisted, by the agency of water, internally and externally, in conjunction with good air, abundant exercise, and the avoidance of hurtful stimulants, she will acknowledge the help given, and will, in a longer or shorter time, throw off disease ; usually rendering a proof of such salutary operation, by the produc- tion of some kind of crisis." Respecting this doctrine, the Humoral Pathology, by which all diseases are attributed to a diseased state of the fluids of the body, it may be said, physicians are beginning to admit that there is more of truth in it than has generally been admitted. The simplicity of the remedy in the water-cure is a mat- ter of objection by many, and may be the means of leading those into its practice who are in every way unqualified. The agent being one of great power for good or evil, it will in such hands be liable to the most disastrous conse- quences. Priessnitz never treats two patients precisely alike. This shows the necessity, not only of understanding all the various applications of water, but also of possessing a thorough knowledge of the human system, both in health and disease. 12 HYDROPATHY ; OR, Priessnitz, by his doings, has proved to the world two things : first, that the water-cure is the most natural and best system of treatment; and second, that he is a man possessing a genius most remarkable. As an example of the power of the remedy, of his skill, and of the necessity of understanding well the treatment, take the following case from Captain Claridge : A person who had recently lost his wife and two children, was attacked with brain fever. Priessnitz ordered him a tepid bath, in which he sat and was rubbed by two men, who were occasionally changed. The man became so de- ranged, that it was with difficulty that he could be kept in the bath. In ordinary cases, this disease succumbs to the treatment in two or three hours ; but the patient in this case became speechless at the end of this time. Priessnitz, with that coolness which is so leading a feature in his character, said, " Keep on until he either talks much or goes to sleep." The latter the man at last did, but not until he had been in the bath for nine hours and a half, when he fell asleep from exhaustion at half past ten at night. He was then put to bed, and the next day the fever had left him, and, though weak, he was able to walk about. If, in this case, Priessnitz had become alarmed, after the first two or three hours, and had discontinued the mode of treat- ment, to try some other experiment, the consequence might have proved fatal. THE WATER-CURE. 13 Dr. Billing's Theory of Disease. By Dr. Ed. Johnson. The First Principles of Medicine, by Dr. Billing, is a work too well known, and too universally esteemed, to need any encomium from me. For years no medical work has issued from the press which was received by medical critics and the medical profession at large with such uni- versal approbation as this of Dr. Billing. In every medi- cal library it took its place at once, as a standard work, and remains so to the present hour. Though essentially theoretical, yet its theories are everywhere so completely supported by multiplied practical facts and illustrations, which its author's position as a senior physician to the Lon- don hospital enabled him to accumulate—and the amount of clinical information with which it abounds is so great, the simplicity of its style so felicitous, while the common-sense plainness with which the questions are argued is so strong and convincing, that its hypotheses have almost the force of facts. It will be observed how beautifully Liebig's theory of life (as far as it regards morbid actions) and Billing's theory of disease, reciprocally support each other—and both, the principles of the water-cure. Dr. Billing's theory is that " all" diseases are caused by impressions made on the nervous centres or their nerves, by which the nervous influence (whatever it be) is exhausted or morbidly diminished. That the capillary blood-vessels which (in health) are always held in a state of semi-contrac- tion (tone) by virtue of this nervous influence, shed upon 14 HYDROPATHY ; OR, them by the nerves, become relaxed and weakened—(Lie- big's diminution of vital resistance)— having their diameters enlarged, whenever the exhausted nerves fail in supplying them with the quantity of nervous influence necessary to preserve their tone, or state of semi-contraction upon their contents. That the weakened, relaxed, and enlarged capil- laries now admit a larger current of blood, whose motion through them becomes slower. That they are, in fact, in a state of congestion. And that altered function or functional disease is the result of this altered condition of the capilla- ries, and altered size and altered velocity of the stream of blood which they carry. , When this congestion takes place in the veins, it constitutes simple congestion—when in the arteries, it is accompanied by degeneration of the arterial coats—and now takes the name of inflammation. This degeneration of the coats of the inflamed arteries is Liebig's excessive action of the destructive force of oxygen —the enlarged arteries now containing an excessive quan- tity of oxydised blood, while the resistance opposed to its in- fluence is (as we have just seen) diminished. This de- generation does not take place in the veins, observes Dr. Billing. No—because the veins do not contain oxydised blood. Man is almost entirely, composed of capillary vessels. His body may be compared to a sack stuffed with hair, every hair being a tube, of a determinate diameter, (which particular diameter is necessary to the condition of health,) and carrying a stream of fluid, which stream must also be of a determinate size. And this bundle of capillary or hair-like tubes is everywhere permeated by nervous fila- ments or threads, which shed upon them their electroid in- \ ------,_ THE WATER-CURE. 15 fluence, whose office it is to preserve their tone or necessary diameter—upon the preservation of which their healthy functions depend. When any cause deprives them of a due supply of the electroid or nervous influence, by ex- hausting the nervous system or any part of it, the healthy diameter is lost, becoming larger, and they now admit too large a current of fluid, and the velocity of its fluxion is re- tarded, producing congestion. When any cause, as the exhibition of stimulants, elicits from the nerves too great a quantity of nervous influence, then also the healthy diameter is lost, but in a contrary di- rection. The diameter now becomes too small—the ves- sels contract too much—and the size of the current of fluid is now too much, diminished. This illustration will, I trust, enable the unprofessional reader clearly to understand Dr. Billing's beautiful theory of disease. Inflammation, then, consists of weakened, relaxed, en- larged, arterial capillaries, admitting a too large current of blood, whose progress through them is also retarded, giving rise to congestion or engorgement, degeneration of their coats, and consequent alteration of their secretions. " All the business," says Dr. Billing, " of constant sup- port and renewal of parts, and supply of secretions, as the growth or repair of bone, muscle, membrane, and other structures, the formation of bile, saliva, mucous, and other secretions, is carried on by the extreme minute branches of the blood vessels ; and whilst these preserve their proper size and tone, all goes on well; when their action is de- ranged, disease commences, often prefaced by pain, or other disorders of the nerves." " Some capillaries are too small to adroit many of the red particles (oxydised blood-globules) 16 HYDROPATHY ', OR, unless when they are enlarged by inflammation, as in the eye, which, when inflamed, changes from white to red ; be- sides that, even the red capillaries are so minute, that they are not visible individually to the naked eye, till enlarged by inflammation." " During health the capillary arteries go on with their work of nutrition and secretion, the muscles are fed, the mucous surfaces are lubricated just enough to prevent any sensation from the substances which pass along them, the serous surfaces are made sufficiently moist to slide upon each other without sensation, and the skin is kept soft by an insensible vapor. All this time there is another process going on also, which is the removal of su- perfluous matter by the absorbents : if it were not for these, there would be inconvenient accumulation of what is depos- ited by the arteries." " The deposit or precipitation of solid matter by the arte- ries is not difficult to be understood ; and we can, by refer- ence to chemical action, account for the removal also of solids ; for solids become fluid or gaseous, by what is called spontaneous decomposition," (Liebig calls it transformation of tissues by the chemical action of oxygen,) " and thus re- movable by absorbents." " The action of the arteries also is acknowledged to be contraction, whether considered muscular or not; but there is some difference of opinion as to the degree of action of the arteries in inflamed parts. It is very common to say, that in inflammation there is an increase of arterial action; but a consideration of the phenomena, and of the nature of arterial action, will show that in inflamed parts the ca- pillary arteries are weaker in their action ; that there is diminished arterial action, for the action of arteries THE WATER-CURE. 17 is contraction. Now the arteries in inflamed parts are evi- dently larger than before—less contracted-that is, acting less." " It is the opinion of some persons even at the present day, that the motion of the blood is accelerated in in- flamed parts; though the experiments of Parry and others prove the contrary to be the case, as follows from the capil- lary arteries being enlarged; inasmuch as where fluid passes through a given space, the current beyond that will be slower in proportion to the wideness of the channel; as in a wide part of a river, where the current becomes slower ; and the same may be observed by passing water, mixed with grains of amber, through a glass tube with a bulbous enlargement in the middle ; the current will slacken in the bulb, and resume its velocity beyond it." " The difference between congestion and inflammation is, that in congestion there is merely distension of the vessels ; in inflammation there is, in addition, alteration of tissue__ac- tual deterioration, more or less of the structure of the capil- laries. * * * * The fault commences in the tissue. As soon as a want of that harmony between the nerves and ca- pillaries, which is necessary to organization, takes place, their fine tissue begins to compose," (the action of oxygen becomes, according to Liebig, greater than the resistance of the vital force—the same sense expressed in different lan- guage,) " the particles which were held together by this in- scrutable agency begin to be precipitated from one ano- ther, &c, dsc." " When accidental mechanical injury, or other cause, changes the action of the capillaries, either by a direct im- pression on themselves, or by primarily injuring their nerves, 18 HYDROPATHY ; OR, the derangement of their action is the commencement of dis- ease—secretions become altered, checked, or profuse—nu- trition is either diminished so as to produce emaciation, or there is an excessive deposition—vapoury exhalations are diminished to dryness, or increased to fluid—bony matter is deposited in wrong places—or albuminous, fatty, or other particles, so as to constitute tumors—the nerves of parts be- come morbidly sensible, so as to derange the functions of those parts—portions, on losing their vitality, undergo spon- taneous decomposition, (destructive action of oxygen, either owing to an unwonted quantity of oxydised blood being car- ried to the part, or from the diminished resistance of the vital force,) and are removed by the absorbents." " Irritation, continued excitation of the nerves of a healthy part, as just shown, at last produces inflammation, by ex- hausting that nervous influence which gives the capillaries power ; they thus become weakened, aliow of over-disten- sion, and the part is in the state of inflammation or conges- tion." "Thus, in a part inflamed, there is diminution of organic action, (contraction,) in consequence of which the blood is admitted in excess. As long as the capillaries are supplied with nervous influence, as long as they possess per- fect organic action (contraction) they preserve a due size; when they lose it, either from the influence not being sup- plied from the nervous system, or are robbed of it by heat, electricity, cantharides, or any other cause, they give way, and admit more blood than before." Having given this explanation of the nature of inflam- mation, (which is also maintained by many other very able writers, as Professor Macartney (I think) and several others, and proved by the microscopic observations of German ex- THE WATER-CURE. 19 perimentalists,) he proceeds to show that fever and that class of diseases called neuroses, or nervous disorders, as chorea, hysteria, tetanus, epilepsy, &c.—all those diseases which are characterized by irritation or morbid sensibility—con- sist in inflammation, that is, a relaxed, enlarged, and con- gested condition of the capillary arteries of the nerves—in a word, inflammation of the nerves. Indeed, if Dr. Billing be right in his assertion, (and I see not how it can possibly be refuted,) that all diseases have exhausted nervous influence for their cause, then it follows that all diseases whatever must consist essentially in weakened, enlarged, and con- gested capillaries, since the relaxation of the capillaries must be the first effect which is produced by exhausting that influence which alone preserves to them their normal size or diameter. Such being the one proximate cause or essential nature of all disease, the principle of cure is one also. Thus there is (properly) but one disease, and one cure. The proximate cause is relaxation and enlargement of the capillaries—the indication of cure, therefore, is to constringe the capillaries—to cause them to contract and resume their iralthy dimensions. Dr. Billing having established this position by a multi- tude of illustrations and practical facts well known to med- ical men, together with illustrative cases of particular dis- eases, as rheumatism, palsy, dropsy, consumption, skin dis- eases, hysteria, nervous affections, locked jaw, gout, &c. &c, then proceeds to show that all medicines, numerous as they are, together with bleeding, produce their good effects on disease by the power, and in proportion to the power, which they possess, directly or indirectly, of causing the 20 HYDROPATHY J OR, relaxed capillaries to contract and resume their healthy di- mensions. He reduces all medicines whatever to no more than four —sedatives, tonics, narcotics, stimulants. Sedatives, direct and indirect, amongst which are inclu- ded purgatives, emetics, and bleeding, are such as " dimin- ish the action of the heart and other organs by repressing the nervous influence," thus lessening the velocity with which the capillaries are supplied with blood by the injecting force of the heart; and such as, by emptying the capillaries, facilitate their contraction by removing or lessening the re- sistance offered to their contracting sides by the contained blood. Tonics are such as, being circulated in the blood through the capillaries, have the direct effect of constringing them ; or causing them to contract upon their contents, and thus to force or squeeze the fluid onwards. Stimulants are such as elicit from the nerves a tempora- ry, forced, and more than ordinary quantity of nervous in- fluence, causing a corresponding degree of capillary con- traction. But the effect of these last remedies is but tem- porary, since all forced excitement of the nervous centres must ever be followed by a corresponding degree of exhaus- tion. Narcotics are such as, by dulling the sensibility of the nervous system, procure sleep, and thus afford an opportu- nity to the inherent curative power, or vis medicatrix na- turae, to restore the tone, or normal degree of contraction, of the capillaries. Thus, then, however numerous be the forms or symptoms of disease, there is, de facto, but one disease. And, howev- THE WATER-CURE. 21 er numerous may be the means and appliances of the heal- ing art, there is in fact but one intention to be fulfilled—the restoration of the capillaries to their normal dimensions by constringing their coats. I was once asked by a physician, for whose talents I en- tertain the highest respect, how I reconciled with this theo- ry that disease called worms in the bowels. But to this I replied, that a worm in the bowels, until it has produced irritation, is no more a disease than a fly on the hand, or a flea on the back—and when that irritation has been pro- duced, then it is that irritation which constitutes the dis- ease, of which the worm was the remote cause, as a mus- quito is the remote cause of the inflammation which its bite produces—and we have already seen that irritation (which Dr. Billing with much more propriety calls morbid sensibil- ity) consists in inflammation of the capillaries of the nerves. But no one would think of calling a musquito a disease ! It is the inefficiency of drugs which has multiplied their number. Two, or two thousand, are required, because there is not one which can be depended on. If one could be discovered which would always effectually produce the ne- cessary degree of capillary contraction, then that one would be sufficient. " In some cases of disease," says Dr. Billing, " when the secretions of the skin and kidneys are deficient, we renew them by bleeding, digitalis, antimony, &c, which lower the force of the pulse, thereby diminishing the distension of the capillaries, in conformity with the above statement. Medicines, such as mercury, iodine, &c, have an effect on the arteries themselves, directly or through the nerves, so as to make the inflamed capillaries contract independ- 22 HYDROPATHY ; OR, ently of the consideration of the vis a tergo (state of the heart's action) or quantity of circulating fluid. "Inflammation is always the same debility of capillaries." " We see that solutions of metallic salts, such as nitrate of silver, tartar emetic, acetate of lead, bichloride of mercu- ry, &c, and some acrid vegetables, such as mezereon, fined to signify, "a man who puts drugs, of which he knows nothing, into a stomach of which he knows less." With regard to any danger likely to result from going into the cold bath when covered with perspiration, such danger is perfectly chimerical, and a mere popular fallacy ■—contrary to all the deductions of science-—contrary to all daily and hourly experience ever since the creation of the world—and for which no shadow of a physiological rea- son can be given; while all physiological reasoning goes directly to prove that it is safer to go into cold water when the temperature of the skin has been raised, than when it has not been raised ; and that if there be danger at all, it is in going into cold water without first raising the temperature —and in this there certainly is some danger. And of course it is with the elevated temperature that we have to deal in this argument, and not with the mere presence of perspiration on the external surface. For it can certainly be a matter of no importance whether the skin be covered with a certain quantity of that peculiar grease called per- spiration, or whether it be covered with an equal amount of hog's lard or white paint. And it is quite evident, and all modern writers agree that it is so, that re-action (the great object to be attained) will be most certainly produced, and internal visceral congestion (the great evil to be avoided) will be most certainly prevented, by going into the water when the surface of the body is warm. And I need hardly observe that the body is not made hotter in proportion to the profuseness of the perspiration, but that, on the contrary, it is cooler than before that effect is produced, for perspiration is a cooling process. So that it will not do to say 'that al- THE WATER-CURE. 37 though it may be good to go into water when the body is moderately warm, it is nevertheless bad to do so when it is extremely hot.' For when perspiration is present it is never extremely hot. As to the sudden .checking of perspiration, this too is a chimerical danger. For the oosing of perspiration al- ways subsides of itself, almost at the moment that the means which produced it are withdrawn. And the per- spiration which is still visible on the body, is merely that which has been already produced, and left upon the skin, by an action of the vessels which has now already ceased. The perspiration which is now seen upon the body has no more connection with the system than so much oil or other greasy matters. I say, too, that the supposition of danger is contrary to all daily and hourly experience. For, are not our out-of-door laborers, our wagoners, our sailors, our hay. makers, and all our farm servants, constantly exposed, while bathed in perspiration, to the effects of a natural cold shower-bath, in the shape of rain, and that too with perfect impunity ? Is not the constant practice of boys to bathe in rivers, without thinking for a moment, or caring a straw, whether they be in a perspiration or not 1 Does the North American Indian, when traversing his hunting grounds, and when he finds his path obstructed by a river, ever pause for an instant to consider whether he be in a perspiration or not, before he plunges into the flood ? But the Indian is used to it. To be sure he is, and it is to that very use and wont to which he owes his great strength, activity, and unimpregnable health. And why should not Englishmen use and accustom themselves 38 HYDROPATHY J OR, to the same thing ? What is to prevent it ? Why should it not be? I cannot even conceive a reason. If there were peculiar danger in being caught in a show- er while perspiring, every showery day would crowd our hospitals with its victims, and April would be the most deadly month in all the year. Nature has not adapted the inhabitants of the earth to the circumstances of the earth's surface so bunglingly. On the contrary, the na- ture of every living thing has been beneficially fitted to the nature of those circumstances among which it was destined to dwell; and had a shower of rain possessed such deadly properties, our heads would have been furnished with a natural umbrella to defend it from the rain, as our eyes are accommodated with natural curtains to defend them from the dust. In an exceedingly clever pamphlet lately published by Mr. Jackson, entitled " The Spleen a Permanent Placenta, the Placenta a Temporary Spleen," it has been reasoned out with the most beautiful precision and great force, that the spleno-hepatic vein (one of the large veins within the abdomen) is the propelling organ which drives the blood through the portal system of veins and circulates it through the liver ; and that it is congestion in this vein which is frequently the cause of a great number of dis- eases (epilepsy, amongst others). If these views be correct, they will account most satisfactorily for the good effects of cold water, externally applied, in relieving that large class of diseases depending on congestion of blood in the liver—or what is called a sluggish liver. The application of cold to the bowels would necessarily cause the spleno-hepatic vein to contract upon its contents, and THE WATER-CURE. 39 so empty itself, and propel the blood onwards through the liver, and thus remove all congestion there—just as cold applied to the back of the hand causes the veins there to contract upon their contents, thus emptying themselves, and shrinking to their proper size. Whatever causes vessels to contract, augments the velocity of the blood's circulation through them. And congestion of one sort or other, as we have just seen, is the proximate cause of all diseases whatever—and there is nothing which can so quickly and certainly produce this contraction of vessels, and removal of congestion, as the application of cold. Propositions on the Principles and Practice of the Water- Cure. By Drs. Wilson and Gully. The following propositions will show that the applications of the water-cure are in strict accordance with the facts and phenomena of the living organism ; and that without an intimate acquaintance with these last it is utterly impos- sible to make the applications with safety to the patient or with credit to the practice or the practitioner. Let the criti- cal medical reader appeal, if he pleases, from our propositions to the doctrines of the schools as embodied in the works of the most celebrated modern writers on health and disease, and say whether we have not accepted those doctrines. In truth, the premises of health and disease, established by ex- periment and observation, stand untouched, as far as they go ; far be it from us to contravene them. It is only in the 40 HYDROPATHY ; OR, conclusions of practice that we differ from the great body of our medical brethren. We assert the perfect right to do this so long as we can give scientific reasons for it. Such reasons are contained in these propositions. Time and ex- perience are also daily accumulating facts of cure which come to the support of the justness of these reasons. I. A series of unnatural symptoms constitutes a disease. II. This disease is referable to a morbid condition of some of the textures of the body. III. All disease is originally acute, that is to say, the symptoms are more or less rapid and pressing in their char- acter, and more or less characterized by fever. IV. Acute disease is the effort of the morbid organ or organs to throw off their disorder upon some less important organ or organs. Thus, acute inflammation of the liver, stomach, or lungs, causes fever, that is, an effort to throw the mischief on the skin, the bowels, or the kidneys. V. If, from the great extent of the mischief to be thrown off, and the feeble constitution, acquired or natural, of the individual, this effort is not successful, the body dies from exhaustion. VI. If this effort be only partially successful, more or less of the internal mischief remains, but gives rise to symptoms of a less rapid and pressing and more permanent character. These symptoms then constitute a chronic disease. VII. Except in the case of accidents to the limbs, we know of no disease which is not essentially internal. Skin diseases are invariably connected with disease of some in- ternal organs, especially the stomach and bowels, and are regulated in their character and intensity thereby. This is THE WATER-CURE. 41 so true, that where there is a skin disease the crisis effected by the water-cure invariably takes place on the spot where it exists. VIII. Acute disease, then, is the violent effort of internal and vital organs to cast their mischief on external and less important organs. IX. Chronic disease is the enfeebled effort of the same organs to the same end. X. But as from the diminished power of the constitution this is always ineffectual, the morbid state of the organs tends constantly towards disorganization, or what is called organic disease. This is more certainly the case, if the original causes of the malady are at work. XI. Disease therefore is curable when the power of the system is sufficiently strong to throw the morbid action from a more to a less important organ. XII. Disease is incurable when the power in question is insufficient for the last-named purpose ; and when it has become organic, that is, when a change of structure has taken place. XIII. From these premises it follows that the aim of sci- entitle treatment should be to aid the development of the power of the system and its efforts to rid its vital parts of mischief. XIV. That mischief invariably consists in the retention of an unnatural quantity of blood in them, to the detriment of other parts of the organism,—a retention commonly known by the terms acute inflammation, chronic inflamma- tion, and congestion. . XV. In endeavoring to develope the powers of the sys- tem, the dissipation of this inflammation or congestion must 42 HYDROPATHY \ OR, be constantly kept in view, as the end of which the consti- tutional efforts are the means. XVI. But as the circulation of the blood everywhere is under the influence of the organic system of nerves, the power and efforts of these last are essentially to be strength- ened in order to dissipate the inflammation or congestion referred to. XVII. Curative treatment is therefore made through the instrumentality of the nervous system. XVIII. Violent and sudden stimulation of the nervous system of the internal organs, is invariably followed by ex- haustion and increased inflammation and congestion.— Hence the impropriety of alcoholic and medicinal stimulants. XIX. But the gradual and judiciously regulated stimula- tion of the nervous system according to the organic powers, conduces to the development and maintenance of its strength. XX. This stimulation is the more steady and certain in it sresults the more universally it is applied to the entire nervous system. XXI. To the external skin, therefore, and to the internal skin, (as represented by all the lining membranes of the lungs and digestive organs,) this stimulation should be ap- plied, those parts containing the largest portion of the ner- vous system spread through them. XXII. Pure air applied to the lungs, proper diet, and water applied to the digestive organs, and water applied to the external skin, fulfil this intention of stimulation and strengthening most effectually. XXIII. Further,, as that portion of the nervous system, (the brain and spinal cord,) in which the will resides, re- quires the development of its powers, exercise of the limbs is THE WATER-CURE. 43 requisite, the stimulation of the air, diet, and water aiding thereto. XXIV. Pure water, pure air, proper diet, and regulated exercise, are the great agents in effecting the cure of disease, by aiding the natural efforts of the body, through the instru- mentality of the nervous system. XXV. In the due apportionment of these agents, according to the powers of the constitution and the phases of disease, as ascertained by minute medical examination, consists the scien- tific and the safe practice of the water-cure. XXVI. As strengthening of the system by the regulated stimulation of the nervous system, is the means, so the throwing off disease by more important or less important organs by that acquired strength, is the end of that practice. XXVII. During the efforts of the system thus aroused for so beneficial an end, if agents are employed which divert those efforts and tend to centre stimulus on the more im- portant organs, augmented mischief is the certain result. Such agents are to be found in alcoholic and medicinal stimulants, applied to the internal skin and nerves : in hot and impure air applied to the external skin and nerves ; and in exciting and factitious pleasures and anxious cares, ap- plied to the great centre of the nerves, the brain. XXVIII. These and the mal-apportionment of the stimu- lation included in water, air, diet, and exercise, give rise to the only " Dangers of the Water-Cure." XXIX. The proper apportionment of the stimulation in question originates and maintains a steady effort of the system to save its vital parts at the expense of parts which implicate life less immediately. ** HYDROPATHY ; OR, XXX. The result of this effort is shown in one of the fol- lowing ways : 1, the re-establishment of obstructed and sup- pressed secretions ; 2, in the elimination of diseased matters through the bowels, kidneys, or skin ; 3, in the formation of a critical action of some sort on the skin. XXXI. Such result constitutes the Crisis of the Water. Cure. XXXII. The Crisis being the result of the extrinsic ef- forts of the vital organs, is to be viewed as the signal of their relief, not as the instrument of their relief. XXXIII. Still as, during the crisis, the tendency from the internal to the external organs is most strong, it is more than ever necessary to avoid the causes which act in divert- ing this tendency and in reconcentrating the mischief on the internal parts. XXXIV. At the same time, the tendency in point being then strongly established, it is not necessary to stimulate the system further in that direction, and all treatment except that which allays irritation accordingly ceases. XXXV. A crisis being the evidence of cure of the internal disease, no recurrence of the latter is to be apprehended, unless the morbid causes are re-applied. Water. If water, the all-abundant fluid of Nature, is in reality the best remedy, and if it is capable of being made the means of fulfilling the various indications which its ad- THE WATER-CURE. 45 vocates claim for it, it need hardly be said that the great- est attention should be paid to its quality. For whatever purpose it is used, whether dietetic or remedial, it should always be pure and soft. When of proper purity, it is the greatest diluent in nature. As a standard of purity, we may take rain or snow water, that falls unobstructed from the clouds. Pure water, in its nature, does not irritate any organ or tissue of the whole body. If at all impure, it is liable to be otherwise. Every family, whether in city or country, should endeavor by all possible means to have an abun- dance of pure water. When all other means fail, cisterns and filters can easily be resorted to. The expense would be nothing in comparison to the health and comfort that would result from a proper attention to this all-important matter. Some strangely attach a kind of miraculous im- portance to spring water; as if spring water only would answer as a remedy. This is much like the idea respect- ing Priessnitz's sponge, and is in exact keeping with the popular notions which many have of remedies of various kinds. Pure water will produce like results under like circumstances always. Drinking- The quantity usually directed by Priessnitz is from eight to twelve tumblers daily. His general advice is, " Do 46 HYDROPATHY ; OR, not oppress your stomach, although I wish you to drink as much as you can conveniently." As to the time of drink- ing, as a general rule, most should be taken before break- fast, rather less before dinner, and least before supper. Much drinking late in the day would be liable to disturb the rest at night. It should be taken, as a general thing, only after digestion. Some, we are told, at Graefenberg, drink enormous quantities, without any apparent incon- venience, always taking active exercise at the same time; yet, it should be remembered, that serious consequences may result from the over-distension of the stomach. None should be drank while the body is very cold. It, in connexion with exercise, healthfully promotes perspira- tion, and acts, also, in a highly beneficial manner upon the venal secretions and organs, especially if they are in any way affected with chronic disease. The less the quanti- ty taken at meals the better will be the digestion as a rule. The aqueous portions of proper food furnish a suf- ficiency of fluid, and in those cases when it has been deemed necessary to drink much at the meal time, the sys- tem would be much better with the water only, and then the following meal, temperate in quantity, without the drink. Liebig, we are told, considers the purity of the water of the utmost consequence ; that if it have not more than two per cent, of saline matter, it would prin- cipally pass to the bowels; but if of proper purity, eight- tenths would in the shortest time pass off by the kidneys. Water, when of proper purity, and taken at proper times, with appropriate exercise, will be found to produce a healthfully tonic effect upon the stomach and bowels, and must also exert often an important influence upon the blood THE WATER-CURE. 47 in freeing it from various irritating substances which it may contain. In fevers, where there is intense thirst, the copious drinking of pure cold water, at proper intervals and in proper quantity, is highly grateful and salutary. It is as- tonishing that there should have been so much error on this subject, when Nature so distinctly points out the true remedy and the best. In all cases of thirst, the voice of Nature should be heeded in this respect, and her demand should be freely gratified. But the physiologist will ap- preciate the fact, that the appropriate remedy may be made to produce great mischief, and will act accordingly. Injections. Internally, in the form of injections, water is often ad- vantageously used for a variety of purposes. In conges- tions and inflammations of different kinds in the abdo- men, it is a most powerful agent. And whenever the evacuation of the bowels is needed, it, in this form, and in connexion with drinking in suitable quantities, cannot be too highly recommended. In cases of very weak per- sons, it will be best to employ the tepid form. It should always be slowly introduced, and care be taken that air be excluded from the instrument, by having it entirely filled with the water. When the first is rejected, a se- cond or third, and so on, should be repeated until the de- sired object is attained. Persons in health should in no 48 HYDROPATHY ; OR, way allow themselves to continue in practices which are sure to bring about a necessity for this valuable remedy. It, like all others, may be misused. When used, it is use- ful—but when abused, it is hurtful. Injections are also profitably used in diseases of the eye, ear, nose, &c. These will need instruments appropriate for the part into which they are to be introduced. Oral and Nasal Baths. Rinsing the mouth and nose are often advisable. Draw- ing water up the nose and expelling it, has a cleansing and strengthening effect upon the mucous membrane of that organ. Rubbing Wet Sheet. (Abreibung.) A linen sheet of coarse quality, suitable for holding considerable water, and at the same time serving well for friction, is here used. It is better to press and not wring it out of the water, and may be allowed even dripping. The patient standing ready, it is to be thrown over the head or closely about the neck, so as to create a slight shock, and immediately very active friction is to be used by the assistant behind, and the patient, if able, or anoth- er assistant, before. This should be continued from one THE WATER-CURE. 49 to five minutes, when the skin will have become reddened and warm. This must be immediately followed briskly by a coarse dry sheet or dry cloths, until the surface is perfectly dry and in a complete glow. The patient ia then immediately dressed for exercise, or for bed, as the case may be. The temperature of the water used should correspond with the strength of the patient. Those who are so feeble as to render it necessary for them to remain in bed, can be often much benefitted by a judicious rub- bing while in bed. This is a highly useful and convenient application, and, if judiciously made, will produce nearly, if not quite all, the good effects of a bath, and will often be found much more convenient of application. Wet-Sheet, or Lein-tuck. The first reclining upon this sheet will be disagreeable. If it is to be used to reduce the temperature of the body, as in high fevers, it is well to have it of coarse quality, in order to hold more water. To apply it, the mattress of the bed or couch should be made bare, one or more large thick woollen blankets next, and the sheet last, upon which the patient is to lie. He is to be quickly and snug. ly enveloped, from the neck to the feet, first with the wet sheet and then with the blanket. These adjusted with care, the packing is finished by covering over the whole a light feather bed, and a quilt, or a sufficiency of other bedding without the feather bed. It will be well for the 3 50 HYDROPATHY ; OR, patient to drink a little water occasionally ; and especial- ly if there be great thirst, it should be taken often, but not in too great quantity. In cases of acute rheumatism, or gout, where it would be troublesome for the patient to be moved, or in any case where it might be better for the patient to remain quiet for a longer time, two or three sheets can be used instead of one, to act as a refrigerant for a longer time. A long towel from the armpit down, upon each side, has been recommended, so that the whole body be exposed to the wet linen. In cases of acute fever, the sheets must be changed ac- cording to the degree of heat, every quarter or half hour, until the dry hot skin becomes softer, and more prone to perspiration. This is usually the first process of the day, and is repeated or not, according to circumstances. The wet sheet process i3 of great advantage in a variety of chronic as well as acute cases; such as are at- tended with an irritable and inactive skin, and in a multi- tude of skin-diseases. A frequent change of the sheets in such cases would be unnecessary as a rule. It will sometimes be well to let the temperature raise until per- spiration takes place. Determination of blood to the head is to be removed or prevented by cold applica- tions to it. Should the feet remain cold in the wet cloths, they should be extricated and wrapped in dry cloths only. At the close of the process the patient should be briskly rubbed until the surface is dry. "The wet sheet produces two diametrically opposite effects, accordingly as it is used. If it be changed frequently, as fast as the patient becomes warm, as, for instance, in ca- THE WATER-CURE. 51 ses of fever, almost any amount of heat may be abstracted slowly and gradually from the body. But if the patient remain for half an hour, the most delicious sensation of warmth, and a gentle breathing perspiration are pro- duced ; while all pains and uneasiness are removed. It pro- duces all the soothing influence upon the entire system which is produced by a warm poultice on an inflamed sur- face."—Johnson. For very delicate patients it has been suggested that the sheet be pressed out of tepid water, as introductory to the cold. Respecting the application of cold water over the whole body: " Let us now suppose that heat is abstracted from the whole surface of the body ; in this case the whole ac- tion of the oxygen will be directed to the skin, and in a short time the change of matter must increase throughout the body. Fat, and all such matters as are capable of com- bining with oxygen, which is brought to them in larger quantity than usual, will be expelled from the body in the form of oxydized compounds."—Liebig. " If therefore the body contain any morbific matters, these will be expelled in the form of such compounds."— Johnson. According to Liebig, the same results may sometimes be accomplished by a very scanty diet. Wet Bandages (Umschlags.) Locally, water maybe applied in various ways. Ban- 52 HYDROPATHY J OR, dages are made to produce the same effect upon any part of the body, as the lein-tuck upon the whole body. As cool- ing or refrigerant applications, they should be applied of a size suited to the part inflamed, folded from three or four to eight times, dipped in very cold water, and are to be renewed from every three or four to ten minutes, according to the necessities of the case. As to the effect of the various partial applications of cold water to the system, " they act by determining the force of oxygen from one part to another. They produce all the effects of both bleeding and blistering, except the pain."— Johnson. " If," says Liebig, " we surround a part of the body with ice or snow, while the other parts are left in a natural state, there occurs, more or less quickly, in consequence of the loss of heat, an accelerated change of matter in the cooled part. " The resistance of the living tissues to the action of oxygen is weaker at the cooled part than in the other parts; and this, in its effects, is equivalent to an increase of resis- tance in these other parts—the whole action of the inspired oxygen is exerted on the cooled part. " In the cooled part of the body, the living tissues offer a less resistance to the chemical action of the inspired oxygen ; the power of the oxygen to unite with the elements of the tissues is, at this part, exalted. " In the cooled part the change of matter, and with it the disengagement of heat, increases; while, in the other parts, the change of matter and liberation of heat de- crease." " And thus," says Dr. Johnsoo, " by the judicious use of THE WATER-CURE. 53 cold water alone, all the good effects of blistering and bleed- ing are most readily and certainly produced, without any of the bad effects. The bad effects of repeated bleeding in certain diseases are well known to medical men. We know perfectly well, that it often happens that a patient is saved by bleeding, from dying of an inflammation, only that he may die of a dropsy ; that a patient is often saved by bleeding from dying of haemorrhage from the lungs, only that he may die the sooner of a consumption." Warming, or Stimulating Bandages. These are applied by folding linen two or three times, and dipping them in cold water, or they may be made slightly tepid; they should be well pressed or wrung out, and are not to be changed until they begin to dry. They must be well adapted to the part, and also well secured from the action of the air by a dry bandage, which is better to be a non-conductor of heat, so that the part may be raised in temperatnre. The combined action of heat and moisture thus produced is highly beneficial in a great variety of in- durations, swellings, tumors, &c. In the water-cure, they are also much used in derangements of the digestive organs, affections of the abdomen, diseases of the liver, &c. For the abdomen, a convenient form is made by folding and sewing together two or three thicknesses of linen, of sufficient length to pass round the body two or more times, the width varying according to the size of the person ; one end is wet and wrung out, enough in length to cover the ab- domen, or to pass round the body if desirable, and then ap- 54 HYDROPATHY ; OR, plied as tightly as comfortable—and the dry folds over in the same manner ; the whole secured by pins, or better by tapes attached for the purpose. There should always be enough of dry cloths of some kind to prevent a permanent chill. Sweating. In this process, the patient, being naked, is closely en- veloped in a large thick blanket, with the legs extended and the arms close to the body. The blanket must be tightly drawn and well tucked under, so that every part of the body, from the head down, is in immediate contact with it. Then over all there must be a sufficiency of clothing of some sort, (cotton comfortables are good,) all well tucked under so as to retain all the animal heat. '' Thus hermetically enveloped, the patient exactly resem- bles a mummy." This constrained position and the irri- tation of the blanket are at first disagreeable, particularly until perspiration commences, which takes place in from one half hour to two hours' time. Those that perspire with difficulty, should move the legs and rub the body with their hands, all that the position will allow. It is how. ever more desirable to obtain the end without the exertion, if it can be done. Sometimes the head, all but the face, is also covered. When sweating commences, the windows should be thrown open, so as to admit fresh air, and the patient be allowed to take small draughts of water, a wine-glass or more every ten or fifteen minutes. This will not only be refreshing, but will also promote the sweating. If there be headache, or a determination of THE WATER-CURE. 55 blood to the head, cooling bandages should be applied, and changed as often as necessary. If from the length of time of the envelopment, it be necessary, a urinal should be placed at the patient before the wrapping up. To allay the pain of swellings, tumors, &c. warming applications should be applied before the envelopment; otherwise the pain would be liable to an increase, before perspiration commences. Those who are very restless, should be con- fined by additional cloths and girths; otherwise the time would be too much prolonged. With the best that ban be done, some will require four or five hours' encasement. The best time for sweating in chronic cases, is early in the morning. As a rule, only once a day. The repetition would be the exception. In acute cases, the time of sweating will depend upon the fever, exacerbations, &c, and should be resorted to when necessary without refer- ence to the time of day. When the process has continued long enough, the cover- ings (all but the thick blanket) are to be removed. The blanket must be loosened,—about the legs in particular. An attendant should wet with a cloth the parts to be ex- posed to the air. The patient, if able, goes immediately to the bath, washes the head, face, neck and chest very briskly, and then enters the bath immediately, and remains from one to six or eight minutes, keeping up constant mo- tion and friction ; and then immediately, on leaving the bath, the whole surface must be made thoroughly dry by rubbing with cloths, &c. Those who are able should then take exercise in the open air, or in a well-aired room. Those not able should be well-rubbed by attendants. No danger is to be dread- 56 HYDROPATHY ; OR, ed from the sudden transition from heat to cold, in this kind of sweating, if every thing is properly done, as abun- dant experience proves. This highly valuable part of the water-cure can very easily be made the means of much evil. It is an engine of great power, and therefore should be practised with the utmost caution. In cold, phlegmatic habits, where the skin is inactive, the sensibility dull, and the circulation sluggish, it is productive of great benefit. But in the sanguine temperament, where the circulation is active and the sensibility acute, or if in any case it is carried too far» it is productive of great mischief. The relationship or equilibrium, between the two great vital functions, circula- tion and respiration, would be destroyed. The velocity of the circulation would be increased, without a corres- ponding increase of respiration, thus destroying an equi- librium, absolutely necessary to health, and which destruc- tion, if maintained for a considerable time, must inevitably terminate with the most serious results. " Profuse perspiration operates upon the body, first like the surgeon's lancet, in reducing the volume of the con- tained fluids. Secondly, it operates like the physician's blister, by determining from the centre to the circumfer- enqe. It thus relieves congestion of the vital organs, and lightens the whole system. But it does vastly more than can beachieved either by bleedingorblistering : for it extricates from the body an increased amount of carbon and hydro- gen, thus producing a deficiency of these elements within it. This deficiency of carbon and hydrogen is equivalent to a call for more food, in order to supply the place of the lost carbon and hydrogen. And thus it promotes appe- THE WATER-CURE. 57 tite, which is more than can be said for either lancet or blister, by their warmest admirers."—Johnson. Priessnitz does not resort to sweating as much as he once did. We are told that formerly, where he sweated fifty patients, he does not now sweat half a dozen. In some cases it has been recommended to use a wet sheet for sweating, of suitable size to reach from the arms to the knees only. Air and Exercise. It will be observed that these important adjuncts to any kind of treatment, share largely in the water-cure. Priess- nitz insists that all who are able shall take an abundance of out-door exercise regularly. The value of such exer- cise is inestimable. Every one who observes at all res- pecting it, knows the invigorating effect it has upon the system. The cases given by different authors in this work will furnish sufficient directions in reference to these ad- juncts : " Priessnitz's first endeavor is to alleviate pain, so that the patients may avail themselves of air and exercise. How far this object is attained may be judged of, from the circumstance that out of 500 or 600, the usual average number of patients under his charge, there are seldom a dozen of persons in bed at one time. If their complaint be fever, he is so completely master of the case, that no one ever keeps his bed, and seldom his room, for more than two or three days, excepting in cases of typhus, a malady which generally takes twelve or fourteen days to eradicate, 3* 58 HYDROPATHY ', OR, but hardly ever longer. The same remark will apply to rheumatism. If the sufferer can only reach Graefen- berg, he may be sure of immediate relief, such as else- where would be called a cure, and which is repeated many times a year ; but the cure can only be regarded then as just commenced, it being Priessnitz's object to eradicate the cause of malady from the system. What is understood by a cure at Graefenberg, is a perfect cleansing of the body of all impurities, a radical cure of that which has been the source of disease. Cases of no very long stand- ing succumb to the treatment, sometimes in two or three months ; others resist for one or two years. Supposing, for an example, a young man to be attacked by gout, let him apply to Priessnitz, and he will be cured immediately ; but another, who has inherited it from his family, and who has been a bon vivant himself for a number of years, cannot expect to be made a new man, but with the exer- cise of patience ; yet he will have this satisfaction, that during the cure he will find himself, in other'respects, in perfect health, never be confined to his room, and be able to take plenty of exercise."—Claridge. Clothing. Priessnitz requires of his patients that they lay aside their flannel and cotton. He holds " that they weaken the skin, render people delicate, and less able to contend against atmospheric changes." When objections are made, he says, " Wear it, then, over your shirt; but when you are accustomed to cold water, you will not miss it. THE WATER-CURE. 50 After the bath, which you have now taken, run or walk until you provoke perspiration. You need then have no fear of catching cold." Diet. Some who advocate the water-cure, as practised by Priess* nitz, have made objections to the diet. It is not pretended but that it is improveable. When it is said of his patients that " they eat too much," it is only saying what is true of civilized man the world over. When Professor Mott of this city, (New York,) in one of his lectures, said there was as much need of temperate eating societies, as there was of temperate drinking societies, he by no means meant to be understood as placing a low estimate upon popular tern. perance societies ; he was fully aware of the undeniable fact, that excesive alimentation is in civilized man a most fruitful source of disease. Admitting that the diet at Graef- enburg is not in all respects what it should be, to obtain the best results in treating disease, it only goes the more strong- ly to prove the power and value of the water-cure. In some very important particulars, Priessnitz has shown his good sense and judgment, all must admit, who are well informed on the subject of diet. " He deprecates," says Claridge, " all exciting things, such as tea, coffee, wines and spirits, and recommends cold aliments rather than hot." A rule for dieting (in disease, second in importance to no other,) is that which relates to quantity. In the process of starvation, it is a well-known principle that the substances or parts of the body least essential to life are the first to be wasted, and 60 HYDROPATHY } OR, on this same principle, in cases of shipwreck and other ac« cidents, tumors have been known to disappear rapidly, and old ulcers to heal in a very short time, with those who have been thus subjected. This rule, of course, will not apply in all cases of disease. " I know a gentleman," says Dr. Johnson, " who was en- tirely cured of an obstinate permanent stricture by adopting a very severe course of abstinence, as it regards both food and drink, for two or three weeks. I am also acquainted with several other very severe cases of disease, entirely cured by the rigorous adoption of a severe diet—but always in connexion with a very mild course of the water-treatment." The Crisis. One most remarkable feature in the water-cure, is the Crisis, as it is termed. It is said that at Graefenberg it is really amusing to observe with what anxiety it is looked for by the patients. In most cases it proves the certain harbinger of a good cure. " The patients themselves are constant witnesses of this fact, and it is no wonder, there. fore, that they should look forward with pleasure and hope to its advent in their own persons. A patient is no sooner missed from the table, than the question goes round, «Has so-and-so got a crisis V And if the reply be in the affirma- tive, the report spreads like the news of a fresh victory, and his friends assemble around him—not with long faces to condole him—but with merry smiles, and laughing jests, to congratulate him on his happy fortune." " The following allegorical lines from Southey," says Capt. Claridge, THE WATER-CURE. 61 " might with great justice be literally applied, by the indivi- dual who has passed through the crisis, and been restored to health" : " Most blessed water ! Neither tongue can tell The blessedness thereof, nor heart can think, Save only those to whom it hath been given To taste of that divinest gift of heaven. I stopped and drank of that divinest well, Fresh from the rock of ages where it ran ; It had a heavenly quality to quell All pain. I rose a renovated man ; And would not now, when that relief was known, For worlds the needful suffering have foregone." " The crisis is generally ushered in by a sense of uneasi- ness, a loss of sleep and appetite, an alternate change from heat and cold, and lastly by all the symptoms of fever, which is sometimes violent, but always of short duration, if properly attended to. At its termination, the alvine and other evacuations are more plentiful, and accompanied by a more copious separation of extraneous matter than ordi- narily ; sometimes by several of the excretory passages at the same time. This increased secretion is generally ac- companied by a variety of eruptions of the skin, by boils, abscesses, ulcers, &c."—Weiss. " The term crisis applies to any very marked disturbance of the system, or cutaneous change ; as the crisis fever, odorous perspiration, odorous urine, vomitings, diarrhoea, haemorrhoidal discharge of blood, and various kinds of erup- tion on the skin." In very many cases of cure, there is said to be no per- ceptible crisis of any kind. There appears to be no very general rule respecting it. "In some old and obstinate cases 62 HYDROPATHY J OR, of gout, mercurialism, &c, it is said to take place as many as from three to five times before the cessation of the disease^ and the re-establishment of perfect health. Baths. By Claridge. The entire or public bath at Graefenberg, is about thirty feet in circumference, and sufficiently deep for a man of the ordinary height to plunge into up to his neck. The water is constantly renewed by springs in the mountains, the waters of which are conveyed through pipes into the bath, and escape by an opening for that purpose, so that no im- purities may remain ; besides which, the bath is emptied and cleaned twice a day : but this remark applies to Grae- fenberg only, as at Freiwaldau, with but few exceptions, the houses are supplied with portable baths. The immersion of the body covered with sweat, into cold water, is exempt from danger, provided the organs of per- spiration are in a state of repose. The risk which is incur- red of catching cold, if, on arriving at a river to bathe, we remain until the body is cold and dry, cannot possibly exist in this case; as we thereby abstract from the body the heat which it requires to produce reaction, and thus lose the good effect of bathing. Then if we walk fast, or a long distance to the bath, it is requisite to repose a little in order to tranquilize the lungs, after which we must undress quickly and plunge head-foremost into the water, having first wetted the head and chest to prevent the blood mount- ing to those regions. This precaution is strongly enforced at Graefenberg. During the bath the head ought to be im- THE WATER-CURE. 63 mersed several times into the water. Great care is requi- site in not exposing the body, between throwing aside the blanket after sweating and entering into the bath. It is highly advantageous to keep in movement in the bath, and to rub with the hands any parts afflicted. The skin is thus stimulated, and the sensation of cold abated. People whose chests are affected must exercise moderation in the use of the bath, entering it only by degrees, and not staying in it too long. In general, the time for remaining in the bath is governed by the coldness of the water, and the vital heat of the bather ; but no general rule can be adopted with respect to this. At Graefenberg, where the temperature of the water is from 43 to 50 degrees, no one stays longer in the bath than from six to eight minutes, many only two or three. Priessnitz advises his patients to avoid the second sensation of cold, which is a sort of fever, by leaving the bath before it is felt: by this means the patient will avoid a too powerful reaction, provoked by a great subtraction of heat. This precaution is indispensable at the epoch of the treatment, marked by fevers and eruptions. Then a reac- tion, produced by an immoderate use of the bath or douche, would compel the invalid to keep his bed for some days, without at all accelerating the cure. On leaving the bath, which is found more refreshing than any one can imagine who has not experienced its effects, you are covered with a sheet, over that a cloak is thrown, and thus you go to your room, where the whole body is dried and rubbed ; then you must dress quickly, and walk to keep up the warmth. To effect this by the heat of stoves or beds, would be acting in direct opposition to the treatment. A glass or two of water immediately after the bath, is agreeable, and should not be omitted whilst walking. 64 HYDROPATHY ; OR, When irritation is highly excited during the cure, baths should be suspended, as they would augment it. A general washing of the body, and sitz-baths, are then resorted to. Sweating is also replaced by the envelopment of the body in a damp sheet, the repeating of which operation, together with the sitz-bath, will cause the irritation to cease. The Half-Bath. The half-batfi is about the size of those generally used in our houses, and is only employed in cases in which the whole bath would be too much for the strength of the inva- lid, who may require to be bathed for a longer time, in order to excite the morbid humors. It is, in effect, less active than the entire bath, and being attended with less danger, is frequently administered to new-comers, for about a week preparatory to the large bath; the temperature of the small or half-bath is never lower than sixty degrees. Tho water in these half-baths is only about three to six inches deep. When it is necessary that the invalid should have the advantage of an entire bath, water is poured upon him or the attendant constantly wets the body and head with the water of the bath. When these small baths are used, in order to be less ex- citing, the upper part of the body is sometimes covered, and the bath hermetically closed, so that the head only appears. This is in cases where it is necessary that the invalid should remain in them for an hour or two. We have known Priessnitz order this for five or six hours at a time, and repeat it several days successively, in order to provoke irri- THE WATER-CURE. 65 tation and produce fever. Last year, a doctor afflicted with an atonic gout, was subjected to this treatment, and was com- pletely cured. It is, indeed, a common thing at Graefen- berg to see invalids remain for hours thus enclosed in the small bath, and continue doing the same for days, until fever is produced ; this brings the morbid matter to the skin in the form of abscesses, which sometimes discharge themselves in sufficient quantity for the matter to fill several glasses. When this crisis takes place, the baths are suspended during the discharge of these humors, by which the system is much benefitted. The half-bath is frequently taken by the patient imme- diately after he has been confined in the wet sheet. It is accompanied by a general sprinkling of the body with cold water and rubbing. Whilst still sweating, the patient should hasten to the bath, throw off the covering, previously wetting the head and chest, and the attendant should pour a pailfull of water upon the head, when the face and the body must be well rubbed. This last part of the process is often continued for ten or fiften minutes together, sometimes much longer. When the patient quits the bath he dries himself, dresses, and proceeds to take exercise in the open air immediately; but persons who have not the means of consulting a doctor acquainted with Priessnitz's mode of treatment, are not advised to attempt this. In almost all cases of fever the patient is first wrapped up hermetically in a wet sheet, which is changed as soon as it becomes warm, and repeated until the fever has subsided. As each of these sheets will become hot from having ex- tracted a certain quantity of the caloric from the body, it necessarily follows that a chill will succeed the subsiding 66 HYDROPATHY ; OR, of the fever; the patient is then placed in the bath and rubbed all over, by two persons, with the bare hand, until all the symptoms are abated. The patient then joins in the promenade, or at the public tables. If at night feverish symptoms return, the same operation is performed, and re- peated until a perfect cure is effected. Foot-bath. The foot-bath is employed almost exclusively as a coun- teracting agent against the pains of the upper part of the body. Priessnitz prescribes these baths for precisely the same purposes that the faculty order warm ones, yet every one knows that the feet, after a warm bath, become cold, and then the reaction is upwards, whilst, on the contrary, after a cold bath the feet become warm and the reaction is downwards. Headache, and tooth-ache, whatever may be their causes, particularly those that are of a violent nature, inflammation of the eyes, and effluxes of blood to the head, are almost always relieved by means of the foot-bath. To this should be added the application of wet bandages, without dry ones over them. The tub, or basin, in which these foot-baths are taken, ought only to contain water from two to three inches deep, or just enough to co- ver the toes ; for the tooth-ache, one inch is sufficient; and the bath may be applied for some fifteen minutes to half an hour. In cases of sprains, the feet must be put in wa- ter up to the ancles. The water, when it becomes luke- warm, should be changed. The feet, during the whole time, should be well rubbed by the hand, or against each THE WATER-CURE. 67 other, in order to promote a strong reaction. Care must be taken that the feet are warm before they are put into water, and exercise should be taken immediately after- wards, to bring back the heat to them. Rubbing them with a dry hand assists this very much. Cold foot-baths are sure means of preventing tendency to cold in the feet; the application of hot water only weakens the skin, and renders the feet more susceptible to cold. When they are extremely cold, instead of exposing them to the fire to warm, it is much better to produce the effect required, by exercise. If we want any proof of the reaction caused by the foot-bath, and its powers of preservation from catching cold, we have but to feel our feet an hour or two hours after the bath, and we shall then find them extreme- ly hot. If we cannot avoid being exposed for a long time to a piercing cold, it is well to take a cold foot-bath two hours previous to going out. After great fatigue, a foet- bath of this description, before going to bed, is most re- freshing. Gouty subjects should not use these baths with- out advice; but to people in general, Priessnitz re- commends their frequent use. He contends, that in the feet many of the most serious complaints commence. Homer, when he stated Achilles to be invulnerable ex- cept in the heel, no doubt knew that the feet were the most important parts of the human frame. The poorer people, who wear neither shoes nor stockings, or whose feet are constantly exposed to a sort of foot-bath, are sel- dom subject to those complaints which attack the upper region of the body. An Irish gentleman, thinking to do his shepherd a ser- vice, who had lived in a low marshy situation for many 68 HYDROPATHY ; OR, years, sent him to another estate, which was high and dry, and asking him how he liked it, he replied, " Not at all; he had never been well a day since he had been there, for there was not a drop of water to wet his feet." Head-bath. Head-baths are used for rheumatic pains in the head, common headaches, rheumatic inflammations of the eye, deafness, loss of smell and taste. They tend to disturb the morbid humors, which nature generally evacuates in the form of abscesses in the ears. They are also used to prevent the flow of blood to the head, but in this case only for a few minutes, in order to avoid too great a reaction. These should be followed by exercise in the open air, in the shade. This bath is used as follows : a washhand basin should be placed at the end of a rug upon the floor. On this rug the patient should extend himself, so that his head may reach the basin, at the bottom of which may be placed a towel for the head to rest upon. Then the back of the head must be placed in the water ; then one side ; and lastly, the other side of the head. All this is termi- nated by again placing the back part of the head in the water. The duration of this bath depends upon the nature and extent of the disease. In chronic inflammation of the eye, each part of the head should remain in water for fifteen minutes ; and as long for deafness, loss of smell and taste. All this will occupy an hour, during which time the water should be renewed twice. THE WATER-CURE. 69 If these baths and foot-baths are continued with perse- verance, success is certain. This success is generally an- nounced by violent head-aches, until the formation of an abscess takes place, which finishes by breaking. For the common head-ache, the back of the head may be exposed to the water from ten to fifteen minutes, and each side from five to ten minutes ; if it is obstinate, a foot.bath and a sitz-bath, both slightly chilled, should be used for half an hour each. Finger'bath: For whitlows the finger is placed in a glass of water, three times a day, fifteen minutes each time, the finger and hand bandaged; then the elbow must be placed in water twice a day, and a heating bandage placed on the arm above it; this will have the effect of drawing the inflam- mation from the hand. Eye-bath. Water is held to the eye, which for a minute is kept closed, and then opened for five minutes in a small glass, made for the purpose, in circumference about the size of the eye. The head-bath is generally used with this bath, but the latter is repeated oftener, and in most cases where there is inflammation, a fomentation is applied to the back of the head on going to bed, and another at the back dur- 70 HYDROPATHY J OR, ing the day. For weak eyes the forehead is bandaged on going to bed. Sitz and foot-baths form part of this treat- ment. Leg-bath. The thighs and legs, when afflicted with ulcers, ring- worms, wounds, or fixed rheumatic pains, ought to be put into a bath so as to cover the parts afflicted. The ob- ject of these baths is for them to act as stimulants. They may be taken for an hour, and sometimes longer : they always determine abscesses, and where they already ex- ist, they cause an abundant suppuration. They are also applicable to any other members afflicted in a like man- ner. The Sitz-bath. For want of a better term, we adhere to that of the Ger- mans, and instead of a sitting we call it a sitz-bath. This is a small flat tub, of about seventeen inches in di- ameter, with water seldom more than three or four inches deep; in this people sit as in a hip bath, with their feet resting on the ground, for different periods; a quarter of an hour, half an hour, an hour, or more, as may be deemed sufficient. This, in some cases, is repeated two or three times a day. The sitting bath is considered by Priessnitz to be of so much importance in his treatment, that those patients are considered quite as exceptions for whom it is THE WATER-CURE. 71 not prescribed. It has the effect of strengthening the nerves, of drawing the humors from the head, chest, and abdomen, and relieving flatulency, and is of the utmost value to those who have led a sedentary life. The object of using so little water in this bath, the half- bath, and foot-bath, is, that a re-action may the sooner be effected. If a greater body of water were used, it would remain cold during the whole time of its application, and cause congestions to the upper regions; whereas, in this case, it almost immediately attains the heat of the blood ; and admits of an immediate re-action. To prevent the former, the patient should apply a wet bandage to the head: and to succeed more effectually in the object for which the sitz-bath is prescribed, he should rub the abdomen as much as possible with a wet hand. Drop Bath. (Weiss.) This term is applied to single drops of water falling from a height of several fathoms. For this form of bath a ves- sel is used filled with very cold water, and furnished with a very small aperture, through which water passes in the form of drops. The small aperture should be partially closed by a plug, to prevent the drops from following each other in rapid succession. By these means their operation is considerably increased, and it becomes yet more potent if we allow the drops to fall upon a particular part at certain periods, and rub the part during the intervals. The reac- tion about to commence will indeed be thus interrupted, but 72 HYDROPATHY J OR, will afterwards make its appearance in a more powerful and energetic form. The violent excitement and irritation of the nervous sys- tem produced by these baths, render it necessary to restrict the use of them to half an hour ; nor are they indeed adapted for vital parts, or such as are abundantly supplied with nerves. They are often used with more effect in obstinate and chronic cases of paralysis, than the douche or affusion, with which they may alternate. Powerful and continued fric- tion with a horse-hair glove is never in this case to be ne- glected after the baths. The Douche-bath. The douche, of all the means employed, is the most powerful in moving the bad humors, and disturbing them from the position which they may have occupied for years: they are also used in the greater number of chronic dis- eases. The douche corrects the weakness which the skin may have contracted in the process of sweating, and also for- tifies it. It hardens the body, and renders it capable of sup" porting all variations in the atmosphere. It exercises a powerful action upon the muscles and nervous system, by the re-action which it provokes. What is understood by a douche, at Graefenberg, is a spring of water running out of the mountain, conveyed by pipes into small huts, where it falls from the top in a stream about the thickness of one's wrist, which fall constitutes the difference between the douche and a shower bath ; outside this hut is another for THE WATER-CURE. 73 dressing, constructed like the first, in the rudest way imaginable. There are six douches in the forest of Graefenberg, the fall of the first is fifteen feet; the second ten feet; the third twenty feet; the fourth eighteen feet. The douches set apart for women have a fall of twelve feet each: the dia- meter of the fall is the same as in those of the men. At the colony there is a douche which is available all the winter ; this is not the case with the others. About half a mile out of the town of Friewaldau, there are four more douches, resorted to by both sexes. Nearly all the douches are at some distance from the places of residence of the patients, which occasions a walk to arrive at them, so that the body is in a glow, and better calculated to be bene- fitted by the effect of the water, when submitted to the process. Parts afflicted should, for the greater part of the time, be exposed to the action of the douche, though it must be re- ceived occasionally upon all parts of the body, except on the head and face, unless this is especially ordered by Priessnitz. Weak chests should also avoid it on that part and the abdomen, otherwise the fall of the water on the lower part of the stomach or belly is not injurious. The atony of this region will not, however, always resist these means. The relief afforded by the douche, sometimes in a few minutes, in arthritic cases and rheumatism, is almost miraculous. The douche being intended to put the morbid humors in movement, ought to be discontinued when it produces feverish excitement, and be commenced again when that has ceased. 4 74 HYDROPATHY ; OR, The time recommended for the douche by different au- thors is, from one half minute to fifteen minutes. This, as all other strong impressions on the body, as a rule, should never be made with a full stomach, and generally not more than once or twice daily. " The most intense impression which can be made by the application of cold water is by the douche—and there must be in the system a very considerable amount of vital force to enable the patient to bear this mode of application. A misapplication may so far lower the vital resistance as to make the re-action exceedingly difficult or even impossible. It may knock the patient so violently down as to make it difficult for him to get up again—thus giving rise to drop- sical swellings of the legs and feet, venous congestion, piles, varicose veins, and other symptoms of deficient vital action. It sometimes produces the most extraordinary ef- fects, as weeping, laughing, trembling, &c. In its proper place, however, it exercises a most powerful influence over disease; and seems to exert an especial impression upon the absorbents. I have seen tumors of long standing most rapidly absorbed, and disappear, under the use of the douche."—Johnson. Dropsy. Many object to the drinking of cold water, on the ground that animals only drink to quench their thirst. This is true, but they do not live in our artificial state, nor are they subject to the influence of the mind. It cannot be denied that the nearer people approximate to nature, the THE WATER-CURE. 75 less they need adhere to any prescribed rules ; but man resorts to water to establish his health, therefore the quan- tity must be increased, not only for the purpose of allay- ing his thirst, but to dilute, purify, and restore, in quanti- ties which must depend upon the inconvenience or pain experienced. By this simple means, serious indispositions are often prevented. Another argument made use of against drinking cold water is, that it produces dropsy. In the first place, it is evident, that if this were true, such a complaint ought not to exist amongst us, for whoever heard of an Englishman drinking too much water 1 But we affirm, on the contrary, that this disease is caused by the injudicious administration of drugs ; the use of too large a quantity of them ; by omitting to drink cold water, and by neglecting to wash or bathe body daily in that ele- ment. If the skin is so much relaxed that it no longer throws out those matters which daily reach it from the interior of the body, fluids are collected underneath the skin which ought to be evaporated, and which cause inflation, pale- ness, and cold. This is what is called dropsy. The more the human body is injured by drugs, the more it is in need of strong perspiration, because it endeavors, by the aid of this physical agent, to relieve itself of all dis- eased matter. From this it may be inferred that no persons are more in need of the cold water-cure than those who have taken too much physic. Further, strong poisons, of whatsoever nature they may be, whether mercury, blue pill, calomel, bark, or spirituous liquors, to excess, frequent- ly cause death oy dropsy ; sometimes this disease is caused by catching cold, but only those are liable to it who have 76 HYDROPATHY J OR, produced a disposition to the complaint by relaxing the skin. The only remedy formerly known was to draw off the water by tapping, which operation, often repeated, gives a respite to life for a short time. This illness, in its infancy, may always be speedily cured by Hydropathy, and, in its most advanced stages, if there be any strength left in the constitution, this disease will be eradicated by the water-cure ; it being the property of this treatment to revive the activity of the skin, and enable the latter to indulge freely in the necessary ejection of perspiration. From the returns of the year 1841, within the city of London, and bills of mortality, amongst a people alto- gether opposed to the use of water, we find that from dropsy alone the deaths amounted to no less a number than 584. Any one who never takes physic nor intoxi- cating liquors, and keeps to a water diet, may be perfect- ly sure of never being attacked with dropsy.—Claridge. Diseases to which theWater-Cure is more esp ially adapted. By Dr. Johnson. I shall now proceed to enumerate a few of those dis- eased conditions of the body to which the water-cure is most especially adapted. But I would here premise that this mode of treatment, when properly modified, and care- fully adapted to the peculiarities of individual constitutions, and to the nature of the disorder, can seldom fail of con- ferring more or less benefit, let the diseased condition be what it may. This is true from the very nature of the re- medy, the effect of which is to strengthen the general sys- THE WATER-CURE. 77 tern. And undoubtedly a certain amount of strength may, by it, be accumulated in the body, although the actual dis- ease itself may not be eradicated. In cases where it is im- possible that the disease should be cured, the general health and strength may be so much improved as to render it far more easily endured. I must also premise, that besides those diseases which I am about to mention, as well as many others concerning which want of room must necessarily keep me silent, there are a multitude of anomalous and undenominated disorders, so entirely varied in form, character, and symptoms, that any attempt to enumerate them here is perfectly out of ques- tion—and yet many of these are unquestionably such as can be entirely removed by hydrotherapeutic treatment, upon the principles herein laid down as the foundation of that mode of cure. Acute Diseases. The diseases over which the water-cure is said to pos- sess the most rapid and striking influence, are acute dis- eases. Fevers, febrile diseases, inflammations, &c,