Won hygiene OR. Cutes tor HU Without Brugs Ry W. FRANK ROSS, A. M., M. D. I'RJCE, $1.00. 8T. LOUIS: Published by the Author, 1895. M EDICAlJ-J YG1ENE OR CURES FOR ALL DISEASES WITHOUT DRUGS INCLUDING ESSAYS ON Testimony of Leading Drug Doctors, My Drug Teachers, When to Use Drugs, John Wesley on Hygienic Medicine, The Unity of Disease, The Diet Cure, The Water Cure, Valedictory Address, My Trip to Europe, If Uncertain What to Do, Remedies of Medical Hygiene, Child-Birth Without Pain or Danger, Midwifery and Infant Nursing. 'BY W. FRANK ROSS, A. M., M. D. "TO IMPROVE THE FUTURE, WE MUST DISTURB THE PRESENT." St. Louis; Published by W. Frank Ross. 1895. Copyrighted, 1895 by W. FRANK ROSS Gable of Contents. Preface 4 Testimony of Leading Drug Doctors .... 7 My Drug Teachers 13 When to Use Drugs 27 John Wesley on Hygienic Medicine 28 The Unity of Disease 31 The Diet Cure 38 The Water Cure . 44 Valedictory Address 47 My Trip to Europe 53 If Uncertain What to Do, Do This .... 56 Remedies of Medical Hygiene 57 Diseases of the Digestive Organs 66 Diseases of the Respiratory Organs .... 93 Diseases of the Nervous System 106 Diseases of the Blood Vessels and Blood ... 132 Diseases of the Kidneys and Bladder . . . .145 Fevers 153 Unclassified Diseases 162 Diseases of Women . 177 Childbirth Without Pain or Danger . . . .181 Midwifery, or Obstetrics 184 Infant Nursing 192 preface. Do NOT pour contempt on this book without reading it. Do not condemn unheard, nor too quickly. Read, think, ponder, then decide. Some of the confessions of the leading drug doc- tors are shocking and awful. Would it not be a sin and a crime for me to keep silent? Is it not my sacred duty to tell the world? This book is intended as a complete guide for the home, the missionary, the traveler, and the young physician. A trial of its remedies will show that it does not fail, just when most needed, but it can be relied on in every case. Call in a regu- larly educated physician, if you like, to get his diagnosis of what the disease is, but do not use his drugs (poisons), remem- bering the statement in one of the best books of the celebrated Dr. Holmes, that ' 'no families take so little medicine as those of doctors, except those of apothecaries. ' ' The remedies of hygiene are free to all. They cost nothing, except a little trouble. This is no experiment, nor new thing. Hygienic medicine, without drugs, has cured tens of thousands in this country and hundreds of thousands in Europe. There have been plenty of books written on this subject, but they were generally too dear or not circulated. I do not give the electrical treatment, because this book is for the common peo- ple. I want them to know that if a disease can be cured at all, it can be cured by very simple means. If I gave the electrical treatment, they might think it is necessary, when it is not. It is good in some cases, but in most cases you can cure with- out it. The reasons I write this book are: 1. Because of what the leading drug doctors say in their books. 2. Because of what my professors taught while a student in the regular drug colleges. 3. Because of what I saw in Germany, England and Scotland, where the hygienic doctors cure tens of thousands of cases, of all kinds of disease, without drugs. 4. Because of my own 4 PREFACE. 5 experience, in which, without drugs, I have seen various dis- eases speedily get well, including piles, rheumatism, liver and kidney troubles, syphilis, asthma, erysipelas, typhoid fever, eczema, private diseases, lung fever, hernia, mumps, measles, sick headache, dyspepsia, bilious attacks, tonsilitis, bad colds, constipation, female diseases, and children's diseases. 5. Be- cause of what I have seen and read of hygienic doctors in this country. There are scores of them. 6. Inorder to save poor people the enormous expense of drugs. It is a fact that the mother can treat all common diseases as well as the doctor. 7. To make missionaries independent of drugs, and keep them from getting the heathen into the awful habit of taking drugs, which kills more people than drunkenness. lacknowledge great indebtedness to Drs. Allinson, Kellogg, Dodds, Nichols, Trail, Gossman, Shew, Hall, Holbrook, Kirk, Page, Taylor, and many other hygienic physicians in America and Europe. Many a darling child, loving wife, husband, dear mother or father has died, and God was blamed for it, when it was noth- ing but drugs that killed them. Full proof of this is given in the first two chapters of this book. Sick people need treatment, but not drugs. The remedies of hygienic medicine are as pow- erful and quick as drugs. I appeal to all preachers, teachers, doctors and others who are devoted to truth, to help spread the light. Loan your book, and buy others as presents for your friends. Send for terms, and act as agent to sell them in your neighborhood. God's laws for the body are as sacred as God's laws for the soul. I do not forget that Doctor Harvey, who discovered the cir- culation of the blood, was persecuted to the day of his death by the doctors because of then* prejudice, ignorance and bigotry. Doctor Parc introduced the common method of to-day of tying an artery to stop hemorrhage, instead of applying the hot iron, or boiling pitch, and for this he was tormented with persecution by the doctors. So when doctors learn the great benefit of medical hygiene and utter uselessness of drugs, except to kill some parasite, they will adopt it, for many doctors are honest, generous and broad-minded, but nevertheless blind leaders of the blind. The people like to be humbugged. I say with Johnson, when he gave his dictionary to the world, that ' 'while a few wild blunders and laughable absurd- ities, from which no work of such multiplicity was ever free, 6 PREFACE. may for a time furnish folly with laughter and harden ignorance into contempt, .... I look with pleasure on my book, however defective, and deliver it to the world with the spirit of a man that has endeavored well. ' ' I agree with Lowell that: They are slaves who will not choose Hatred, scoffing and abuse, Rather than in silence shrink From the truth they needs must think. They are slaves who dare not be In the right with two or three. w. FRANK ROSS, A. M., M. D. 2935 Easton Ave., St. Louis, Mo. Permanent Address, Mahomet, III. October 1, 1895. MEDICAL HYGIENE. of Ucabino Bruo doctors. The following fourteen quotations from leading drug doctors are copied from the " Home Hand-Book of Domestic Hygiene and Rational Medicine," by J. IL Kellogg, M. D. Dr. Kellogg is superintendent and chief physician and surgeon at the Battle Creek, Mich., Sanitarium. He is a member of the State Board of Health of Michigan, honorary member of the Society d'Hygiene, of France, member of the American Medical Association, the American Associa- tion for the Advancement of Science, the American Public Health Association, the American Society of Microscopists, editor of " Good Health," and author of several large and well known medical books. The Battle Creek Sanitarium is the largest in the United States, and Dr. Kellogg is one among the few leading medical men of this country, and these quotations are made in his book with his full approval and sanction. Prof. Gilman, of the New York College of Phy- sicians and Surgeons, says: "A mild mercurial course and mildly cutting a man's throat are synonymous terms." John Mason Goode, M. D., F. R. S., says: "The effects of our medicines on the human system are in the highest degree uncertain, except indeed, that they have destroyed more lives than war, pestilence and famine combined." 7 8 MEDICAL HYGIENE. Sir John Forbes, M. D., F. R. S.: " Some patients get well with the aid of medicine, more without it, and still more in spite of it." James Johnson, M. D., F. R. S., says: "I declare as my conscientious conviction founded on long expe- rience and reflection, that if there was not a single physician, surgeon, man-midwife, chemist, apothe- cary, druggist, nor drug on the face of the earth, there would be less sickness and less mortality than now prevail." Alonzo Clark, Professor in the New York College of Physicians and Surgeons, says: " In their zeal to do good, physicians have done much harm; they have hurried to the grave many who would have recovered if left to nature. All our curative agents are poisons, and as a consequence every dose diminishes the pa- tient's vitality." Martin Payne, Professor in the New York Univer- sity Medical College, says: " Drug medicines do but cure one disease by producing another." Prof. S. G. Armor, of the Long Island Hospital, says: "Drugs are administered, patients recover, and we suppose that we have cured them, whereas our remedies have had little or nothing to do with recov- ery; very likely it took place in spite of our drugs." Prof. J. W. Carson, of the New York College of Physicians and Surgeons, says: "Perhaps bread pills would cure as many as medicine.'-' The celebrated Oliver Wendell Holmes, M. D., says: " Except opium, wine, ether and chloroform, I firmly believe that if the whole materia medica, as now used, could be sunk to the bottom of the sea, it would be all the better for mankind and all the worse for the fishes." Sir John Forbes, M. D., editor of the " British and TESTIMONY OF LEADING DRUG DOCTORS. 9 Foreign Medical Review," and physician to the Queen of England, in a book called " Nature and Art in the Cure of Diseases," proves that nature is the real healing power by the following facts: (1) Wild ani- mals suffer the most serious injuries and frequently have epidemic disease, and yet recover without artifi- cial aid. (If animals don't need drugs, do we?) (2) Among savages and half-civilized nations medical treatment is either not employed, or consists of mere charms. (If sick savages recover without drugs, can't we?) (3) Many cases have occurred in which persons have had serious sickness and, being unable to procure medicine, have gotten well. (4) Many phy- sicians have experimented on the sick by giving bread pills and colored water, and find that their patients get well as surely and quickly as if they had taken drugs." The venerable Dr. Richards, of New York, cured more than one hundred cases of obstinate constipa- tion by simply directing the patient to drink a glass of cold water half an hour before breakfast each morn- ing. A surgeon of militia in the medical corps of the British Army, and assistant professor of Pathology in the Army and Medical School at Netly, said in an ar- ticle in the " British Medical Journal:" " The prac- tice which in the main guided me in the treatment of syphilis was the practice of avoiding mercury as much as possible. My sheet anchor has in all cases been the frequent hot water baths." Drs. Gray and Tuckwell, in the " London Lancet," report that " the hygiene plan is alone sufficient to cure chorea, and quite as promptly as any drug." The eminent Lebert, speaking of typhus fever, said: "Drugs, as such, are unnecessary. I give 10 MEDICAL HYGIENE. them chiefly to satisfy the patients and their friends." The following sixteen quotations are copied from Dr. T. R. Allinson's work on " Hygienic Medicine." A. H. Stevens, M. D., of New York, says: "The older physicians grow, the more skeptical they become of the virtues of medicine, and the more they are dis- posed to trust to the powers of nature." J. M. Smith, Professor in the New York College of Physiciansand Surgeons, says: "Digitalis has hur- ried thousands to the grave. All medicines which enter the circulation, poison the blood in the same manner as do the poisons that produce disease." C. A. Gilman, M. D., of the same college, says: "A single drop of laudanum will often destroy the life of an infant." Alonzo Clark, M. D., of the same college, says: "Physicians have learned that more harm than good has been done by the use of drugs in the treatment of measles, scarlet fever and other self-limited diseases." Prof. W. Parker, of the same college, says: "The pains of which patients with secondary and tertiary syphilis complain are not referable to the syphilitic poison, but to mercury with which they have been drugged." Prof. H. G. Cox, of the same college, says: "Mer- cury is a sheet anchor in fevers, but it is an anchor that moors your patient to the grave." Prof. B. F. Barker, of the same college, says: " The drugs which are administered for the cure of scarlet fever and measles kill far more than the diseases do. I have recently given no medicine in their treatment and have had excellent success." Prof. J. W. Carson, of the same college, says: " It is easy to destroy the life of an infant. This you will find when you enter practice. You will find that a TESTIMONY OF LEADING DRUG DOCTORS. 11 slight scratch of the pen, which dictates a little too much of the remedy, will snuff out the infant's life; and when you next visit your patient you will find that the child which you left cheerful a few hours previous is stiff and cold. Beware, then, how you use your remedies." Sir Astley Cooper, M. D., and physician to the Queen of England, says: " The science of medicine is founded on conjecture and improved by murder." Dr. Forth says: "There is scarcely a more dishon- est trade imaginable than medicine in its present state." Dr. C. Kidd says: "Our chiefest hopes of medi- cal reform at present exist in the outer educated pub- lic. It is a sad but humiliating confession." Prof. Evans, Fellow of the Royal College, London, says: "The medical practice of our day has neither philosophy nor common sense to commend it to con- fidence." Dr. Ramage, Fellow of the Royal College, London, says: " I fearlessly assert that in most cases the suf- ferer would be safer without a physician than with one." Dr. Frank says: " Thousands are annually slaugh- tered in the quiet sick room." Dr. Francis Coggeswell, of Boston, says: "It can not answer to my conscience to withhold the acknowl- edgment of my firm belief, that the medical profes- sion is productive of vastly more evil than good, and were it absolutely abolished, mankind would be infi- nitely the gainer." Dr. Billing says: "I visited the different schools of medicine, and the students of each hinted, if they did not assert, that the other sect killed their patients." 12 MEDICAL HYGIENE. Prof. Parker says: "Hygiene is of far more value in the treatment of disease than drugs." Prof. Clark says: "Pure cold air is the best tonic the patient can take. A sponge bath will often do more to quiet restless, feverish patients than any anodyne." Edward Johnson, M. D., author of "Life, Health and Disease," who wrote as many as twenty thousand drug prescriptions in a single year, read of the hygi- enic treatment and adopted it, and said after several years' practice of it: "I am perfectly convinced that I can cure a greater number of diseases and in a shorter time, by the hygienic treatment than I can by drugs, and that there are many diseases that I can cure by the hygienic plan which are wholly incurable by any other means." Dr. J. H. Kellogg, M. D., of Battle Creek, Mich., says that by the removal of the cause of the disease, " a very large proportion of all cases may be brought to recovery even without the application of any remedial measures whatever." I could give hundreds of pages like the above quo- tations, if 1 had room to print them. The people are not satisfied unless the doctor gives them plenty of drugs. When the people learn better than to take drugs, the doctors will of course quit giving them, t'he celebrated Dr. Holmes says no families take so little medicine as those of doctors, except the drug- gists' families. Every curable disease can be cured by hygienic medicine, which means by diet, bathing, fresh air, massage, exercise, electricity and applica- tions of heat and cold. MY DRUG TEACHERS. 13 teachers. While a student at the Barnes Medical College, and Marion-Sims College of Medicine, both in St. Louis, I took full notes with dates of each lecture. These institutions are both what are called regular Allopathic drug colleges, yet the professors often made confessions in favor of hygienic medicine, as will be seen by the quotations below. These quota- tions are made without the least personal reflection, just as the celebrated J. II. Kellogg quotes his teachers in his medical books. From personal obser- vation and talking with students from various col- leges, I am quite sure that all the medical college professors make statements similar to those quoted below. I call especial attention to the quotation from Dr. Bernays, for he is not only well known all over this country, but while I was in Edinburgh, Berlin and London, I found he was well known in Europe. Drs. Bernays, Atkinson, Meisenbach, Dalton, Lemen, Hulbert, Hypes, Young, Love, Geiger and Treutler are of the Marion-Sims College; all the others are of the Barnes Medical College. A. C. Bernays, A. M., M. D.: "Of course you young doctors will go out and give plenty of drugs, but I want to tell you that ninety-eight people out of every one hundred who call in a physician would get well if they did not take a single dose of medicine. That ought to give us comfort. The best physicians in the world do not give a drop of medicine in typhoid fever. If I were to take typhoid fever, I would not take a single dose of medicine. Rest, cold, wet sheet pack, cold sponging and liquid diet are all that is necessary to treat typhoid fever. Not hun- 14 MEDICAL HYGIENE. dreds but thousands of cases are cured by this simple treatment. The results, gentlemen, are simply brill- iant. Give the cold, wet sheet pack if the fever is over 102 degrees. Even if there is hemorrhage of the bowels, don't use drugs, but apply ice externally to the abdomen. Opium and acetate of lead, as an astringent for hemorrhage, is irrational because their powers are taken up in the stomach and upper intes- tines. I am a rank pessimist so far as drugs are con- cerned. To give drugs to a well man is very, very wrong, but to give drugs to a sick man is nothing short of a crime. Of course you will all give plenty of drugs, but I am going to have my say. The home- opaths of St. Louis, Cincinnati, Philadelphia and New York have an immense practice in the best fami- lies, in the families of the rich millionaires, because they have the reputation for giving but little medi- cine. Yet homeopathy is an outrageous fraud. Only two cases out of every hundred actually needs real service, and the homeopath lets them die. Then they make a better record than we do. The homeo- path treats all cases with nothing. Success in the practice of medicine does not depend on dosing. If a doctor has pleasing manners, and is smart with the women, he will make more money and reputation than if he did first-class surgery. There are perhaps fifty physicians in St. Louis that make twenty thou- sand dollars a year. Anatomy is a real science, while medicine is not. Medicine is largely theoretical and empiric." Dr. Young, D. D. S.: "I am opposed to giving any drug that smells or tastes bad." B. M. Hypes, A. M., M. D.: "To drink plenty of hot water is the best kidney medicine one can take. In obstetrics hygiene is the main thing." MY DRUG TEACHERS. 15 A. H. Meisenbach, M. D.: "I believe that in this country the hydropathic treatment has not been understood enough. I think the time will come in this country when all our hospitals will have appli- ances to use the water-cure treatment in all its forms. Formerly this man's limb would have been poulticed and he would have been given iron and quinine. We gave him no drugs. A good beefsteak and a few eggs are worth more to him than a whole drug store." H. C. Dalton, M. D.: "Old doctors are all be- hind." Jacob Geiger, M. D.: "A patient who has been sick much of the time, and has endured the tortures of the drug store, is a bad surgical patient. Rest and nourishment prepare the patient for the operation. I knew a man who had his arm torn from his body in a railroad accident. In two hours he went from saloon to saloon exhibiting it for drinks. If he had had a doctor he perhaps could not have done so. 'I do not know of a single internal remedy that will do positive good for erysipelas. The application of mad-stones to mad-dog bites is ridiculous and unscientific. No surgical operation is free from danger to life. I knew a little girl who had a birth-mark about the size of a pea; Monsel's solution was injected into it and she died in fifteen minutes. I would rather rely on nutri- tious food than anything else to cure carbuncles." George F. Hulbert, M. D.: "In croupous pneu- monia cold applications over all the chest act as a governor during the congestive stage. This helps the pain, cough and pulse. The cough will loosen. Con- tinue the cold as long as the patient is comfortable, and till the patient is helped." J. R. Lemen, M. D.: "If you can -cure your patient without using drugs, so much the better. It 16 MEDICAL HYGIENE. is better for you to do what helps your patient, even if you have to fool him while you do it. A practicing physician told me that when he was convinced that a patient could not recover, he would give him a large dose of morphine to finish him. If your patient has diarrhoea, and the specific gravity of his urine is only 1006, then he is urinating through his intestines. Hence, don't stop the diarrhoea, for if you do you will kill the patient by uremic poison." O. E. Treutler, M. D.: "Medical science, I am sorry to say, is not yet an exact science. Lead salts used on the eye often causes white spots which can't be removed. Solution of acetate of ammonium is harmless, and is very good to give to sick children when you do not know what is the matter with them. If you are accused of poisoning a patient from an overdose, deny the allegation and defy the allegator. Excess of food is one of the most frequent causes of organic and functional disturbances of the liver. Walking increases the amout of oxygen to the liver, and therefore increases the amount of bile and excre- tion of urea." I. N. Love, M. D.: "Beef tea is a fraud of the most pronounced type. It is a stone and not bread. Eat more fruit and less meat. If you can get the stomach to take food and digest it, it is worth more than all stimulants. Spell nutrition with a big N. Gentle, warm, full bath, keeping the head cool, and gradually lowering the temperature of the water, is the best means to reduce high fever. My opinion is that malignant scarlet fever, malignant croup, or malignant anything, is caused by being full of offend- ing matters in the bowels. Hence, use large injec- tions, and also give physic. I have it almost as a stereotyped expression in acute disease, that the less MY DRUG TEACHERS. 17 that child eats, the better. Slight starvation is a good thing." R. C. Atkinson, M. D.: "If we got dollars and cents and a reputation, only from our undoubted cures, we would have but little reputation and we would be on the town (as paupers). When I get through these lectures, in which I have been trying to fill you up on medicine, I will take up a far more ben- eficial subject, which should have come first, namely, hygiene. It is rest and rubbing that do the work when you use Pond's Extract, McLean's Liniment, Volcanic Oil, and all magic ointments. Ordinary dysentery may cure itself. More people have died in Germany and America who had la grippe, from the effects of the antipyretic medicine than from the disease. I would advise you to trust to diet rather than drugs in ulceration of the bowels. Very often hemorrhage of the lower bowels is relieved by injec- tions of ice water. It is our duty to learn and teach and apply all we can of hygiene. The dead line is a movable one, and you can live longer if you live tem- perately. In scarlet fever, if the temperature is below 103 degrees, cool the fever by sponging with tepid water; if above 103 degrees, give the full bath in cool water for about ten minutes, or wrap him up in a cool, wet sheet. Give hot baths to bring out the eruption. If scanty, or no, urine, give hot sitz baths. Ice bags to the head and spine are the best thing for meningitis, and if you apply them soon enough you may save the patient. When we use phenacetin, an- tipyrene, or antifebrin, we are not sure of their doing the work, and it is purely a matter of chance if they do the work. In the Hamburg epidemic of small pox in 1892, in one part of the city where they drank impure water, the people died like sheep, but in an- 18 MEDICAL HYGIENE. Other part where the water supply was pure they did not have small pox. In cholera give the patient all the water he wants, and one great benefit from flush- ing the bowels with large injections of water, is that the water is absorbed. Cases where the fever reached 108 degrees have been saved, but they were packed in ice around the chest and head. Lumbago from inju- ries can only be cured by rest, and the placebo is an ointment with which to rub." F. D. Wright, M. D.: " The only treatment neces- sary for primary, traumatic fever, is to keep the patient quiet." A. W. Fleming, M. D.: " To reduce inflammation of a joint, nothing is so good as rest. Allay the in- flammation of a fracture by cold or hot applications." J. II. Tanquary, M. D.: "Not fifty years ago, to treat pneumonia, they first purged till they were too weak to walk, then bled till almost pulseless." S. C. Martin, M. D.: " Cold water is the best thing to reduce high fever. The treatment for chicken pox is simply hygiene. Frequent bathing in hot or cold water is the best treatment for prurigo." M. D. Jones, M. D.: "When doctors don't know what to give, they give quinine. Country doctors treat ear troubles, although they don't expect to help the case. When the drumhead of the ear ruptures, don't wash it out for several hours, so as to let nature throw out fibrin to heal it. You can fool around it a little so as to make the patient think you are do- ing something." G. M. Phillips, M. D.: " The homeopath succeeds because most acute diseases tend to get well of them- selves, if left to nature. Homeopathy is entirely un- reasonable. Dr. Loomis says homeopath physicians MY DRUG TEACHERS. 19 are fools or knaves. Most cases of acute hydrocele cure themselves without any treatment." E. R. Meng, M. D.: " We get along pretty well in erysipelas without doing anything. Don't paint iodine on erysipelas,- for it is an irritant. In men- ingitis apply ice water to the head. We have no better antiseptic, hardly, than hot water. Two drachms of chlorate of potash have killed a child." A. R. Kieffer, M. D.: "Nature is generally kind and will cure, if the doctor will let her alone." R. C. Blackmer, M. D.: "There is no doubt but that the doctors killed Garfield." C. II. Powell, M. D.: "You will often praise a remedy when the disease would have gotten well of itself." A. M. Carpenter, M. D.: "Always put 'dilute' after hydrocianic acid in your prescriptions, or you will kill your patient, and you will kill enough uncon- sciously." Pinckney French, M. D.: "Fibroid tumor never kills, unless some surgeon is trying to remove it. If a fibroid is growing superficially let it alone." J. S. B. Alleyne, M. D.: "Of all branches of learning, medicine is the most uncertain. Physic is the art of amusing the patient while nature cures the disease." W. C. Day, M. D.: "A young Kansas druggist be- gan the practice of medicine and never lost a case, be- cause he only gave starch, pepper, and ginger." C. II. Hughes, M. D.: "A quack may perform re- markable cures, for most patients have exaggerated ideas of their disease and their imaginations are largely involved." Chas. R. Oatman, M. D.: "A moment's rest is 20 MEDICAL HYGIENE. sometimes worth millions of dollars. Physiological rest is the first principle of cure in all disease." J. T. Jelks, M. D.: " Many a doctor has punctured through the womb into the abdominal cavity with a sharp curette and killed the patient. Doctors are queer animals. Electricity is now the fad. We doc- tors all do about the same thing at the same time, and in a few months we do entirely something else. I have cured many a woman of an inflamed uterus by a little laxative pill once a day. Ulceration of the womb don't exist only as cancer or syphilis. Our white blood corpuscles are our good fairies, who pro- tect us day and night by eating germs. Chancre will get well in a week or two, if you leave it alone. Cal- omel and lime water are used as a wash, only to keep the patient busy, not to cure him." T. E. Murrell, M. D.: "Massage, by rubbing round and round, is as good as yellow oxide to clear up the cornea in pannus from granular lids, if you use vaseline with it. Atropine often causes glaucoma in the aged." M. C. Marshall, D. D. 8.: "I often inject cold water, in extracting teeth, if I have no cocaine, and it does just as well, just as you will sometimes give bread pills. The hope for the human teeth of the future is not in the dentist, but in more sunshine, more exercise and less society. I sincerely hope none of you will ever use any of the iron preparations to stop hemor- rhage in dental work. Never give iron in liquid form if you can avoid it." John W. Vaughan, M. D.: "Hygiene, including fresh air and sunlight, is the main constitutional treat- ment for hip joint disease. There are numbers of cases on record, where the patient died because bi- chloride, or carbolic acid, was injected into the joint. MY DRUG TEACHERS. 21 It is not the strong man who lives the longest, but he who takes care of himself, eats and sleeps regularly." A. R. Kieffer, M. D.: " Three-fourths of the peo- ple eat too much. We live on one-fourth of what we eat, and in spite of the other three-fourths. It is as bad to eat too much as to drink whisky. Liver troubles cause piles. Vericocele is most common on the left side because the sigmoid flexure being filled with feces presses on the veins and prevents the re- turn of the blood. Boiled water is about as good as bichloride to washout an ulcerating wound." R. C. Blackmer, M. D.: "Morphine and quinine are often mistaken by both drug clerks and doctors, and hence at times, instead of quinine, they give mor- phine and kill the patient. Drug stores often have drugs in bottles with wrong labels. I knew of a case of a doctor buying a dollar's worth of bismuth, as he supposed. He gave his wife five grains. She died in three hours, for the drug was tartar emetic. It was traced back through the drug clerk, and the whole- sale drug house, to the manufacturing chemist, where the wrong label was put on. I knew a doctor whose patient returned and said the medicine purged her and made her sick, and she did not want it. The doctor, to show it was harmless, drank it, and his funeral was preached two days later." C. H. Powell, M. D.: "Often the antipyretic drugs will do more harm than the disease. The cold wet sheet-pack for fifteen or twenty minutes is fine to reduce fever. Flint cured acute rheumatism in two or three weeks by giving a little lemonade and colored water. Typhoid fever is best treated by good nursing. Fresh air is nature's remedy for hem- orrhage. Swallowing small pieces of ice often in- stantly checks vomiting. Blisters and bleeding are 22 MEDICAL HYGIENE. things of the past. In constipation of typhoid give an injection rather than drugs. Curette in the uterus, nine times in ten, does more harm than good, for it erodes the surface and lets the micrococci in. It is more often the meddlesome midwifery of dilating the os with fingers, or instruments, that lacerates the os. Physicians will often make mistakes and if the patient dies, sign the death certificate as died of heart fail- ure. Never use nitrate of silver on the cervix, for more women suffer from this than from any other cause." Chas. R. Oatman, M. D.: "There is a craze now' for appendicitis, w'hen often it is only an impaction of feces from constipation. All diseases of the rec- tum may be caused by constipation. I am not in favor of medicines for constipation, as a rule. Imagine, gentlemen, an impaction of feces as large as the head of a fetus in the lower bowel, and some foolish doc- tor trying to drive it through by a purgative. Such a thing is criminal. Constipation and locked up liver are the main causes of ulcers in the rectum and of hemorrhoids. Inject cold water into the rectum to allay irritation and inflammation. I have practiced twenty-five years and never prescribed cod liver oil but once, and then it vomited the patient. A hydro- gogue cathartic might kill a man with a weak heart. Drinking tea instead of water is one cause of piles." J. S. B. Alleyne, M. D.: " Louis Cornaro was an Italian nobleman who had a wretched condition of dyspepsia and stomach trouble, and cured himself perfectly by regulating his diet and habits. Some- times you may find a case of fever and ague that qui- nine will not cure. Then stop the quinine and simply regulate the diet and the patient will get well. You may find a case of badly diseased eyes, and finding no MY DRUG TEACHERS. 23 benefit from drugs, stop all medicines, wash out the eyes with simple cold water and they get well. Some- times I think the ancients had a better system of medicine than we have. Lemon juice, oranges and good food will cure scurvy in children. I had a severe case of chronic diarrhoea and doctored it sev- eral months to no profit, and finally the child got some cheese and ate all it wanted, which checked and cured the diarrhoea. When glycerine was first brought out, it was used for all diseases." Pinckney French, M. D.: " Some doctors recom- mend belladonna as good for everything, but I never found it good for anything. I have known many cases where the patients took large doses of iodide of potash, which killed the red blood corpuscles, and the patient died. There is no need to give a man in profound shock any medicine, or drink, because at the first reaction he vomits it all up. Old doctors in giving calomel, got a frosty coat on the tongue and thought that showed the proper effect, but the truth is, it showed debility. I know a young doctor who operated for appendicitis and killed the patient, and it was nothing but murder. Rest is the one main thing for wounds. Appendicitis is a fashionable dis- ease. My last forty-three cases operated on for ap- pendicitis have all recovered. I have never found any foreign bodies there, such as grape or cherry seeds, but I have found ulcers and inflammations, and often I have found concretions of feces. Nine-tenths of all cases of gonorrhoea can be cured by drinking cold water and going to bed. When I was a boy, many children were said to have worms, but in all my practice I have never seen a case of worms. I rarely give any medicine after a laparotomy. I don't use much medicine." 24 MEDICAL HYGIENE. C. H. Hughes, M. D.: "A cough is a reflex act, but a coffin is not. A coffin is often the result of the doctor's visit. In nervous diseases give the bromides to cause rest, but not to cure, as nature does all the repairing. Tranquilization is the keynote of medi- cine and nature prostrates, so as to rest. In inflam- mations water is as necessary as in a burning building. Arsenic for nervous diseases is all a fad and fashion among doctors, as it has no more affinity for nerves than any other medicine." A. M. Carpenter, M. D.: "Many times you will ascribe to yourself and your remedies the cure which was really done by nature. To give ten grains of cal- omel, ten grains of jalap and ten grains of rhubarb is a relic of the stupendous idiocy that prevailed when I was a student. I had a baby in fearful bad tetanic convulsions, and poured cold water on its head and quickly relieved it. An injection of water into the bowels is like a motion to adjourn, it is always in order. The practice of therapeutics dies every four or five years, and the doctor who relies on practice books written ten years ago, relies on a broken reed. Sponge with tepid water and vinegar to cool fever. Measles are cured by nature. Tincture of aconite will paralyze a man's heart like a rope will paralyze his neck. Liebig's and Armour's meat extracts are not worth a snap. Give a vaginal injection of hot water for leucorrhoea, and for her backache wring a towel out of cold water and put around her back, with a dry one over it, and when it gets warm, put it in the cold water again and renew it. Don't give an emmenagogue to a woman whose menses have stopped, but nourish her up and when she gets blood she will menstruate naturally. Don't give cod liver oil, nor any fat, to consumptives, for they can't digest it. MY DRUG TEACHERS. 25 You can do more good for consumptives by hygiene than by medicine. Nineteen out of twenty of all patent medicines are shams. The Dr. Hall treatment serves a good purpose by dissolving out the feces and keeps the bowels clear. Stupidity is as rife to-day in the medical profession as it is in the political. Sarsa- parilla don't cure anything that I know of. Chlorate of potash is the most overpraised of any drug, for it is not worth much, and I know of many children being killed by it. You must learn massage for the ovaries, uterus, intestines, neuroses, enlargements, etc. Swal- lowing bits of ice will quiet an irritable stomach, and we have never quieted it with medicines; hence for an irritable stomach keep your hands out of your saddle- bags. Give a placebo, a colored tablet, and no one knows but it is the most powerful drug. I am sorry for you if you try to do everything with medicines. All doctors should carry a stomach tube and a com- mon rectal syringe. The stomach tube does away with the need of a thousand drugs. As for large doses of calomel, there is no sense in it,«no use in it, and much mischief in it. You cannot cure dyspepsia and allow the patient to chew or smoke tobacco. Wash the tobacco out of your mouth before you eat or it will poison the saliva. You may prescribe for womb trouble for years and never cure it, unless you treat the stomach. If a man is dyspeptic, cut off his tea, coffee and whisky. The cigarette is the most damnable of all things, for it causes heart failure. Crackers are as bad for children as cigarettes for boys. Pepsin is utterly worthless for any disease. Every doctor should have a rubber hot water bag, which is as useful as a syringe. Out and down with castor oil and glauber salts. I don't use them, only on niggers and horses. In inflammation of the bowels, 26 MEDICAL HYGIENE. rest is the main thing, and about all that is permitted is a flannel wrung out of hot water and placed on the abdomen. I have known gonorrhoea to stop in three weeks without any medicine. Diarrhoea demands but little besides rest and abstaining from food and drink. Stop hemorrhage of the rectum by rest and ice introduced. In dysentery wash out the bowels with injections of cold water. The doctor who fails to give his patient rest is only an old woman, and if he fails to nourish the patient, he is only an old corn- stalk. In chronic gastritis keep all drugs out. I have not prescribed compound cathartic pills for ten years, for they gripe. Don't give solid food for at least two months after getting up from typhoid fever, for may have perforation of the bowel. I have never lost a case of typhoid fever, for I always use plenty of cold water. The best way to cool typhoid fever is by sponging with tepid water and vinegar, though it may be done by cold, wet sheet pack, or full cold bath. The Germans have lost all faith in drugs. The healthiest men sponge the whole body every morning. Cold baths are the best things in scarlet fever and the only thing that offers any relief. No medicine will reduce a greatly enlarged spleen. Hot baths at home will do as much good as at the Hot Springs, Ark. It is a stupendous humbug to think a working man needs beer or whisky. I know I run contrary to my professional brethren when I educate the people and tell them my medicine and how it acts, but I don't care a continental if I do. I wish they would pass a law to prohibit fine white flour from being made. Fried food causes dyspepsia." WHEN TO USE DRUGS. 27 When to "Use HJvuqs. If you will read the chapter on "Testimony of Leading Drug Doctors," you will conclude with me that you should use drugs only when you want to kill something, because the hygienic doctors of Europe and America have proven that all diseases can be cured without drugs. If you have tape-worm, use drugs to kill it. If a child has worms, kill them with drugs. Put acid on corns and warts to kill them. Proud flesh, growing in a wound, needs burnt alum, or other drug to kill it. The itch is caused by a little animal that eats into the skin, and needs drugs applied to kill them. Bed-bugs and fleas need drugs. The surgeon should use drugs to kill the microbes on his instruments and on the skin of the patient, though some successful surgeons only use hot water and soap for this. To disinfect a water-closet, or any object, use drugs. If a person, accidentally, or with intent of suicide, took poison, I should give another poison to act as an antidote in the stomach. But if the poisou had gotten out of the stomach into the system, I should not give another poison, but get the first one out by means of hot baths, wet sheet packs, copious water drinking, and proper food. I know of only two exceptions to the statement that drugs should be used only to kill: one is, during a surgical operation to render the patient unconscious of the pain; and the other is, where hot sitz baths, drinking plenty of hot water, and hot wTet cloths applied do not relieve severe pain, I should use an opiate. If a few hundred people perish because a steamer sinks in the ocean, all the world mourns. If a plague attacks a few cities, and a few thousands die, the 28 MEDICAL HYGIENE. sympathy of the whole world is with those cities. The leading medical men of the world admit that drugs kill thousands of people, yet the people con- tinue to take them when it is entirely unnecessary. Without drugs of any kind I have cured piles of several years' standing, and after they had tried various doctors and medicines. A man who had not been able for two years to put on his shoes, or to take them off, because of chronic rheumatism, I cured perfectly in four weeks without drugs. By hygiene, and without drugs, I cured a man of scrotal hernia, after he had been wearing a truss for over six years, and unable to walk a step without it. I repeat, that all diseases that can be cured at all, can be cured without drugs, by means of diet, baths, massage, fresh air, rest, exercise, electricity and other hygienic remedies. John Weelep on ibpoienic noctncine. When studying the medical books of the library in the British Museum, London, I read an old book, published in 1747, by the celebrated Rev. John Wes- ley, founder of the Methodist Episcopal Church, and called "Primitive Physic, or An Easy and Natural Method of Curing Most Diseases." This book passed through thirty-four editions. Mr. Wesley was a care- ful observer, and recognized by all as a good man. After reading this book I concluded that he must have had quite a large medical practice, besides his numerous religious duties. In his introduction Mr. Wesley says: "As theories increased, simple remedies were more and more dis- regarded and disused, till in the course of years the JOHN WESLEY ON HYGIENIC MEDICINE. 29 greater part of them were forgotten, at least in the politer nations. In the room of these, abundance of new ones were introduced by reasoning, speculative men; and those more and more difficult to be applied, as being more remote from common observation. Hence rules for the application of these, and medical books, were immensely multiplied, till at length physic became an abstruse science, quite out of the reach of ordinary men. Physicians now began to be held in admiration, as persons who were something more than human. And profit attended their employ, as well as honor, so that they had now two weighty rea- sons for keeping the bulk of mankind at a distance, that they might not pry into the mysteries of the pro- fession. To this end they increased those difficulties by design which began by accident. They filled their writings with an abundance of technical terms, utterly unintelligible to plain men. They affected to deliver their rules and to reason upon them in an abstruse and philosophic manner. They introduced into prac- tice abundance of compound medicines, consisting of so many ingredients that it was scarce possible for common people to know which it was that wrought the cure; abundance of exotics, neither the names nor nature of which their own countrymen under- stood; of chemicals, such as they neither had skill, nor time, nor fortune to prepare; yea, and of danger- ous ones, such as they could not use without hazard- ing life, but by the advice of a physician. And thus both their honor and gain were secured, a vast majority of mankind being utterly cut off from either helping themselves or their neighbors, or once daring to attempt it." Mr. Wesley further says: "The common method of compounding and recompounding medicines can 30 MEDICAL HYGIENE. never be reconciled to common sense. Experience shows that one thing will cure most disorders at least as well as twenty put together. Then why do you add the other nineteen? Only to swell the apothecary's bill? Nay, possibly on purpose to prolong the dis- ease, that the doctor and druggist may divide the spoil. Is it not needful in the highest degree to res- cue men from the jaws of destruction? From wast- ing their fortunes (on drugs) as thousands have done and continue to do daily? From pining away in sick- ness and pain, either through the ignorance or dis- honesty of physicians? Yea, and many times throw- ing away their lives, after their health, time and substance. Is it inquired, Are there not books enough already on every part of the art of medicine? Yes, too many, ten times over, considering how little to the purpose the far greater part of them speak. But besides this, they are too dear for poor men to buy, and too hard for plain men to understand." Mr. Wesley, near the close of the book, says that "cold bathing cures young children of convulsions, coughs, skin inflammations, pimples, scabs, gravel, inflammation of the ears, navel and mouth, rickets, suppression of urine, vomiting, and want of sleep." Speaking of grown people, he says: "Cold bathing prevents the hereditary growth of apoplexies, asthma, blindness, consumption, deafness, gout, erysipelas, melancholy, palsies, rheumatism and stone. It fre- quently cures every nervous and paralytic disorder, such as asthma, agues of every kind, atrophy, blind- ness, cancer, coagulated blood after bruises, con- sumption, convulsions, coughs, convulsive pains, deafness, dropsy, epilepsy, violent fevers, gout, hectic fevers, hysteric pains, inflammations, inability to hold urine, or stool, lameness, lethargy, loss of appetite, THE UNITY OF DISEASE. 31 loss of smell, loss of taste, kidney pains, palpitation of heart, pain in the back and joints, pain in the stomach, rheumatism, rickets, rupture, suffocation, sciatica, pains of scrofula, swelling on joints, stone in the kidneys, torpor of the limbs, even when the use of the limbs is lost, lockjaw, gas in the bowels, ver- tigo, St. Vitus dance, varicose ulcers, leucorrhcea or whites." In this book Mr. Wesley prescribed for all common diseases. Here are a few samples: " Asthma; take a pint of cold water every morning, washing the head in cold water immediately after, and use the cold bath." "Cancer in the breast; use the cold bath. This cured Mrs. Bates, of Leicestershire, of a cancer in the breast, a sciatica and rheumatism which she had nearly twenty years. N. B.-Generally, where cold bathing is necessary to cure any disease, water drink- ing is necessary to prevent a relapse." " Consumption; cold bathing has cured many deep consumptions." ZTbc 'Unitp of EHscase, Disease is simply abnormal vital action, and is caused by the use of abnormal things, or the abuse of normal things or conditions. For example, all acquired ill health comes from bad habits, expos- ure, want of cleanliness, fresh air and exercise, or improper food and drink. These causes produce a disordered system, which we call disease. No dif- ference by what name you call the disease, it is sim- ply a deranged system, caused by poisons taken in or poisons generated in the body and retained. These 32 MEDICAL HYGIENE. poisons are thrown off by the skin (sweat), liver (bile), kidneys (urine), stomach (vomit), bowels (feces), lungs (bad breath and expectoration) and blood ves- sels (hemorrhage). Dr. S. Dickson says: " Many and various, it is true, are the supposed partial complaints which medical men usually term local disorders, but, strictly speak- ing, local disorders are so rare that, with the excep- tion of a few mechanical disorders, I scarcely know a so-called local complaint that I have not myself cured by internal constitutional measures." Dr. Abernethy said an inflamed toe needed constitutional and not local treatment. Dr. B. W. Richardson says: "The tendency of medicine, which a century ago was directed towards the division of diseases into many hundred forms, and the formation of the most elaborate and complex nosologies, is being in this day reversed; and the whole meaning of modern medical inquiry is to prove that disease is a unity, with a variety of phenomena, and that its causes are reducible to a few elementary forms." Dr. T. R. Allinson, of London, who has a large practice and successfully treats all diseases without drugs, says on the unity of disease: " I hope to prove that instead of having many diseases, we have really only one; that is, we have a disordered system with various local manifestations, which manifestations we call diseases. If I disobey one or many of the various laws by which I am governed, I set up disease; the amount of disease is according to the laws I have broken. Whether I have a dyspepsia, a pleurisy, or an attack of rheumatism, it is all the same varied state of the system, only the disease is called by a different name, since the stomach in one case, the THE UNITY OF DISEASE. 33 pleura in another, and the joints in another, show the most prominent symptoms. If we can accept the view that all diseases are due simply to an altered condition of the system, due to improper living, we simplify matters. Then instead ofhaving many kinds of doctors and many systems of medicine, we shall have only one system, and one which every educated person will know more or less of. Then instead of treating different symptoms with different remedies, we shall try to improve the whole tone of the body; then it will be all the same whether we are treating a case of dyspepsia, pleurisy, rheumatism, or nervous- ness. We shall make the patient observe all the laws which govern man and keeps us in what we call health. By this system, too, we do away with a great deal of unnecessary manipulations. Post-mortems reveal to the operator hardened livers, diseased kidneys, enlarged hearts, and broken up lungs. These are usually seized upon by the operator and put down as the cause of death. Nothing of the kind; they are simply indications of the disordered state of the sys- tem, and instead of being the cause of death, are themselves caused by the same variation which caused death. As we overwork one particular organ more than another, or as one organ is weaker than another, we must expect the overworked, or weaker organ, to go to the wall when the system is disordered. Hence it follows that stomach, lung and skin diseases arise according to which organ is weakest in us, and we should strengthen that weak organ as much as possi- ble. Some readers may here ask, do I mean to say that consumption is not primarily a chest disease? I answer at once that it is not. I say consumption is a disease of general debility, and does not attack a per- son unless he has been much indoors or been in a con- 34 MEDICAL HYGIENE. fined space. It is brought on by all things which lower vitality, such as poor or improper food, expos- ure, excessive work, drink, bad habits, etc. The cure for it is not to notice the chest, but to improve the general health and improve the whole tone of the sys- tem. By breathing fresh air night and day, by keep- ing the skin open, by taking plain food, and what little exercise can be taken, most good will be done and most chance of cure will be secured. No other mode of treatment is any use. So with rheumatism and gout. I do not try to neutralize any special poi- son in the system, all I try to do is to put the body under right conditions, so that it may improve itself up to the standard of health. Then it will throw out as fast as it can the material which causes the com- plaint, or alter itself in such a way that the disease goes. Having now cured most of the known com- plaints without drugs by means of hygienic rules, I can argue that there must be a unity in disease, as one mode of treatment seems to cure them all. The con- clusion I come to is that disease means a disordered system, showing its disorder by a variety of symptoms. The cure is uniform; a correct observation of nature's laws, and in a longer or shorter period we shall regain health. Many persons cannot understand that all diseases require only one mode of treatment. Being brought up to the old idea of things, they imagine that every disease requires a different remedy. Thus, when they hear of liver disease, they think of podo- phyllin, blue pill, etc. If they hear of consumption, it suggests to them cod liver oil, beer and beef tea; for coughs and colds they recommend you ipecac, squills, paragoric, etc. For every real or imaginary disease they have a fixed remedy; if the person gets better while taking the drug, it was the drug that cured him; THE UNITY OF DISEASE. 35 if he does not recover, then they try something else. They do not believe that a person can get well without drugs, and if you tell them that you successfully treat all diseases without drugs, then they ask you what drugs were sent for. Many may be astonished when I tell them that the same mode of treatment will cure diseases of apparently different kinds. Thus, whether I am treating gout, consumption, dyspepsia, gall stones, fever, hypochondria, pimples or nervousness, the treatment must be very much the same. One of my readers who did not know me, and with whom I was speaking, said I was a fool, because it did not matter what ailed you, all you had to do was not to smoke, not to drink, to eat brown bread and sleep with your window open! This man's summing up of my mode of cure was fairly correct. As diseases are caused by bad habits, improper food, etc., so cure is brought about by stopping all wrong habits, and by adopting correct living, then the system rights itself." " To get cured of any complaint except those due to worms, or to parasites, certain rules must be obeyed. In the first place, all bad practices must be discon- tinued, such as the use of tobacco, the drinking of beer, wines, spirits, and other fermented or alcoholic liquors; drugs, medicines and pills must be stopped; and if any other bad habits are indulged in they must be stopped before cure can take place. The next thing to do is to put the system under the best condi- tion for the restoration of health. With regard to food, if the case is an ordinary one, then No. 1 diet may be strictly followed, the nearer that is kept to, the better the person will get on, and the sooner he, or she, will get well. (See the close of the chapter on the Diet Cure for a list of five different diets.) No. 2 diet is necessary in case of heart disease, scrofula, and 36 MEDICAL HYGIENE. all cases of low vitality, damaged organs, or delicate constitutions. No. 3 diet is useful in chronic diseases, and where the system must be cleared of waste before cure can be expected. All these diets, be it noticed, will support life under the most adverse conditions. I have many patients engaged in their usual hard work and yet living on the No. 2 or No. 3 diet, for the cure of their complaints. The hygienic rules are also most important aids to cure, and as useful as the food eaten. Fresh air is most important in the treatment of diseases, especially those in connection with the breathing organs; thus it is the chief part in the cure and prevention of influenza, cold in the head, sore throat, quinsy, laryngitis, loss of voice, catarrh, cough, bronchitis, pleurisy, consumption and asthma. Exercise must not be neglected, for exercise burns up waste material, improves the circulation of the blood, increases the vitality, strengthens the muscles, en- livens the spirits, and gives tone of a lasting kind to both mind and body. Bathing cools the blood, cleanses the skin, lessens feverishness, helps to allay conges- tion or inflammation of internal organs, and is in every way beneficial. The dietaries given, and the hygienic rules I lay down, if carefully adopted, will alone cure all systemic diseases that are curable, no drugs being necessary. In fact, drugs, instead of curing, set up diseases or symptoms of their own, and so the person has to fight his own complaint, as well as that brought on by the stuff given. I treat all my cases of disease without drugs, and I have had every kind to deal with. Finally, I ask those readers who ail in any way, to try No. 1, No. 2, or No. 3 diet (see chapter on the Diet Cure), and obey as many of the hygienic rules as they can, and they will have the best chance of getting well in the shortest space of THE UNITY OF DISEASE. 37 time. They must, at the same time, avoid beer, wines, spirits, tobacco, medicines and strong tea or coffee. " Of all the persons who visit me each week, not one does exactly right, while many are wasting life and energy by using alcohol and tobacco. The ma- jority are eating more than their bodies require, the excess of food causes plethora, low spirits, bilious attacks, headaches, noises in the head, specks before the eyes, pain in the back, pain in the neck and be- hind the eyes, failing sight, loss of bodily and mental power, &c. Some are eating wrong foods, such as white bread, peeled potatoes, meat, or not eating enough fruits and vegetables. These suffer from constipation, backache, piles, vericose veins, heavy, dull feeling, and loss of energy. Some eat too fatty, or greasy foods, and subject themselves to heartburn, acidity of the stomach, and skin eruptions. Foods made sweet by added sugar cause wind in the stomach, sleepy feelings, want of energy, skin eruptions, flushes of heat, &c. Some do not take enough exercise; these suffer from cold hands and feet, poor circula- tion, chilblains in winter, red noses and depressed feelings. Those who do not breathe pure air may suffer from inflamed eyes, deafness, a spitting up of phlegm in the morning, morning and evening cough, cold in the head, or nasal catarrh, pleurisy, bron- chitis, inflammation of the lungs, or any respiratory complaint; even consumption itself, may follow from a weakly person breathing bad air frequently. Those whose skins are dirty are subject to fevers, and in7 ternal congestions or inflammations. If we add to these complaints the cases of sore throat, deafness, heart disease, indigestion, cancer, short sight, and loss of mental and bodily power produced by tobacco; and 38 MEDICAL HYGIENE. the inflamed stomachs, hardened livers and kidneys, diseased hearts and brains, gout and rheumatism, with nervous disorders, all produced by beer, wine and spirits, we get a list containing most of the ailments which afflict humanity." If the reader will read the chapters on the " Testi- mony of Leading Drug Doctors" and " My Drug Teachers," he will see that not only do the leading doctors of St. Louis, but of England and America, admit that it is Nature, and not drugs, that cures. James C. Jackson, M. D., says in the "Laws of Life" for September, 1873: " I have cured sick head- ache, nasal catarrh, sore eyes, sore throat, severe deafness, cankered sore throat, asthma, dyspepsia, pronounced heart disease, liver and kidney com- plaints,' spermatorrhoea, leucorrhoea, piles, palsy, vertigo, apoplexy, insanity, chronic melancholy, hys- teria, rheumatism, neuralgia, and scrofulous eruptions on the skin-by curing my patients of constipation of the bowels." Louis Kuhne, a well known German author, accepts the theory of the unity of all diseases. As a result he is very successful in his practice. Gbe Bfet Cure, The cure of disease by diet is not a theory but a fact. S. W. Dodds, A. M., M. D., says that diet is the most important of all remedies for the cure of disease. In France and Germany thousands are cured by the grape cure. This consists in living on grapes together with a little bread. It has been successfully tried in this country. Any fruit would do nearly as well as the grape. In the fruit cure you must not eat THE DIET CURE. 39 meat or grease of any kind. Prof. Robert Bartholow says: " The grape cure consists of a diet exclusively of grapes. They are eaten many times a day to re- pletion. It is usual to commence with a pound and progressively increase the amount to two, three, six, or eight pounds, a limit which is not exceeded. The first grape meal, which may be the most abundant, is in the early morning, but not as are the others, eaten in the vineyard. Another is taken at the time of breakfast; the next after the morning walk at noon; another between the dinner and supper and finally at supper. The treatment is continued during the five or six weeks' duration of the grape crop. The grape cure is used with success for torpid liver, diarrhoea, dysentry, hemorrhoids or piles, and engorgement of the spleen." This is the way the diet cure does its work. Health depends upon good blood. Good blood can only be made from good food, (air and water are classed as food). You can't make good blood by putting pois- ons in it; (all drugs are poisons). Fruits, grains and vegetables, not only furnish plenty of strength, but plenty of pure distilled water in their juices. This pure, distilled water goes through every diseased part of the body and brings out through the skin, lungs, kidneys and bowels, all the diseased matter. In Eng- land they have the raspberry cure and currant cure, which consists in living almost entirely on these fruits for a few weeks. Dried or green fruits can be had any day of the year. Bananas, being so concentrated, should not be eaten so freely as other fruits. The diet cure means eating to live, instead of liv- ing to eat. If you will stop and think, you can easily see that all acquired diseases of the stomach come from what you eat and drink. Bad digestion, then, 40 MEDICAL HYGIENE. means a bad diet. With bad digestion you get bad blood. Bad blood gives bad nourishment to nerves, brain, muscles and all parts of the body. Hence come nervous diseases, rheumatism, and all manner of diseases. Since these diseases are caused by bad blood, which comes from bad digestion, which comes from bad food, then all will be cured by the proper amount of good food, slowly eaten and well chewed. By good food I mean plenty of fresh air, day and night; plenty of pure water to drink and with which to bathe at least once a week, and plenty of fruits, grains and vegetables. All who depend largely on the diet cure are agreed that a sick person must not eat meat. Vegetables should be eaten only for dinner. Seeds should be removed from all fruit, or chewed finely, especially grape seeds. The venerable Dr. Richards, of New York, cured over one hundred cases of obstinate constipation by simply directing the patient to drink a glass of cold water half an hour before breakfast each morning. If you are sick drink nothing but water, or water flavored with some fruit juice. If you want to stay well never drink tea, coffee or chocolate over once a day, and only one cup then. Not only is scurvy cured by eating fruit, but all blood diseases can be cured in the same way. Fevers and all inflammatory diseases demand a fast for twenty-four to forty-eight hours. During high fevers there are no digestive juices in the stomach. No difference what the disease is, it is well to fast the first twenty-four hours to give the over- worked internal organs a chance to catch up. Dr. C. E. Page, of Boston, cures all cases of biliousness, bad colds, dyspepsia, gout, rheumatism and various other diseases by an absolute fast of one to eight days, giv- ing plenty of water to drink when feeling hungry. THE DIET CURE. 41 Dr. B. M. Hypes, of St. Louis, says that to drink plenty of hot water is the best kidney medicine one can take. Dr. T. L. Nichols, of London, recom- mends the diet cure for all diseases. No difference what the disease is, remember that pure blood will cure it. Pure blood can only be made from pure food, pure air and pure water, and not from drugs. Put your conscience and religion into your eating, for seven-tenths of all disease comes from the food being improper in quality or amount, or too hastily eaten. H. C. Stickney, M. D., says that nine times out of ten neuralgia comes from drinking tea or coffee. A child with eczema is cured by living on wholemeal bread and apple sauce. Most people eat too much, and this overworks the stomach, liver and kidneys, and setsup disease. The celebrated Dr. T. R. Allinson, whose hospital I visited in London, numbering his patients by the thousands, says that by his patients' using wholemeal bread he has cured hundreds of cases of obstinate constipation, and that constipation is the main cause of piles, varicose veins, liver troubles and a good share of man's sickness. He further says that by per- suading his patients to keep their bedroom and sitting room windows open at least two inches, during all kinds of weather, both winter and summer, day and night, he has cured by this alone, hundreds of cases of chest complaints; such as bronchitis, pleurisy, in- flammation and congestion of the lungs, besides quinsy, loss of voice and bad colds. By the kind per- mission of Dr. Allinson I give below his " General Directions in Health and Disease." Dietetic.-Have only three meals a day about five hours apart; eat the food slowly, chew it well, and stop at the first feeling of satisfaction. Eat brown 42 MEDICAL HYGIENE. bread always, and not white. Do not drink above one cup of fluid at a meal, then only lukewarm and not too sweet. Cocoa is much to be preferred to tea or coffee, as it is less injurious to the system. The meals should be eaten deliberately, time allowed for them, and a little rest taken after them, if possible. Avoid fried, greasy foods. No. 1.-Ordinary Diet.-Breakfast: 6 to 8 oz. brown bread and butter, cup of cocoa or weak tea; or, wheatmeal, oatmeal, hominy, or barley porridge eaten with brown bread and stewed fruit. Dinner: about four ounces lean beef-or mutton, or of poultry, rabbit or fish; two vegetables always; afterwards a little milk pudding, stewed fruit, or fruit pie. Sup- per: 6 to 8 ozs. brown bread and butter, boiled Spanish onion, boiled or raw celery, or other green stuff, or stewed fruit or milk pudding. No food for at least three hours before going to bed. This diet is for ordinary people, who take the world as they find it, want to keep in fair health, and yet not to be deemed peculiar. No. 2.-V. E. M. Diet.-Breakfast as No. 1. Din- ner: thick vegetable soup eaten with brown bread, followed by a milk pudding and stewed fruit. Or a potato, haricot, or vegetarian pie, or the stew in No. 3 diet. Or simply two vegetables, brown bread and some vegetable sauce. As a second course, milk pud- ding and stewed fruit. Those who do not eat flesh should eat peas, beans, or lentils every other day. Supper: same as No. 1. This diet is for those who desire to get better health than the ordinary people, and for the delicate. It is especially useful in heart, liver, kidney, and chronic stomach complaints, in syphilis, and in gout and rheumatism. For the hypo- chondriacal it is the best diet I know. THE DIET CURE. 43 No. 3.-Macaroni Diet.-For breakfast and sup- per about 6 ounces brown bread cut into dice, pour boiling milk over this, allow to cool, and then eat. Dinner: 4 ounces macaroni cooked and made into a pudding; eat with stewed prunes or other fruit. Next day have a stew made of about 2 ounces each of peas, or lentils, with rice or pearl barley; cook them well, flavor with a little carrot, turnip, onion, sweet herbs, butter and salt; eat with brown bread. Finish up with stewed fruit and bread. This diet is useful in all chronic cases, and if observed for some time clears the body of waste, and purifies the system gen- erally. No. 4.-Milk Diet.-Milk and barley or rice water in equal parts; a teacupful may be taken cold every three hours. This diet, is a quick cure for violent sickness or diarrhoea. No. 5.-Fever Diet.-Milk and water, gruel, por- ridge, vegetable soup, milk puddings, toast water, whey, lemonade, bread and milk, fruit fresh and stewed, preserve water, etc. These are the foods that should be given in erysipelas, measles, scarlet fever, small-pox, typhoid or other fevers, and in acute attacks of sickness of all kinds. Hygienic.-As much fresh air as possible must be always breathed. The bedroom window should be open at least two inches at night in all weathers; while the sitting-room, work-room or other places should always have the windows open a little. The observance of this will prevent coughs, cold, sore throats and chest complaints. Exercise: three hours a day is necessary for health; those who work hard at an outdoor occupation require no other, but seden- tary persons should take two hours a day of some form of exercise; if they walk, then eight miles a 44 MEDICAL HYGIENE. day is about the required amount. Bathing, a tepid or cold sponge down daily, aud a fortnightly warm bath is good, or a weekly warm bath alone if the other cannot be carried out. A Turkish bath once a month is a good thing for some to have. These rules should be adopted by all, as far as possible, and good health must result. N. B.-Alcoholic drinks, as beer, wines, spirits, and liquors, are only mentioned to be condemned. To- bacco must never be used by those who wish to be well. All drugs and medicines, patent or otherwise, must be avoided. Cbe Water Cure, Next to air, water is the most important thing touching human life and health. The water cure has cured tens of thousands of sick people in Europe and America. In Scotland, Germany and England, I found the water cure well established in the hearts of the people; so much-so, that the latest German drug physicians give in their books but little or no drug treatment. Europe has hundreds of water cure doc- tors, who cure all curable diseases, and often after drugs have been tried for years in vain. At Cassell I visited the largest water cure in Germany. The purifications of the laws of Moses were only applications of the water cure. Cleanliness is next to godliness, and is only obtained by water. Four-fifths of the human body is composed of water. Water dissolves our food and carries it through the body, and also carries out the waste matter through skin, lungs, kidneys and bowels. Without food or water, man can live nine days. Dr. Tanner, with water THE WATER CURE. 45 alone, lived forty days. To cure any disease, all you need is to purify and invigorate, and the water cure, assisted by diet, fresh air, and exercise, will do that in every curable case. It has been successfully tried in tens of thousands of cases. Flushing the colon every other day, with large in- jections of one to three quarts of hot water, is found to cure constipation, cholera, morbus, indi- gestion, biliousness, cramp colic, diarrhoea, dys- pepsia, liver and kidney troubles, and many of its friends claim it will cure piles, hernia, heart trouble, and other serious diseases. A wet sheet wrapped around the body calls into action the millions of pores of the skin and fills the sheet with impurities. Scarlet fever, measles, and small pox were all treated in a French hospital by a full hot bath up to the neck and they were all cured at once. Dr. Lambe says that drinking distilled water will cure stone, gravel, cancer, and other malignant diseases, if a pure diet is used at the same time. Dr. Hypes, of St. Louis, says that to drink plenty of hot water is the best kid- ney medicine one can take. Dr. Carpenter, of St. Louis, says the best way to cool fever is by sponging with tepid water. Dr. J. L. Ingram, of St. Louis, says he believes in plenty of water internally, exter- nally and eternally. Every drop of water that enters the body, or touches the body, takes away some im- purity. The quickest way to reduce a fever is with cold water. The quickest and best way to move the bowels is by an injection of water. The quickest way to pro- duce a sweat is the hot bath. The quickest way to stop hemorrhage of the lungs is to apply cold cloths, or ice, to the chest. The best stimulant is the hot bath, or hot water drinking (no whisky or drug is 46 MEDICAL HYGIENE. needed as a stimulant). The quickest and best rem- edy for convulsions, cramps, and various spasmodic diseases is the cold bath. The best cure for constipa- tion is drinking a glass of water half an hour be- fore meals. The best means to relieve all ordinary pain is the hot sitz bath, or the local application of hot and cold water. The best remedy for bruises and lacerations is the application of cold wet cloths. Professor Liebig claims that water is a better altertive than mercury. The physiological effects of hot and cold water are diluent, dissolvent, sedative, laxative, emetic, nervine, expectorant, alterative, antipyretic, diuretic, tonic, anti-spasmodic, anodyne, anesthetic, diaphoretic, styptic and cholagogue. A fluttering heart is quieted instantly by applying over it, a cold wet cloth. Vomiting and nausea are checked by a cold, wet cloth under the chin. The best remedy for sore throat is to apply a cold, wet cloth over night for a few nights. Severe pains in the lungs are quickly relieved by hot cloths between the shoulders and cold cloths over the lungs in front; renew the cloths every four minutes. The water cure is applica- ble to all diseases and includes, as faithful aids, diet, rest, massage, exercise, fresh air, and all hygienic principles, besides the different baths and applications of water. The above statements are not theories, but facts. A fair trial is all I ask. For a description of the different baths and treat- ment, see the chapter on " Remedies of Medical Hygiene." VALEDICTORY ADDRESS. 47 Valctnctorp Hbbrcss. The following is an outline of the Valedictory address delivered by W. Frank Ross, A. M., M. D., on the occasion of the graduating exercises of the Barnes Medical College, at Memorial Hall, St. Louis, March 16th, 1895: Mr. President, Ladies and Gentlemen:-The word valedictorian is derived from two Latin words meaning to say farewell. We have come to the part- ing of the ways. To-night we say farewell each to the other, and with many of us it will be an eternal parting. In these few minutes I wish to be historian, prophet and counselor. Classmates, you have crossed the Rubicon. This, our graduation day, forms an epoch in our lives. Hitherto we have been dreaming, now we awake for the conflict. We turn our backs upon the past, which has been full of romance and sham battle, and gladly turn our faces toward the future, which is radiant with hope and aspiration. To-night we sail out of the quiet bay under full sail and with a stiff breeze, and our hearts are thrilled as we stand on deck and wave farewell to Faculty and students, who stand upon the wharf and bid us Godspeed and a prosperous voyage. This moment is not without its sadness, a tinge at least of the feeling which " resem- bles pain as the mist resembles the rain." But our hearts are cheered as we remember Longfellow's exhortation, "Look not mournfully into the past. It comes not back again. Wisely improve the present. It alone is thine. Go forth to meet the shadowy future without fear and with a manly heart." As historian, I refer to the fact that the Barnes Medical College is only three years old, yet it has the 48 MEDICAL HYGIENE. largest number of students of any college west of the Mississippi. Such remarkable success was never seen before in St. Louis, nor the United States, nor the world. As prophet, I will say that this college was born at the proper time. The multitude of new discoveries in therapeutics, surgery and microscopy have been provided for in our new hospital and laboratories, which will be the largest in the United States. These advantages will not only make this the school for this age, but for generations yet unborn. As counselor, I cannot improve upon that given by our beloved Faculty. Tireless energy, patience and enthusiasm bring sure success. "Plan your work and work your plan." You can plant your ladder in low- est dust, and, climbing, reach the stars. But, like Caesar, you must be "constant as the north star, of whose transfixed and resting quality there is no fellow in the firmament." Be a man of the people, and not like the dude who pronounced Napoleon Bonaparte, Nap-o-le-on Bo-nap-ar-te. Your main fight will be with the black giant of ignorance and prejudice. Victor Hugo said, to in- struct is to construct. On the peristyle of the World's Columbian Exposition I saw these words of Jesus, "You shall know the truth, and the truth shall make you free." These words are true in every sphere of life. They are philosophic and worthy of the chief place. No one is wholly destitute of truth. All 'forms of error have some foundation in truth. Every gross superstition can be traced back to truth. All the false theories of politics, theology and medi- cine have some justification. Jesus said, "Now ye are clean through these words which I speak unto you." St. Peter said, " Seeing you have purified your VALEDICTORY ADDRESS. 49 souls in obeying the truth." It is not the . Holy Spirit, nor any mysterious power, but the truth that makes free from sin. I once heard of a painting in which both the right and left hand sides were solid black clouds, with thousands of tangled threads running between them. In the midst of the threads there was a man's hand, trying to untangle them. Such is the intellectual effort of an honest, thinking man. To untangle the threads we must begin at the correct starting point. To illustrate, one physician begins at the nerves and says they are not conscious. Going higher, he says the cord and brain are identical with the nerves, except a little more complex. Hence the brain is not conscious. Another physician begins at the brain and says it is conscious, and, going lower, says that the cord and nerves are identical with the brain, except not so complex. Hence the cord and nerves are conscious. These are directly opposite conclu- sions because of different starting points. Every man is a philosopher, though he may not recognize it. He has his theories of the universe. The materialistic infidel looks at the world as made up merely of things. The heathen looks at the uni- verse as made up not only of things, but of forces. For example, the sun is not only a thing, but a bundle of forces; a tree is not only a thing, but a bundle of forces. Hence the heathen worship all manner of objects, because of this idea of forces. That is why the school girl searches for a four-leafed clover. She considers it not merely as an object, but as having some mysterious power to bless. In other words, she considers it as having in it a little god which will give good luck. So the horse-shoe is put over the door, because it is supposed to have a little god in it which 50 MEDICAL HYGIENE. reaches down and takes away all bad luck. Scores of such heathenish superstitions could be named. "What fools these mortals be." They should know the truth in order to be delivered from such fearful slavery. Millions of people have equally as great supersti- tions about medicine. In Old Mexico I saw the Spanish Indians wearing a rose leaf on each temple, both to cure and prevent all disease. People used to think that the seventh son of the seventh son had a mysterious power to heal. In Queen Elizabeth's time they cured disease by hanging different colored cur- tains in the room. They thought that the laying on of the king's hands would cure erysipelas. Those superstitions are gone because the people learned the truth, but many such are still alive. For example, many wear a red yarn string around their neck to cure nose bleed. Many still think that rabbit fat or goose grease is better than ordinary hog lard. Some burn a few feathers under the bed to stop hem- orrhage. A popular remedy for disease is to carry a potato or buckeye in your pocket. Hundreds of superstitious people in St. Louis are wearing an iron ring on their finger to cure rheumatism. Some carry a rabbit foot as a charm against disease. The truth believed would set such people free from this slavery. An ordinary piano has eight octaves. That is the measure of the present capacity of the human mind. Suppose the octaves extended infinitely in both direc- tions. That is God's capacity. In searching for truth we can only appreciate eight octaves, but these will make us free. My chief reason for wishing heaven for my eternal home is not because that there everybody loves everybody else, but because I will be VALEDICTORY ADDRESS. 51 face to face with truth. I know the ordinary medical student is not supposed to believe there is a heaven, but the Barnes students know that if there are dependent beings in the universe, there must be an independent Being, God, upon whom the dependent depend. "A fool cannot think, and a bigot will not." The normal, unprejudiced mind is open for light from all directions. It is easy to think the same as our fath- ers and teachers, and very difficult to think contrary to them. The only manly position to take is, " I do not know it all yet, but I hope to keep on finding out." Common sense teaches young physicians many things. If you have no bougie, use a slippery elm stick. If no catheter, use a green rye straw. If no tourniquet, use a suspender, or bridle rein. If no drug to control a fluttering, wild heart put a cold wet cloth on it. If no obstetric forceps, use the fire tongs. If no dilators, use a glove stretcher. If no alcohol, or ammonia, to stimulate, use hot water internally, ex- ternally and eternally. If no trephine, use a chisel. If no medicine to control pain, use the hot bath. If no dentistry forceps, use a crowbar. I am sorry that when people die or get sick they blame God with it. God never intended anybody to die only from old age or accident. If people die, not from these causes, it is the fault either of the patient, or the nurse, or the doctor. Sickness is nothing but sin, sin in eating, drinking, clothing, or violation of some physiological law. A young lady dies and the preacher says God called her home. It was not God, she had violated some law of nature. On the Bowery in New York City, in six minutes, I smelled sixty dis- tinct stinks. The physicians nor God can keep peo- ple healthy without plenty of fresh air. 52 MEDICAL HYGIENE. I hope that this graduation class will be as success- ful as the doctor who got this letter: " Dear Doctor: Two months ago my wife could scarcely speak. She has taken two bottles of your medicine and now she can't speak at all. Please send two more bottles. I would not be without it." What does this diploma signify? Much, little or nothing. M. D. stands not only for doctor of medi- cine, but mule driver. Some graduates, but not of this class, are better fitted for mule drivers than to practice the healing art. It also stands for mud dig- ger. Most of us must dig mud and maybe eat mud before we " pluck bright honors from the pale faced moon." It stands also for money drunkard. Don't get drunk on money and neglect to buy proper books and instruments, and exemplify that " man's inhu- manity to man makes countless thousands mourn." These diplomas will cause to be put in our care the only great thing in this world, namely, human life. "What a piece of work is man. How noble in rea- son, how infinite in faculty, in form and moving how express and admirable, in action how like an angel, in apprehension how like a god, the beauty of the world, the paragon of animals." May all the good influences of Heaven bless you, as you begin this noble profession of the healing art. May your lives be filled with sunshine and good cheer. May the sweet perfume of flowers permeate all your deeds. To the faculty and board of trustees who have been so faithful and helpful, and to the class which has so highly honored me, I bid you all an affectionate farewell. MY TRIP TO EUROPE. 53 flDp Crip to I made a short visit to Europe, to somewhat com- plete my education, after ten years' study in the Central Normal College, Danville, Indiana; Butler University, Irvington, Indiana; Indiana State Uni- versity, Bloomington, Indiana; St. Louis Hygienic College of Physicians and Surgeons; Marion-Sims College of Medicine, and Barnes Medical College, both of St. Louis, Mo. I took with me letters of recommendation from J. H. Garrison, editor of the Christian-Evangelist, St. Louis; J. L. Parsons, former pastor of the First Christian Church of St. Louis; Scot Butler, President of Butler University, and A. McLean, Secretary of the Foreign Christian Missionary Society, Cincinnati, Ohio. As a tourist I saw much of Ireland, Scotland, Germany, France and England, visiting the historic places, museums, art galleries and libraries. In the hospitals of Edinburgh, Berlin, Paris and London, I saw many of the best surgeons operate. In the med- ical museums I saw many rare and valuable specimens of pathology. But the most important objects I saw were Doctor Gossmann's Sanitarium, at Cassell, Germany, and Dr. Allinson's Hygienic Hospital, in London. The reason I consider these institutions more important than the surgical hospitals, the scenery of the Rhine, the British Museum, or the Louvre at Paris, is because that at these and similar institutions, thousands of cases of all curable diseases are cured by hygienic remedies, without drugs. By hygienic remedies I mean such as baths, diet, elec- tricity, massage, Swedish movements, exercise, fresh air, and applications of heat and cold. Hygienic medicine has no connection with Christian Science, or 54 MEDICAL HYGIENE. Faith Cure. When a man is sick he needs treatment, but not drug treatment. If drugs make a well man sick, how can they make a sick man well? These in- stitutions prove, beyond a doubt, that drugs are not only unnecessary, but harmful. These doctors, besides scores of other hygienic doctors in Europe, never fail to speedily cure all curable diseases, and often after drug treatment has failed. Dr. Gossmann's is the largest hygienic institution in Germany, having extensive and beautiful buildings and grounds. Doctor Gossmann kindly showed me through all the departments, and fully explained his treatment. He recommends the sun bath as a tonic in all diseases. This consists in exposing the naked body, except the head, to the sunshine for ten to thirty minutes daily, followed by a quick sponge bath. Many leading physicians also recommend this. The steam bath and hot air, which is a modified Turkish bath, are much used here. Special cabinets, or boxes, are used for giving them, but they can easily be taken in any home, as described in the chapter on " Reme- dies of Medical Hygiene." He also has special appa- ratus for giving steam baths to different parts of the body. He recommends the vegetarian diet for all sick people. More or less massage is given after every wet sheet pack, which is followed by a quick sponge bath. Fresh air and exercise are much depended on. Doctor Gossmann has the usual elec- trical batteries. Dr. T. R. Allinson's name is a household word in England, for he numbers his patients by the thou- sands. He is medical editor of a leading London paper and has written several well known medical books. During my stay in London, Doctor Allinson several times entertained me in his home to dinner MY TRIP TO EUROPE. 55 and tea, spending hours explaining to me his treat- ment and methods. Several times I went with him through his hospital, where he cures all diseases, in- cluding the most serious, entirely by hygiene, without drugs. He uses the same remedies as Doctor Goss- mann, but depends mainly on diet, open windows (fresh air), and correct habits of life, while Doctor Gossmann depends mainly on the different baths. For his diet list, see the close of the chapter on " The Diet Cure." Besides a large office practice, Doctor Allinson also does a large practice by mail, receiving at times over three hundred letters a week. He thus prescribes for all diseases. While a drug doctor could hardly prescribe by mail, a hygienic doctor can, provided a list of questions are answered. The reason of this is fully explained in the chapter on "The Unity of Disease." Doctor Allinson never uses elec- tricity, except for paralysis. While in Scotland I read the books written by the late Professor Kirk of Edinburgh, against drugs and in favor of hygiene. The books exerted a wide influ- ence. Besides the usual hygienic remedies, Professor Kirk made great use of applieations of heat and cold, especially along the spine. In Germany over two hundred thousand copies have been sold, of a book called "My Water Cure," written by Father Kneipp, a Catholic priest. He is opposed to all drugs, and depends much on applica- tions of cold water. I have tried many of his reme- dies, and found them excellent. Father Kneipp has had a world-wide influence, curing thousands by hygiene alone. In the British Museum library I read scores of books on hygienic medicine, including those written by Doctor Nichols, of which over one hundred and fifty thousand copies have been sold. 56 MEDICAL HYGIENE. Ilf Wlbat to Bo, Bo Gbis. 1. Give an injection daily of one to three quarts of hot water. This is good in all diseases and helps the bowels, stomach, liver, kidneys, nerves and every organ of the body. 2. Give a quick hot sponge bath daily. This is good in all diseases. 3. Allow the patient to eat nothing for twenty-four to forty- eight hours, drinking water when hungry. This is a great help to cure all diseases. 4. Apply cold cloths to the head and hot irons or hot bottles to the feet. 5. Be sure to open the windows, as pure air alone cures many diseases and helps all. 6. If the patient has fever, sponge with cool water over the back, chest and abdomen. If the fever is high, sponge with cold water down the spine, or wrap him up in a cold wet sheet for about thirty minutes. 7. When you feed the patient, let it be a light diet of gruel, toast, or fruit. Avoid meat, tobacco, whisky, pastry, tea, coffee and fried foods. 8. Never use drugs of any kind. 9. If any throat trouble, apply cold, wet cloths to the throat. The above nine rules will cure nine hundred and ninety-nine out of every one thousand. Remember Dr. Holmes says nine out of ten will get well if noth- ing is done, and Dr. Bernays says ninety-eight sick people out of every one hundred will get well without any drugs. Of course some cases require special treatment. REMEDIES OF MEDICAL HYGIENE. 57 IRcmefcies of flbeOical Ibpoiene. Hygiene is generally understood to mean those conditions which prevent disease. Whatever means or agencies cure disease are medicines. Hence the title of this book, "Medical Hygiene," for hygiene furnishes plenty of remedies for all diseases. Those remedies include the diet cure, the water cure, the rest cure, the sun bath, the hot air bath, the fast- ing cure, the common air bath, water baths, fresh air; applications of heat and cold, exercise, Swedish movements, massage, electricity, mental and emo- tional influences, and surgical appliances. The diet and water cures have been considered in other chap- ters; the other remedies will be considered here. Sun Bath.-The sun bath consists in the exposure of the naked skin of the whole body to the sunshine. Dr. Gossmann, at Cassell, Germany, who has the largest hygienic sanitarium in that country, told me, when I visited his institution, that he recommended the sun bath as a spendid tonic in all diseases. The well known Dr. Dio Lewis said he cured partial paralysis, dyspepsia, neuralgia, rheumatism and hypochondria by the sun bath. Dr. T. R. Allinson recommends the sun bath highly as a strengthener. Dr. J. H. Kellogg, of Battle Creek, Mich., uses the sun bath in cases of bad nutrition, nervous and skin diseases, consumption, dyspepsia, and convalescence from various acute diseases. Expose the body to the sun daily, beginning with ten minutes and gradually increase to thirty. Always conclude with a sponge bath in tepid water. The patient should lie so as to keep the head out of the sunshine. Hot Air Bath.-The hot air bath is a modified Turk- ish bath. The patient sits in a hard-bottomed chair, 58 MEDICAL HYGIENE. with a quilt pinned around his neck from behind, and another from the front. Let the quilts drag on the floor so as to shut out the air. Place under the chair an alcohol lamp, or a small teacup containing alcohol. Be careful not to spill the alcohol, also to have the outside of the cup dry, or it may set fire to the carpet. Light a match and touch to the alcohol. A gas jet may be used. About fifteen minutes is the time. All hygienic doctors use this bath for rheumatism, stiff joints, breaking up a cold, chills and ague, malaria, torpid liver, kidneys, or skin, syphilis, dropsy, skin diseases, jaundice, and all diseases in which the sys- tem is filled with poisons. Ordinarily it should not be used more than two or three times a week. Conclude it with a sponge bath in tepid water. Common Air Bath.-This consists in exposing the naked body to fresh air, and rubbing it well with the hands. This is a very good substitute for a water bath. It removes the old dead skin and many impuri- ties. Always walk while taking this bath. Drs. Page, Allinson and Kellogg recommend it highly. The celebrated American philosopher, Franklin, gen- erally sat for an hour entirely naked, while writing or studying, and then dressed for breakfast. He said the air bath and plain living would cure all diseases. Begin with three minutes daily and increase to fifteen. Ordinary Sponge Bath.-Every person, and especially every sick person, should have a daily sponge bath. It can be taken with a pint of water and a towel, if more water cannot be had. It consists in rubbing the whole body with a wet towel or sponge. If the patient is in bed, and the bath given by another, it is well to bathe first an arm, then dry it; then the other arm, and dry it; then the chest, and dry it; then the back, and dry it; then each leg, keeping all the body REMEDIES OF MEDICAL HYGIENE. 59 covered except the part being bathed. This bath is for cleanliness and to reduce fever. Wet Sheet Pack.-The main object in this is to wrap a wet sheet around the body. This can be done in any way, but the best way is this: Spread several quilts, or comforts, on the bed. On top of these spread the dry sheet. Roll the dry sheet up from each side to the middle, then fold it about twice and dip it in the water. Wring it out so it does not drip, but not too dry, and unfold it on the middle of the bed, leaving it still rolled up from each side. This keeps it hot. Spread the rolls apart a little, and put the patient between them, and quickly wrap the sheet around him, wrapping each leg separately, and quickly covering with the bed-clothes from each side. Thirty to sixty minutes is the usual time to remain in the pack, and it is best to keep hot bottles to the feet, having the bed-clothes tight around the neck to shut out all air. If the object is to cool a high fever, or reduce an inflammation, use but little covering, and wring the sheet out of cold water; otherwise out of hot water. The pack not only reduces fever, but soothes the nervous system, controls spasms, and removes poisons from the system. I have seen patients, who have not slept for several days, after being put in the pack, be sound asleep in fifteen min- utes. Many times, after removing a patient from the pack, I have noticed that the sheet would stink with the impurities which had been removed from the body. This remedy is used in all cases where the body is full of poisons and filth, but is not given if the patient is bloodless and too feeble. In cooling fevers, remove the sheet before the temperature gets quite to normal, or a chill may follow. A cold cloth on the head removes headache. Always give a sponge 60 MEDICAL HYGIENE. bath after the wet sheet pack. Dr. T. L. Nichols, of London, says this one remedy will cure all curable diseases. Half Pack.-This is the same as the above, except that the legs and arms are not included in the wet sheet. It is used on the feeble and for everybody in lung fever and other chest troubles. Sitz Bath.-A common wash tub will do for this. Put a brick or thick book under one side of the tub. Sit in the tub, with the feet outside, having enough water to cover the hips and lower part of the ab- domen. Fifteen to thirty minutes is the time, if the water is hot, and two to five minutes if the water is cold. Have a blanket pinned around the neck from behind, covering the tub and shutting out the air. Better still to have another pinned around the neck from in front. In taking a hot sitz bath, pour in more hot water every five minutes, keeping the wa- ter as hot as can be borne. The hot sitz is used to re- duce pain, to cause sweating, to relieve torpid liver and kidneys, and is a splendid remedy in many female diseases. The cold sitz is useful for piles and other diseases 'of the rectum, inflammation of the urinary organs, and to stop hemorrhage from the vagina. Steam, or Vapor Bath.-A simple plan of taking this bath is to sit on a chair with two blankets pinned around the neck. Place under the chair a bucket, or pan, holding a quart of water. Put red-hot brick, or stones, into the water, which keeps the steam rising. This is used for the same purposes as the hot air bath. The Douche.-This is a stream of water, half an inch to two inches in size, falling five to fifteen feet. It is a powerful remedy, and is used to reduce tumors, chronic swellings of the joints, and for spinal troubles. Leg, or Arm Baths.-These parts may be immersed in REMEDIES OF MEDICAL HYGIENE. 61 cold water for fifteen minutes to an hour, to cure ulcers, and swellings of gout, rheumatism and syno- vitis. Abdominal Wrapper. - This is a wet towel worn around the abdomen, during the night, or all the time. It is a splendid remedy for liver, kidney, bladder and bowel troubles, and for female diseases. Doctor Hall Treatment.-This consists of injecting one to four quarts of hot water into the bowels, generally every other day. This remedy is useful in all diseases. Doctor Kellogg has shown that Doctor Hall did not originate this treatment. I fully believe that if all women would adopt this treatment it would do away with fully three-fourths of their ailments and doctor bills. Most drug doctors advise against it, for it is death to their business. I have seen this remedy work wonders in children's diseases, female troubles, dys- pepsia, piles, cholera morbus, cramp colic, hypochon- dria, bad complexion, and troubles of the liver, stom- ach and bowels. Rest Cure.-Many sick people cure themselves by simply taking a rest with fresh air, and avoiding drugs. If you try to rest and take drugs, the drugs will make you sicker. Thousands of sick women would get well if they would take seven hours' sleep at night and lie down and rest a half hour each half day. People who go to Hot Springs, Ark., and other places, get the rest cure. If they would rest at home and take hot baths daily, they would get well as quickly as at Hot Springs. Every sick organ in the body needs rest. A light diet of fruits and grains, avoiding meat and vegetables, gives rest to sick stomach, liver and bowels. Not only excessive work, but excessive eating and excessive sexual intercourse make people sick. If you are sick, rest from work, 62 MEDICAL HYGIENE. care, worry and sexual intercourse. Many sick peo- ple are killed by having too many visitors, and so do not get rest. Fasting Cure.-This is a most important remedy. In an absolute fast you eat nothing, drinking water when hungry. A limited fast consists of one or two meals a day of a light diet of gruels, toast and such like. In the beginning of all diseases there should be an abso- lute fast of twenty-four to forty-eight hours. A lim- ited fast quickly cures a bad cold and biliousness. There is no better remedy than an absolute fast of several days for bad dyspepsia, torpid liver, and acute rheumatism. Sick people need nourishment, but it is a fact and no theory that short fasts have almost worked miracles in the cure of disease. The well known Dr. Mary Nichols says: "I have seen cancer checked in its progress and cured, or at least rendered inactive through a life of many years, by the use of a simple, spare diet, without flesh, grease of any kind, salt, or irritating condiments. A case of congenital tumor of the liver, where there was cancer in the fam- ily, on both the father's and mother's side, became so terrible as to make life hardly endurable, when a seven months' fast on one moderate meal a day, with no flesh, resulted in a great reduction of the tumor, regular sleep, a life of active work, and rest from the torment which before had lasted many years. The tumor, though not entirely absorbed, is scarcely an in- convenience, unless excited by overeating, overwork, or mental suffering. A thirty-six hours' absolute fast is the best remedy for a fit of gout." Massage.-It is a series of movements, best done by the hands of a person, though there are various machines for the purpose. It acts in quickening the flow of all the fluids of the body, such as blood, REMEDIES OF MEDIUAL HYGIENE. 63 lymph and chyle. It increases secretion and excre- tion. It excites muscular action. There are eight different kinds of movements in massage, viz.: pres- sure, percussion, stroking, friction vibrations, medi- cal gymnastics, passive movements and active move- ments. Active movements are also called Swedish movements. Pressure is a squeezing, kneading and rolling movement. Percussion is a tapping with the ends of the fingers, or slapping gently with the palm of the hand, or chopping with the edge of the hand. Stroking is a gentle drawing of the hand over some part of the body, in one direction only, accompanied by more or less pressure. Friction is a rubbing, to and fro, with pressure. In the passive movements, the operator moves all the joints in the usual way, while the patient tries to keep the parts from moving. For example, the patient lying down, the operator grasps a limb and moves it while the patient resists the movement. In the active movements, the work is just the reverse of the passive. That is, the patient moves a joint while the operator resists, until the movement is complete. Then the operator forces the part back to its original position, while the patient resists. The active and passive movements must not be carried to fatigue. Medical gymnastics consist in certain exercises which strengthen certain muscles. Massage is useful for constipation, lumbago, swol- len joints, rheumatic pains, stiff joints, paralysis, hernia, womb trouble, liver disease, headache, neu- ralgia and many other diseases. Electricity.-Electric belts, rings and such appli- ances are entirely worthless. The good they seem to do results from the patient stopping drugs. Electric batteries are useful but are very unhealthful if im- properly used. Without special training, any one can 64 MEDICAL HYGIENE. use a battery, by the aid of a few simple rules. Dr. Allinson, of London, and other successful hygienic doctors never use electricity except for paralysis. Fresh Air.-If sick people want to get well, and if well people want to stay well, they must keep the bed- room and sitting-room windows open a few inches every hour of the entire year, through all kinds of weather. Do not be afraid of night air Mental and Emotional Influence. - If a person is excited, worried or angry, the liver and other organs do not secrete properly; hence keep cheerful and contented. Exercise.-Every sick person must exercise accord- ing to his strength, but not to fatigue. Nervous dis- eases require rest, rather than exercise. Two hours a day of exercise is necessary for health. This alone often cures disease. Applications of Heat and Cold.-By this remedy any organ in the body can be stimulated, checked or soothed. For example, ice cold cloths on the chest is the best and quickest remedy to stop hemorrhage from the lungs, and hot cloths, or ice, relieve pain. Surgery.-This remedy is doing to-day, wonders almost equal to miracles. A good surgeon with a conscience, is a great blessing to the world, but hun- dreds of operations are performed that could be cured by hygiene without any surgical operation, such as tumors, ulcers, hernia, swollen joints, enlarged glands and female troubles. Bathing Rules.-Do not eat for half an hour after bathing. Do not bathe for an hour at least, better two hours, after eating. Wetting the head before a bath prevents headache. Cold on the head prevents sweating in a bath. Sweating is a good thing and not weakening. It is better to close all baths with a quick REMEDIES OF MEDICAL HYGIENE. 65 dash of cool or cold water. Do not bathe while tired. Sweating is no objection to the cold bath, unless the body is tired. Many take cold in bathing because they arc too slow. An ordinary bath should be taken in three minutes. of tbc Bioestivc ©roans. Catarrh of the Mouth.-Symptoms.-Burning, smart- ing pain; blunted, bitter taste; coated tongue; young children refuse to nurse, have slight fever and are fretful. Causes.-Hot and irritating foods and drinks; diffi- cult teething; fevers; disordered digestion; chronic form caused by alcohol and tobacco. Recovery is t-he rule. Chronic form can only be cured by removing the cause. Treatment.-Remove the cause. If a baby, wash the milk out of the mouth. Keep the mouth clean. Hold ice water or ice in the mouth. Improve the digestion by a strict vegetarian diet and by large injections daily of hot water to wash out the bowels. Aphthae.-Symptoms.-Same as in catarrh of the mouth; saliva increased so as to dribble from the mouth; fetid breath; small white spots on inner sur- face of lips, cheeks and edges of tongue. Causes.-Generally occurs in children from difficult teething and disordered digestion. Treatment. - The same as for catarrh of the mouth. Ulcers of the Mouth. - Symptoms.-Swelling and ulcers Qn tongue, cheeks and lips; slight fever: fetid breath. Causes.-Disordered digestion, poor food, unclean- liness, rough teeth, syphilis, and mercury (calomel). 66 DISEASES OF THE DIGESTIVE ORGANS. 67 Treatment.-Remove the cause; give a daily hot bath; wash the mouth several times a day with cool water; clear the bowels by daily injections of hot water; avoid meat, rich foods, tea, coffee, alcohol and tobacco. Thrush.-Symptoms.-Pain; increased saliva; cheesy or curd-like matter on inside of the mouth; often diarrhoea and fever. Causes.-Uncleanliness of the mouth; sugar teats; bad hygiene. Treatment.-This disease cannot exist if the mouth is kept clean, hence thoroughly wash out the mouth with water before and after feeding. Attend to the bowels and stomach by diet and injections of hot water. Glossitis, or Inflammation of the Tongue.-Symptoms.- Tongue greatly swollen; high fever; pain; dribbling of saliva; enlarged glands at the angle of the jaw. Causes.-Direct injury, such as from burns, caus- tics; stings of insects; sharp edges of teeth; stem of tobacco pipe. Treatment.-Remove the cause; reduce the fever as shown elsewhere; hold ice in the mouth; frequent hot sitz baths. Canker of the Mouth, or Cancrum Oris.-Symptoms.- Ulcers of the mouth; fever; gums swollen; fetid breath; lips and checks swollen; enlarged glands. Causes.-Bad hygiene, including bad food and bad air; disordered digestion and mercury (calomel). Treatment.-Same as for ulcers of the mouth. Keep the room well ventilated and let the child be exposed to the sunshine. • Gangrenous Sore Mouth, or Noma. - Symptoms.- Ulcers, followed by gangrene, which eats away the 68 MEDICAL HYGIENE. cheeks, nose and sides of the face; prostration; high fever; rapid, feeble pulse. Causes.-Bad hygiene and mercury as a medicine. Treatment.-Under drug treatment recovery is rare. Cool the fever as directed elsewhere. Remove the poisons from the body by daily sitz baths; daily, large injections of hot water to clear the bowels; eat very sparingly of fruits and grains only. Oatmeal gruel is good, made by boiling two tablespoonfuls of oat Hake for thirty minutes in a quart of water. Salivation.-Symptoms. - Dribbling of saliva and indigestion. Causes.-Fever and drug medicines, especially mercury. Treatment. - Remove the cause. If caused by mercury, stop the drug and give sitz baths, wet sheet packs and simple vegetable diet, which will remove the poison. Dr. J. H. Kellogg claims that mercury is useless and harmful in all diseases. Sore Throat, or Pharyngitis. - Symptoms. - Hoarse- ness; cough; pain; slight fever; often white spots on the tonsils. Causes.-Exposure; prolonged public speaking or singing; breathing dust, or irritating vapors; high living. Treatment.-Remove the cause. Take a hot foot bath on going to bed and apply a cold wet cloth to the throat over night. Repeat this two or three nights if necessary. Keep the window open at least two inches night and day. If not quickly cured, then live on one meal a day for two days. Clergyman's Sore Throat.-Symptoms.-Chronic sore throat; husky voice; hoarseness; hacking cough. Causes.-Sedentary habits; bad colds; bad diet; DISEASES OF THE DIGESTIVE ORGANS. 69 excessive sexual indulgence; disordered digestion; enlarged tonsils. Treatment.-Remove the cause; live on a strictly vegetarian diet; exercise two hours a day; apply cold wet cloths to the throat every night; take large injections of hot water twice a week and hot sitz bath twice a week; keep the window open day and night; eat only whole meal graham bread. This disease is very obstinate and hard to cure. Tonsillitis, or Quinsy. - Symptoms.-Chill; fever; pain; tonsils swollen; headache; often earache; suppuration. Causes.-Exposure; bad air; predisposition. Treatment.-Give hot foot bath; apply cold wet cloths to the throat; simple diet of fruits, grains and vegetables; clear the bowels by injections of hot water; cool the fever by tepid sponging; keep the windows open at least two inches day and night. Use no drugs. Enlarged Tonsils.-Symptoms.-Difficult swallowing; constant irritation in the throat; enlarged tonsils. Causes.-Scrofula; acute inflammation of tonsils; bad hygien Treatment.-Remove the cause. Apply alternate hot and cold wet cloths to the throat, for thirty min- utes each, during two hours each day. Take a hot foot bath on going to bed and apply a cold wet cloth over night. The hot and cold cloths should be renewed every five minutes, except where put on to stay over night. Improve the general health by daily sponge baths, exercise, fresh air day and night, injec- tions to clear the bowels, and a strictly vegetarian diet. Inflammation and Ulceration of the (Esophagus.-Symp- 70 MEDICAL HYGIENE. toms.-Pain between the shoulders; painful swallow- ing; slight fever. Causes.-Hot food or drinks; irritating substances swallowed (as fish-bones, pins and needles). Treatment. - Same as for inflammation in any other part. Apply cold wet cloths. Stricture of the (Esophagus.- Symptoms.-Difficulty in swallowing increases until the patient cannot swal- low at all. It is caused by inflammations, ulcers, cancer or other tumors. The treatment is dilatation by probes, or other surgical treatment. Dilatation of the (Esophagus.-This is the opposite of stricture. Fortunately it is very rare, as the treat- ment is very unsatisfactory. In severe cases the food must be passed through a tube. Globus Hystericus, or Ball in the Throat.-Symptoms. -Sensation of a ball in the throat; inability to swal- low; comes on while eating. Causes.-It is of nervous origin. Treatment.-Rest; apply ice to the back of the neck and between the shoulders. It is sometimes relieved by passing a flexible tube down the oesoph- agus. Follow the general treatment for nervous debility. Inflammation of the Stomach, or Gastritis.-Symptoms. -Thready pulse; pale face; cold extremities; per- sistent vomiting; burning heat at the pit of the stom- ach; coated and dry tongue; prostration; great thirst; high fever. Causes.-Drug poisons; alcohol or old beer; de- cayed meat, or some poison. Treatment.-Within two hours after the poison has been taken use the stomach tube (or pump) ; then the proper chemical antidote. Swallow bits of ice; apply ice externally to the stomach, and hot DISEASES OF THE DIGESTIVE ORGANS. 71 applications to the extremities; cool the fever by sponging the body in cool water; relieve the thirst by injections of warm (not hot) water; milk and gruels are the food to be used first; the stomach should have absolute rest for a time, during which nutritive injections may be used. Bilious Attack, or Acute Gastric Catarrh.-Symptoms. -Loss of appetite; bad taste; coated tongue; vomit- ing; slight fever; sick headache; pain and feeling of weight at the stomach; spots before the eyes; dizzi- ness. Causes.-Errors in diet, or manner of eating; hot and cold drinks; sudden changes in temperature. Treatment.-Eat nothing for twenty-four hours. Stop the vomiting by drinking hot water, applying hot wet cloths on the stomach, and applying a cold wet cloth under the chin. Give a hot sitz bath and a large injection daily of hot water to clear the bowels. The diet should consist of fruits, grains and easily- digested vegetables. Avoid fatty foods, fried foods, sweets, tea, coffee, alcohol, beer and tobacco. Keep the window open day and night, and exercise two hours a day to prevent future attacks. Chronic Gastric Catarrh, or Chronic Dyspepsia.-Symp- toms.-Uneasiness after meals; loss of appetite; heartburn; vomiting after meals; constipation; highly colored urine; coated tongue; depression; sleepless- ness. Causes.-Same as in acute gastric catarrh. Treatment.-Same as in acute gastric catarrh. If the stomach refuses to retain all food, then give it absolute rest for two or three days, drinking water when feeling hungry. Wear a wet towel around the abdomen at night. Gruels and other light food should be used for a time. 72 MEDICAL HYGIENE. Ulcer of Stomach.-Symptoms.-Constant pain at the pit of the stomach, increased on taking food; vomit- ing after meals; tender at one or more points; blood may be vomited; constipation. Causes.-Extensive burns of the skin; syphilis; tuberculosis; general debility; use of hot or cold food, and alcohol. Treatment.-It generally lasts about a year. Rest for the stomach is the most important thing. Hence eat only milk, gruels and vegetable soups. Avoid meats, vegetables, hot and cold foods, sweets, acids and all coarse food. Graham bread, being coarse, must not be eaten. In severe cases the stomach must have entire rest, and give the food by injections into the bowels. A daily sponge bath, and keeping the windows open, are great aids. Beat lightly one egg with four tablespoonfuls of warm water, and inject every three or four hours, always washing out the bowels an hour before this with a large injection of warm water. Cancer of the Stomach.-Symptoms.-Pain after eat- ing; emaciation; dropsy of the ankles; vomiting blood resembling coffee grains; exhaustion. Causes.-Cancer in other parts; heredity; errors of diet, as it is admitted that irritation causes cancer in other places. To distinguish cancer of the stom- ach from ulcer, remember that cancer generally has a tumor (ulcer rarely has); cancer is rare under forty years of age (ulcer is generally under thirty); cancer is generally near the pyloric end of the stomach (ulcer is rarely there); cancer rarely has hydrochloric acid (ulcer has it in excess); cancer of the stomach generally has cancer in other parts (ulcer does not); cancer causes rapid aging and loss of flesh (ulcer DISEASES OF THE DIGESTIVE ORGANS. 73 does not); the pain of cancer is not relieved by vomit, while the pain of ulcer is so relieved. Treatment.-To cure is perhaps impossible, but careful hygienic living will greatly lengthen the life and lessen the pains. The diet and treatment should be practically the same as for ulcer of the stomach. Give daily injections of hot water for the bowels. It is well to wash out the stomach daily with the stom- ach tube. Dilatation of the Stomach.-Symptoms.-Constipa- tion; vomiting partly-digested food every day or two; heartburn; poor appetite; enlarged abdomen; tumor at pyloric end of stomach; noisy moving of wind in the bowels. Causes.-Occurs in gluttons and drunkards; strict- ure of the lower end of the stomach from cancer, or other tumor; chronic dyspepsia. Treatment.-Injections of hot water to relieve the constipation; wash the decaying food from the stom- ach every day with a stomach tube, or induce vomit- ing by drinking warm water and mustard, aided by tickling the throat with the finger; use but little drink, and eat a "dry diet," avoiding soups and liquid foods; avoid meats, vegetables, tobacco, alco- hol, beer and fermented bread; if gas collects in the stomach and becomes painful, it can be let off with a stomach tube introduced in the rectum. Be careful to bathe, and keep the bed-room ventilated at night, and take plenty of rest in bed. This is often a hard disease to cure. Drugs will do no good. Hemorrhage of the Stomach.-Symptoms.-Vomiting dark blood, generally in clots; if the blood has not been long in the stomach, it will be a bright red: Blood from the stomach is generally mixed with food 74 MEDICAL HYGIENE. and not frothy; blood will pass from the bowels if it is in large quantities in the stomach. Causes.-Ulcer; cancer; scurvy; hemorrhagic ma- larial fever; congestion of liver or spleen; stopping of the menses; yellow fever; disease of the lungs; inflammation from poisons. Treatment.-Complete rest in bed. Drink ice wa- ter, or swallow bits of ice. Apply ice compresses ex- ternally. Do not eat for forty-eight hours; drink cool water when feeling hungry. Apply hot irons, or bot- tles of hot water, to the feet and hands. Do not use drugs. Neuralgia of the Stomach, or Gastralgia.-Symptoms. -Griping pain, usually extending to the back; faint- ness; cold hands and feet; over the stomach the ab- domen is either puffed out or drawn in; attack lasts from a few minutes to several hours, leaving the pa- tient exhausted; vomiting at beginning or close of the attack. Causes.-One of my medical college professors said that nine times out of ten all neuralgia was produced by tea and coffee. Other causes are malaria, rheum- atism, poor blood, nervous debility, womb trouble, dyspepsia, ulcer of the stomach, overeating, indigest- ible food, and alcoholic liquors. Treatment.-Relieve the pain by a hot sitz bath of twenty minutes and hot wet cloths over the stomach and abdomen, and hot applications to the feet and hands. The diet must be simple and of easily digested food. Try to remove all the causes. Use large injec- tions of hot water every other day to open the bowels. Avoid meats, fats, sweets and tobacco. Live strictly according to hygiene. Drugs are of no use. Dyspepsia, or Indigestion.-Symptoms.-Perverted ap- petite; difficult digestion; heartburn; spitting up por- DISEASES OF THE DIGESTIVE ORGANS. 75 tions of food, or bitter water; pain at the pit of the stomach; constipation; highly colored urine; drowsi- ness after meals; headache; defective memory; flashes of heat; palpitation of the heart; coated tongue; acidity; night sweats; sediment in urine; nervousness; cold hands and feet; dizziness; pain under the shoulder blades or between the shoulders; bad taste in the mouth; fits of mental depression. Causes.-Worry; fatigue; sedentary habits; hasty eating; eating too much; drinking at meals; eating between meals; irregular meals; tobacco; beer; whisky; badly-cooked food; pastry; tea and coffee; hard work just after eating; condiments, such as pep- per, vinegar, and mustard; sexual excesses; drugs as medicines; fat meats; rich foods; heredity. Treatment.-Remove the cause. Eat largely of fruits and grains, such as oat flake, cracked wheat, hominy, rice, graham mush. Eat but little meat and vegetables. Avoid sweets, fats, starchy food, tobacco, alcohol, tea and coffee. Drink a glass of water half an hour to an hour before each meal. Every other day, until cured, take a large injection of hot water to clear the bowels. A daily sun bath is a great help to cure. Exercise two hours a day and keep all windows open day and night, at least two inches in winter and dur- ing a storm, and wider still at other times. Fresh air and sunshine are necessary for all diseases. Take plenty of sleep and at least two baths a week. Some cases are greatly helped by hot, wet cloths to the stomach for half an hour after meals. Never use drugs. Eat only whole meal graham bread. All va- rieties of dyspepsia and indigestion are cured by the above treatment, but nothing is so good as a few days' fast, drinking water when feeling hungry. 76 MEDICAL HYGIENE. Study carefully the above list of causes, and remove them. Colic, or Enteralgia. - Symptoms. - Griping pain about the navel; seeks relief by pressure; often nau- sea and vomiting; maybe diarrhoea; skin cold; no fever. Causes.-Constipation; indigestible and poor food; chronic malaria; lead poisoning; syphilis; rheumatism; hysteria. Treatment.-Injections of one to three quarts of hot water into the bowels generally relieves in a few minutes. Apply wet or dry heat to the abdomen. Hot sitz baths are also good. For lead colic see "Nervous Diseases." Constipation.-Symptoms.-Bowels do not move every day, or if they do, the stool is small and hard; bad breath; headache; dizziness; liver and kidneys inac- tive. Causes.-Dyspepsia; sedentary habits; white bread and crackers; failure to empty the bowels when the desire is first felt; tea, coffee, tobacco and beer; dis- eases of the stomach and liver; drugs as medicines. Treatment.-A New York physician cured over one hundred cases of obstinate constipation by directing the patient to drink a glass of water half an hour be- fore breakfast. Dr. S. W. Dodds says a week's diet of fruit cures all cases. Dr. Allinson says whole meal graham bread is a sure cure. I have never failed to cure a case by thoroughly kneading the bowels for five minutes several times a day. Avoid all the causes. In bad cases use injections of hot water every other day to move the bowels. Do not use any drugs. Eat plenty of fruit and course grains, and take at least two hours' exercise each day. Diarrhoea.-Symptoms.-Looseness of the bowels. DISEASES OF THE DIGESTIVE ORGANS. 77 Causes.-Indigestible food, impure water, irrita- tion of constipation, worms, mental shocks, taking cold, injuries from blows on the abdomen; it is found in typhoid fever, albuminuria, pyaemia, constipation, and other constitutional derangements. Treatment.-Fast one meal, drink but little, and use large injections of hot water to wash out the offending matters from the bowels. If not readily cured use injections of cold water, and fast. When the kidneys fail to excrete urea, the bowels do it by diarrhoea, and thus save life; hence, always examine the kidneys. If the abdomen is distended by gas, use a common rectal tube to let it off. For chronic diarrhoea, use the treatment recommended for dys- pepsia. Diarrhoea confined to the large intestines is called colitis; confined to the caecum it is typhlitis; confined to the rectum, it is called proctitis. Typhlitis.-Symptoms.-Pain, tenderness and gener- ally a swelling, low down, in front, on the right side of the abdomen; bowels distended with gas; consti- pation; fever; severe cases have vomiting and great depression. Causes.-Generally due to the hardened feces of constipation. Treatment.-Same as for diarrhoea. Proctitis. - Symptoms. - Burning in the rectum; constant desire for bowels to move; spasmodic con- traction of the parts; nausea; fever. Causes.-Constipation, piles, sitting on the cold ground and stone steps. Treatment.-Cold injections and cold sitz baths, besides the treatment for diarrhoea. Inflammation of the Bowels, or Enteritis. - Symp- toms.-Fever; pain, tenderness and looseness of the 78 MEDICAL HYGIENE. bowels; shreds of membrane may be in the stool; often nausea and vomiting. Causes.-Exposure; fatigue; indigestible food; drugs; swallowing foreign bodies; injuries; hardened feces from constipation; hernia. Treatment.-Rest the bowels by a light diet of fruits and grain. Give the hot sitz bath daily and three large injections of hot water daily till relieved. An absolute fast for one or two days is a splendid remedy. Hot wet cloths on the abdomen relieve. Drugs do harm and no good. Cholera Morbus.-Symptoms.-Vomiting; purging; cramps in legs and feet; cold skin; colicky pains. Causes.-Unripe fruits, uncooked vegetables, mala- ria, stimulating drinks and hot weather. Treatment.-Assist the vomiting by drinking luke- warm water; when all the food is vomited, stop the vomiting by swallowing bits of ice, or applying a cold wet cloth under the chin, or by applying hot or cold cloths over the stomach. Give an injection of one to three quarts of hot water, and repeat if necessary. This generally quickly relieves. If the pain continues give a hot sitz bath. If there is fever and tenderness of the abdomen, give a cold sitz bath. Live on a light diet of fruits and grains for a few days, avoiding meats and vegetables. Drugs are unnecessary. Cholera Infantum, or Summer Complaint.-Symptoms. -Vomiting; purging; fever; rapid pulse; abdominal pain; cold extremities; great prostration. Causes.-Improper food; teething; bad hygiene; being kept too warm; overloading the stomach. Treatment.-Sponge the body with tepid water to cool the fever. This disease is similar to diarrhoea and cholera morbus, and requires much the same treatment. Give the baby a large injection of hot DISEASES OF THE DIGESTIVE ORGANS. 79 water. Keep the limbs and arms warm and the body cool. Better keep all food out of the stomach for twenty-four hours and give only water. No danger of starvation. One part of cow's milk, in two parts of water, or the white of egg dissolved in cold water, may be used as foods. In a neighborhood where sev- eral children had died of this disease, I was called to treat a baby in the worst stages, after a drug doctor had treated it several days, and the child steadily get- ting worse; in fact, the father and mother did not think it could get well. I stopped all drugs, ami in twelve hours, by the above simple treatment, the symptoms were much improved and the child speedily recovered. Drugs do much harm and no good. Acute Dysentery, or Bloody Flux.-Symptoms.-Diar- rhoea; nausea; slight fever; colicky pains about the navel; burning pain in the rectum; blood and pus in the discharges from the bowels; urine scanty and high colored; bowels tender; tongue white at first, then smooth and slimy; seems to have a ball in the rectum and wants to sit a long time on the chamber. Causes.-Improper food, malaria, and perhaps spe- cific germs. It prevails in summer and early fall. Treatment.-Dr. A. M. Carpenter, of St. Louis, says that the hydropath treatment is the best. Even in the mildest cases, the patient should rest in bed, not sitting up a minute. Give large injections of either hot or cold water, as in diarrhoea. Apply hot wet cloths, or ice cold cloths, to the abdomen for the pain. If there is much fever sponge the body in tepid water and keep cold cloths on the abdomen. In mild cases it is well to take cool sitz baths several times a day. It is best to fast a day or two, then limit the diet to fruits and gruels of rice, or oat flake, or wheat meal, 80 MEDICAL HYGIENE. and toasted brown bread. Drugs do mischief and no good. Chronic Dysentery.-This is really a continuation of the acute form, and demands the same treatment, together with everything to improve the general health. Avoid meats, tobacco, beer, whisky, tea, coffee, fried foods, pastry, spices, and other condi- ments. Do not use drugs. Appendicitis.-Symptoms.-A quiet pain in the lower, front part of the abdomen, which returns again and again; muscles rigid over the pain; tender on pres- sure; in three days a tumor will form; two or three degrees of fever; generally occurs between the ages of seven and thirty; local distention of the abdomen from gas. Causes.-Dr. Pinckney French, of St. Louis, whose last forty-three cases of operation for appendicitis have all recovered, says he has never found any for- eign bodies in the appendix, such as grape seed and cherry seed, but has often found hardened concre- tions of feces from constipation. Foreign bodies and twisting of the appendix are generally supposed to be the causes. Treatment.-Allay the inflammation by ice cold wet cloths and sitz baths several times a day in cool water. Wash out the bowels by repeated injections of + wo to four quarts of hot water. Cool the fever by sponging the body in tepid water. Since fresh air is a splendid medicine, keep the windows open. During the attack the diet should be very light, consisting of gruels from oat flake, rice or barley. Dr. French says never to operate during the attack, but between the attacks. Never use drugs. To prevent another attack, live according to the instructions given for dyspepsia and constipation, which will cure most DISEASES OF THE DIGESTIVE ORGANS. 81 cases. If not thus cured, then resort to a good sur- geon, but remember that hundreds are operated on when it is entirely unnecessary and some of them die from the operation. Intestinal Obstruction.-Symptoms.-Complete con- stipation; colicky pains; vomiting; distension of the bowels by gas; sometimes small stools with blood; sometimes vomiting of feces; tumor felt through the abdominal walls; cold skin; prostration. Causes.-Hardened feces; foreign bodies; strict- ures; twisting of the intestine; pressure of tumors or misplaced womb; hernia, and intussusception or slip- ping of one part of the intestine into another. Treatment.-Hardened feces often form large tumors and cause complete constipation for many weeks. It requires only injections of one to three quarts of hot water and kneading the tumor. For- eign bodies swallowed pass out with the feces, or else form a tumor with the feces, which can be washed out with large injections of hot water. A surgical operation may be necessary. Strictures located near the anus can be dilated. The best treatment for twisting, intussusception and strictures that cannot be reached, are hot cloths on the abdomen and lower- ing the head while large quantities of cold water arc injected into the bowels. Dr. Smith, of St. Barthol- omew's Hospital, London, assured me he cured many cases of intussusception by the above plan. A mis- placed womb can be replaced. Tumors from morbid growths must be removed by surgery. If there are high fever, rapid pulse and local pain, showing inflammation, apply ice. Never use drugs. Professor Kirk, of Edinburgh, claims to have cured bad cases of intussusception, after violent pain and vomiting had begun, by hot wet cloths on the spine, frequently 82 MEDICAL HYGIENE. renewed, and cold wet cloths on the bowels, claim- ing that relief came in a few minutes, and complete cure in an hour. He claims he has cured it also by putting the patient in a bath-tub and pouring a bucket full of cold water on the bowels. This makes them shorter, and thus cures. If the case is of sev- eral days' standing, he recommends to use the hot to the spine and cold on the bowels, and after the patient is cured to repeat the treatment twice daily for a few days to prevent its return. Hemorrhage of the Bowels.-This occurs in piles, ulcer of the stomach, cancer, intussusception of the bowels, dysentery, and typhoid fever. Apply cloths wet in ice water and inject ice water into the bowels. Eat only fruits, grains and vegetables. Avoid meats, tobacco, tea, coffee, beer and whisky. Drugs only do harm. Peritonitis.-Symptoms.-Chill, followed by three or four degrees of fever; severe pain and tenderness oyer the abdomen; constipation; pulse 100 to 140; abdominal walls rigid; vomiting; hiccough; cannot stand up, nor lie except on the back without great pain. Causes.-Injuries from blows; blood, urine, bile or feces escaped into the abdominal cavity; blood pois- oning; inflammation of the organs in the pelvis. The chronic form is caused by consumption, cancer and scrofula. Treatment.-Apply cold wet cloths to the abdo- men, and inject cold water into the bowels. Some prefer hot water and hot wet cloths, instead of cold. Avoid eating meat and vegetables for a time. Drugs do no good. Dropsy of the Abdomen, or Ascites.-Symptoms.- Abdomen enlarged; constipation; difficult breathing; DISEASES OF THE DIGESTIVE ORGANS. 83 a wave motion of water when the abdomen is tapped by the hand; scanty urine; weakness; swelling of feet and legs. Causes.-Diseases of the liver, heart, lungs or kid- neys, or tumors. Some think it is largely due to con- stipation. Treatment.-Treat the cause. Give a hot air bath, or hot wet sheet pack daily to remove the water. Inject one to three quarts of hot water into the bowels daily. Eat mainly fruits and grains, with few vegetables. Avoid meats, fats, sugars, tobacco, alco- holic drinks, tea and coffee. If the heart and breath- ing are too much interfered with, the fluid may be withdrawn by tapping. Tapeworms.-Symptoms.-The only positive symp- tom is the passage of part of the worm, but there may be ravenous appetite, palpitation of the heart, disorders of digestion, colicky pains and itching of the anus. Causes.-Eating uncooked meat, or beef, pork and fish not thoroughly cooked. Treatment.-Eat nothing but milk for one day. The second day eat milk and onions to sicken the worm. The morning of the third day, after a light breakfast of milk and toasted white bread, take twenty or thirty grains (for an adult) of male fern. Eight hours later take another dose, and in two or three hours take two tablespoonfuls of castor oil to remove the dead worm. Watch for the head of the worm, for if it is left it soon grows to full size. If this fails, enlarge the doses. It is said that a tea- spoonful of chloroform in a half glass of milk, taken after one day's fasting, never fails to kill the worm. Use castor oil to remove it, and keep walking so as not to go to sleep. The head of the worm is about 84 MEDICAL HYGIENE. the size of a pin-head, and has little black spots on it. Thread Worms.-Symptoms.-Intense itching of the anus, especially at night, causing the child to kick the covers off; can see the worms, which are about half an inch long, in the movements of the bowels. Causes.-Neglect of cleanliness. By scratching the anus the eggs are carried to the mouth or to the food. Treatment.-Give injections of one to four quarts of warm salt water every other day for two weeks, and annoint the anus with vaseline. Round Worms.-Symptoms.-Colicky pains; nausea; vomiting; diarrhoea; starts in sleep; convulsions; worms seen when expelled. Causes.-Drinking water from ponds or brooks, or from wells infected by privies; eating unclean vegeta- bles. Treatment.-After living one day on milk, gruels and soups, and taking a dose of castor oil at night, take next morning, while the child fasts, santonin, in doses of one grain for children two to four years old; two grains for children between four and eight; three grains for children between eight and twelve; and four grains for all past twelve. Two hours later give a large dose of castor oil (two tablespoonfuls for an adult), to bring away the worms. Repeat in one week if not successful. Wind on the Stomach and Bowels, or Flatulence.-Peas, beans, onions, cabbage, lentils, radishes and cauli- flower are the chief foods causing this. If the stom- ach is a little weak then it is also caused by sweets, fats, starchy and fried foods. You can avoid this trouble by not using tea, coffee, nor the above men- tioned foods. If you have it, drink a cup or two of cold water and rub the bowels with the hand. Empty DISEASES OF THE DIGESTIVE ORGANS. 85 the bowels every day. Wear a wet towel around the waist at night. Weak Stomach.-All stomach troubles come from what we eat and drink, or the way we eat and drink. If we eat too much, we overwork the stomach, or else all the juices which digest our food are used up and part of the food is left in the stomach to ferment, un- digested, causing dyspepsia, pain or diarrhoea. If we eat too often, the stomach gets no rest and disease sets up. (There should be at least five hours between meals, and not a bite eaten except at meals.) Mustard, pepper, horseradish, catsup, large quantities of salt, spices, and other seasonings, irritate the stomach and weaken it. Hot foods and drinks inter- fere with digestion. So do ice-cold foods and drinks. Unless the tobacco user washes his mouth before each meal, his food is poisoned. Drinking at meals and not thoroughly chewing the food, are great sins against the stomach. If you have a weak stomach, avoid all the above. Avoid tea, coffee, beer, whisky, tobacco and meat. Spitting' up Food.-This is a prominent symptom of dyspepsia and needs the same treatment. Remain quiet for an hour after eating. Vomiting and Nausea.-Apply a cold wet cloth under the chin and hot wet cloths to the stomach. Drink hot water (not warm). If this does not relieve, swallow bits of ice. Heart-Burn and Acidity.-Use the treatment recom- mended for dyspepsia. The diet cure is the only proper treatment for these ailments. Drugs do harm and no good. Pain in Stomach and Bowels.-Take an injection of one to three quarts of hot water. Drink hot water. 86 MEDICAL HYGIENE Apply hot wet cloths over the abdomen. If not re- lieved, swallow bits of ice. Pain on Moving of the Bowels.-Every other day, or whenever the bowels move, use an injection of hot water. Follow the treatment for dyspepsia and the piles, or fissure, which causes the pain, will get well. Eat plenty of fruit and grains. Constant Desire to Have the Bowels Move.-Take an in- jection of cold or ice water. Some prefer hot, instead of cold, water. Follow the treatment for torpid liver. Loss of Appetite.-Drink one-fourth of a teacupful of hot water every ten minutes for five hours. Do not use warm water, but hot. Take an injection of one to three quarts of hot water to clear the poison from the bowels. Open the windows, o-r walk in the fresh air. People living in the open, fresh air, eat twice as much as those who stay always in the house. Take a daily sun bath, and bathe the whole body twice a week. Avoid drugs and highly-seasoned food. Eat largely fruits and grains. During high fever there are no juices in the stomach to digest, hence no appe- tite. Food should not be eaten then. A fast of one or two days is the best of treatment in the beginning of all diseases. No sick animal will eat. Bitters do harm and no good. Appetite too Great.-This is either merely a bad habit, or it is caused by diabetes, tape worm, excessive sexual intercourse, or masturbation. Avoid the causes and exercise self-control. Jaundice, or Icterus.-Symptoms.-Yellow or bronze skin; white of eye is yellow; yellow or brown urine; white stools; bitter taste; constipation; slow pulse; itching of the skin; drowsiness; colicky pains; mind stupid. DISEASES OF THE DIGESTIVE ORGANS. 87 Causes.-Obstruction of the gall duct; constipa- tion; poisons, as mercury, arsenic or copper; malaria; debility; fevers; pregnancy; mental emotions. Treatment.-The treatment for jaundice is the same as for torpid liver, except jaundice demands rest in bed. Gall Stones-Biliary Calculi.-Symptoms.- Excruci- ating pain in the right side, which subsides and comes again; nausea; may be vomiting; cold extrem- ities; exhaustion; feeble pulse. I saw a patient with gall stones who had convulsions and delirium. Causes.-Sedentary habits; hard water; alcoholic drinks; excessive use of meats; excessive use of com- mon salt, cooking soda and baking powder; rich foods. Treatment.-Allay the pain with hot sitz bath, ap- plication of hot wet cloths, and copious drinking of hot water. Stop the vomiting by swallowing bits of ice. Dr. S. W. Dodds, of St. Louis, says that this disease cures itself by avoiding the causes. The cele- brated Dr. Kellogg, of Battle Creek, Mich., says that drugs do this disease no good. Drink plenty of rain water, or distilled water, to dissolve the stones. Be- sides the above, follow the treatment recommended for torpid liver. Weil's Disease.-This occurs epidemically in Ger- many, Egypt, and other countries. It consists of jaundice with enlarged and tender liver. It is found only in men, and generally in butchers, who eat so much meat. The treatment is the same as for jaun- dice. Torpid Liver, or Biliousness.-Symptoms.-Headache; loss of appetite; nausea; vomiting; heart-burn; coated tongue; depression of spirits; palpitation of the heart; dizziness; pain in the right side at lower 88 MEDICAL HYGIENE. edge of the ribs; dry cough; noises in the ears; specks before the eyes. Causes.-Eating fats, sugars and fried foods; eating too much; drinking tea, coffee, beer, whisky and wines; sedentary habits; malaria; disease of the heart or lungs. Treatment. - Remove the cause. Wear a wet towel around the waist at night. Eat but two small meals a day for a few days. Avoid fats, sweet foods, fried foods, pastry, tea, coffee, tobacco and al- coholic drinks. Eat especially fruits, grains and veg- etables. Eat but little meat. Tomatoes and acid fruits are especially good. Drink only water or lem- onade. Exercise at least two hours a day. Keep the, windows open at least two inches, winter and sum- mer, day and night. Take two baths a week. Knead and slap the liver with the hand for five minutes twice a day. The hot air bath, or hot wet sheet pack, should be used twice a week. Twice a week wash out the bowels with large injections of hot water. In severe cases the hot and cold douche over the liver is good. Never use drugs. What is commonly called a bilious attack is dyspepsia. Abcess of the Liver, or Suppurative Hepatitis.-SvMPTOMS. -The symptoms are very obscure; irregular fever; profuse sweating; jaundice is rare; dry cough; diffi- cult breathing; may be vomiting and diarrhoea or con- stipation; if near the surface, then throbbing, tender- ness and redness. The aspirator settles the diagnosis. Causes.-Malaria, blows, dysentery, ulcer of the stomach, emboli and blood poisoning. Treatment.-Absolute rest; absolute fasting, ex- cept drinking water; remove the pus with an aspirator; treat the symptoms; keep the skin clean; wash the bowels out daily with hot water injections; DISEASES OF THE DIGESTIVE ORGANS. 89 open the windows. Half of those having surgical operations for abcess of the liver die. Acute Yellow Atrophy of the Liver.-Symptoms.- Marked jaundice; very small liver; severe headache; fever; rapid pulse; vomiting black blood which looks like coffee grounds; convulsions; insensibility. Causes.-Unknown, except poisoning by phos- phorus. It is a very rare disease and generally fatal within a week. Treatment.-Treat the symptoms; that is, use the usual remedies for fever, jaundice, headache, and all the other symptoms. Sclerosis of the Liver, or Hob-Nail Liver.-Symptoms. -The first stage has no symptoms; second stage has abdominal dropsy, dyspepsia, hemorrhages from the stomach and intestines, scant urine, dingy skin; latter stage has emaciation. Causes.-Excessive use of alcoholic drinks, syph- ilis, general debility, and spices in the food. Under drug treatment it generally causes death in one year. Treatment.-Remove the cause. Eat only fruits, grains, and few vegetables. Avoid fats, sweets, spices, pastry, tea, coffee, tobacco and drugs. Use the remedies recommended for abdominal dropsy and torpid liver. Amyloid, or Waxy Liver.-Symptoms.-No pain or tenderness; anaemia; slight dropsy; spleen and kid- neys are generally diseased; emaciation; increased urine; vomiting in latter stages. There are no char- acteristic symptoms. Causes.-Syphilis; cancer; prolonged suppuration; exhausting diseases; hip joint disease. Treatment.-Cure the cause, which is generally chronic suppuration. Give hot air baths, or hot sitz baths, three times a week. Every other day, give an 90 MEDICAL HYGIENE. injection of hot water. A daily sun bath is effective. Avoid drugs, tobacco, alcoholic drinks, sweets, fats and starchy foods. Cancer of the Liver.-Symptoms.-Prominent ir- regular swelling on the liver; generally cancer in other parts of the body; pain increased by pressure; jaundice; abdominal dropsy; no fever; anaemia; emaciation; shooting pains to the back and shoulder. Causes.-Hereditary, or spreads from other or- gans. Treatment.-A strict diet of fruits, grains and veg- etables will greatly lessen the pain. Give hot sitz baths and apply hot wet cloths for the pain. Treat the symptoms. Such patients generally die in less than a year. Fortunately it is very rare. See the "Fasting Cure," in chapter on "Remedies of Medical Hygiene." Enlarged Liver.-This occurs in various liver diseases, such as jaundice, torpid liver, abcess, hydatids, cancer and waxy liver. Treat these diseases as di- rected elsewhere. Simple enlarged liver comes from beer drinking, diabetes, malaria, and errors in diet. Remove the cause and the enlarged liver gets well. In health the lower border of the liver reaches just to the lower border of the ribs on the right side. It is often easy to see when it extends lower. Never use drugs. Hydatid Tumor of the Liver. - Symptoms. - May have apparent good health; enlargement only in one place; may have chills and fever. Causes.-The eggs from the tape worm of the dog are taken in with drinking water, or on leaves of veg- etables, and develop in the liver. As the sheep and hog are the main animals having hydatids, the dog should not be allowed to eat them. DISEASES OF THE DIGESTIVE ORGANS. 91 Treatment.-If one-half the fluid is removed with an aspirator, the disease generally disappears. Fatty Infiltration of the Liver.-Symptoms.-Enlarged liver; seldom pain; difficult to lie on left side; patient is fat; greasy skin; dyspepsia; no dropsy or jaundice; generally fatty degeneration of the heart. Causes.-Over-eating, alcohol and lack of exercise. Treatment.-Avoid all foods tending to produce fat. Take an abundance of out-door exercise, to- gether with a hot air bath, or wet sheet pack, twice a week. Improve the general health in every way. Do not take drugs. Functional Disorders of the Liver.-The liver has three functions; the glycogenic, which stores up liver sugar (glycogen) from starch; the metabolic, which affects certain tissue changes; and the biliary, which secretes bile. If the first is abnormal, it produces diabetes. The second being abnormal produces gout, gall stones, stones in the kidney, skin diseases and dyspepsia. While the third function, being diseased, causes too much or too little bile. Too much bile is shown by bilious diarrhoea (green or yellow stools with griping pains), nausea, pains in the belly, highly colored urine, palpitation of the heart and headache. Too little bile causes dyspepsia, coated tongue, bitter taste, wind on the bowels, white stools, piles and sal- low skin. All these functional disorders are cured by observing the remedies recommended for dyspepsia. Drugs do no good. Inflammation of the Liver, or Hepatitis.- Symptoms. -Tenderness on the right side near the border of the ribs; enlarged liver; high fever; uneasy if lie on the left side; pain if press up under the ribs; short breath; hiccough; cough; sometimes vomiting; pain under right shoulder blade. 92 MEDICAL HYGIENE. Causes.-Over-eating; use of fats, sugars and alco- holic drinks; impure air and bad hygiene; malaria; inflammation of the stomach and intestines; disease of the heart and lungs. Treatment.-Same as for torpid liver. Apply hot wet cloths to the liver for thirty minutes, three times a day. Enlargement of the Spleen, or Ague Cake.-Symp- toms.-General ill-health; uneasiness on the left side, but no pain; skin sallow and dry; good appetite but loses flesh; dyspepsia. There are no characteristic symptoms. Causes. - Malaria; taking drugs as medicine; fevers; consumption; liver trouble. Treatment.-Apply the cold douche three times a day, with an inch stream falling eight feet, or with as much force as the patient can bear, to the region of the lower border of the ribs on the left side. Wear the wet towel around the waist at night. Take a vapor, or hot air, or hot sitz bath twice a week. Diet and other rules the same as for torpid liver. Btecases of the IRcsptratorp ©roans* Cold in the Head, or Acute Nasal Catarrh.-Symptoms. -Chilliness; little fever; sneezing; discharge from nose; watery at first, then purulent. Causes.-Exposure, changes of temperature, dust and vapors in the air; impure air, eating too much. Treatment.-Avoid all causes. Open the windows. Eat only fruits, grains and vegetables. It is best to eat only one meal a day for two days. Take a hot sitz bath and drink hot lemonade with a hot foot bath, just before going to bed. Wash out the bowels with a large injection of hot water. Use no drugs. Chronic Nasal Catarrh.-Symptoms. - " Hawking " and spitting in the morning; smelling is impaired; frontal headache; greenish scabs in the nose. Causes.-Taking cold; liver trouble; excessive use of fats and sugars as food; scrofula; syphilis; inhal- ing vapors and dust. Treatment.-Find the cause and remove it. As the liver is always torpid in catarrh, follow closely the treatment for the torpid liver. Exercise at least two hours a day. Keep the windows open a few inches day and night. Take an injection of one to three quarts of hot water every other day, with a daily sponge bath. If there is frontal headache, bind a cold wet cloth around the head, over the eyebrows, and leave it on all night. Do this for two weeks, then leave it off one week, then repeat it. Take a hot air bath, or hot sitz bath, once a week. Avoid 93 94 MEDICAL HYGIENE. drugs, meat, grease, pastry, tobacco, beer and whisky. A teaspoonful of salt dissolved in a pint of water and snuffed up the nose from the hollow of the hand is a great help to some. I greatly relieved a bad case by the patient living on two meals a day. This disease may progress to the ear, throat or lungs. Climate makes but little difference, as 1 have been in nearly every part of the United States and find it every where. The above strictly followed will help all cases. Ozaena.-This is simply chronic nasal catarrh with ulceration, causing foul smelling discharges, and requires the same treatment as catarrh. Nosebleed.-Raise the arms over the head. Do not bend over, but sit up straight and squeeze the nose so as to allow a clot to form. Apply ice to the neck and put the feet in hot water. The nostrils may be stuffed with cotton from in front, or from behind through the mouth. Edematous Laryngitis. - Symptoms. - Sore throat; difficult breathing which threatens suffocation; weak voice; breathing has a whistling sound; gasps for breath; passing the finger in the throat the epiglottis is felt much enlarged. Causes. - Acute laryngitis; abscess; erysipelas; scarlet fever; small-pox; syphilis. Treatment.-Small bits of ice held far back in the mouth, ice or ice cold cloths on the throat for five minutes, then hot cloths for five minutes; hot sitz bath to cause sweating; large injections of hot water into the bowels. If these means fail, then resort to the surgical operation of tracheotomy. Catarrhal Laryngitis.- Symptoms. - Sore throat; hoarseness; cough, dry at first, then loose; slight ' fever; diminished voice. DISEASES OF THE RESPIRATORY ORGANS. 95 Causes.-Same as nasal catarrh. Treatment.-Give a hot wet sheet pack, or hot air bath, daily. Apply alternately cold wet cloths to the throat for half an hour, then change to cloths as hot as can be borne. Keep the air of the room moist by vapor, from putting hot bricks in a pan of water. Eat only fruits and grains. Rest the voice. Keep the windows open. Relieve the system by large in- jections of hot water into the bowels. False Croup, or Spasmodic Laryngitis.-Symptoms.- Occurs generally in the night; difficult breathing; dry, harsh, ringing cough; lasts one-half to two hours. Causes.-Taking cold; excess in eating; excite- ment. Treatment.-Without any treatment it is generally well in two nights, but may change to true croup. During the attack put the child in a hot bath, with cold wet cloths on the throat. Give a large injection of hot water into the bowels. Croup.-Symptoms.-Slight fever; cough; hoarse- ness; difficult breathing; barking cough, with a whist- ling or crowing sound; membrane forms which may choke the patient to death. Causes.-Generally occurs in vigorous, full-fed boys, from two to six years old. Treatment.-Begin early in the attack with hot foot bath, in water hot as can be borne, and cold wet cloths to the throat. If not quickly relieved, apply hot wet cloths to the throat. If this does not relieve, apply ice_with a cloth between it and the throat. Wash out the bowels by large injections of hot water. Though many die from croup, none will die if the above treatment is thoroughly applied early in the attack. If the membrane has formed, change every five minutes from cold to hot cloths on the throat. 96 MEDICAL HYGIENE. Niemeyer advises to pour a few gallons of cold water over the head, neck and back, holding the bucket about five feet above the child, having the patient in a warm bath at the same time. This causes a cough which throws up the membrane. Keep plenty of fresh air in the room. Kellogg advises to put lime in a tub near the patient and pour water on it. Drugs do harm and no good. To avoid croup, keep the bed-room windows open; avoid meat and greasy, rich foods, and give the child a bath at least twice a week. The surgical operation of tracheotomy is performed as a last resort. Spasm of the Glottis, or Laryngismus Stridulus.- Symptoms.-Croupy cough; struggles for breath; black in the face; lips and nails blue; skin cold; gen- eral spasm. Causes.-Occurs in ill-fed children or hysterical women. Treatment.-A full hot bath, or cold water poured on the head relieves the spasm. Moisten the air of the room by hot bricks in a pan of water. Have plenty of fresh air. Apply alternately hot and cold cloths to the throat. Avoid this disease by plenty of exercise in the open air, simple diet and regular bath- ing. Consumption of the Throat. - Symptoms. - Husky voice, cough, painful swallowing, short breath, de- bility; may precede or follow consumption of the lungs. Causes.-Same as consumption of the lungs. Treatment.-Same as for consumption. Small swallows of hot water relieve the cough. Eat mostly cooked fruit and grains, avoiding meat, rich foods, drugs and stimulants. Keep the room ventilated, but DISEASES OF THE RESPIRATORY ORGANS. 97 warm and moist with vapor. This disease generally proves fatal. Loss of Voice, or Aphonia.-This is caused by catarrhal larnygitis, or consumption of the throat, or hysteria, or paralysis of the vocal organs. Treat the cause. Improve the health by diet, fresh air, bathing and exercise. Acute Bronchitis, or Cold on the Chest.-Symptoms.- Chilliness; slight fever; aching all over; pain in the chest; cough, dry then loose; loss of appetite. Causes.-Changes of weather; exposure; excess in eating; breathing dust in the air. Treatment.-Give the hot wet sheet pack every other day, and the hot sitz bath on the day you do not give the pack. Eat but two spare meals a day of fruits and grains, avoiding meat, rich foods, stimu- lants and drugs. Keep the windows open and rest in bed. Trying to reach the lungs through drugs in the stomach is positively harmful. Capillary Bronchitis.-Symptoms.-Generally acute bronchitis; fever; frequent and difficult breathing; slight cough; noise in the chest. Causes.-Occurs in children and aged, following exposure, measles and whooping-cough. Treatment.-Have plenty of fresh air. Sponge with cool water to cool the fever. Give the hot sitz bath twice a day at first. Give large injections every day of hot water to open the bowels. Apply hot wet cloths to the chest and change them every few min- utes. Avoid drugs. Fibrinous Bronchitis.- Symptoms.- Same as acute bronchitis, till a membrane the same shape of the bronchi and its branches is spit up. Causes.-Associated with laryngitis, asthma, con- sumption and exposure. 98 MEDICAL HYGIENE. Treatment.-Same as for acute bronchitis. Chronic Bronchitis. - Symptoms. - Same as acute bronchitis, with loose cough, worse at night. Causes.-Same as acute bronchitis, besides rheum- atism, heart, kidney and lung troubles. Treatment.-Keep the windows open. Exercise in open air and sunshine. Eat only three meals a day of fruits, grains and vegetables. Avoid meat, rich foods, drugs, tobacco, beer and whisky. Breathe through the nose if possible, so aS to warm the air and keep out dust. Take a hot air or hot sitz bath twice a week. The diet cure is perhaps best for this dis- ease. Winter Cough.-This is one form of chronic bron- chitis and requires the same treatment. It is caused mainly by impure air. Asthma.-Symptoms.-Sudden attack; bad dys- pepsia; struggles for breath; loud noise, or wheezing, with each breath; face flushed; eyes staring; attack may last but a few minutes, or hours, or days. Causes.-Wind, dampness, dust, and errors in diet. Treatment.-I knew a bad case of several years' standing, cured completely and quickly by avoiding meat, greasy foods, tobacco and stimulants, eating plenty of fruit, keeping the window open day and night, and a daily sponge bath. Take large injections of hot water into the bowels; this alone cures many. Swallowing small bits of ice often relieves. The hot sitz bath, with hot cloths to the chest and cold along the spine, cures others. A change of climate helps others. Drugs do no good and much harm. Difficult Breathing.-This occurs in various diseases. Let the patient rest in the easiest position. Keep the windows open a few inches. Apply hot wet cloths DISEASES OF THE RESPIRATORY ORGANS. 99 to the chest. During the attack eat no solid food. Eat a gruel made by boiling for thirty minutes two tablespoonfuls of rolled oats in a quart of water. Sponge the body with hot water twice a day. Hay Fever, or Rose Cold.-Symptoms.-Cold in the head; difficult breathing; coated tongue; sneezing; worse in daytime; may be some fever. Causes.-Pollen of plants breathed, disease of the nose, disease of nerves, bad hygiene. Treatment.-Drugs do no good. The hot air bath, or vapor bath, relieves some and shortens the attack. Hot and cold applications to the spine help others. Keep the windows open. Eat only fruits and grains and easily digested vegetables. Breathe through the nose. Some climates, being free from dust, are better than others. Improve the digestion by large injec- tions into the bowels every other day. Whooping Cough.-Symptoms.-Ordinary cough for one or two weeks; the attacks of cough with the peculiar whoop may occur every hour or only three or four times a day. Treatment.-Use no drugs. Keep the child out doors if good weather. Keep windows open. Give a hot bath daily. The diet should be plain and sim- ple, avoiding meats, rich food, pastry and condiments, and eating mostly fruits and grains. Emphysema. - Symptoms. - Short breath; weak cough; difficult breathing; may be attacks of asthma and bronchitis; chest is barrel-shaped. Causes.-Pleurisy, bronchitis, asthma, violent coughing. Treatment.-Gentle exercise; windows open; diet of fruits, grains and vegetables, and only two meals a day; live in the country; breathe through the nose; daily warm sponge bath; brisk rubbing between the 100 MEDICAL HYGIENE. shoulders for five minutes, twice a day; these are the best treatment. Avoid drugs, Blood-Spitting, or Hemoptysis. - Symptoms.- Blood from the lungs is a bright red, no clots, and frothy, with a sweet and saltish taste. Causes.-Consumption, malaria, heart trouble, con- gestion of lungs, or straining. Treatment.-Perfect rest, in bed, and ice or cold wet cloths to the chest stop it. Do not use the ice too long, as it may cause a bad cold. Open the windows. Use a light diet of gruels and toast. Avoid stimulants and drugs. Treat the cause. Cough.-Sips of hot water or sucking a bit of candy may relieve a cough. Avoid drugs for a cough. Dr. Allinson says: "Lung disease maybe got rid of by means of pure air night and day, nose breathing and taking long breaths before each meal. Churches, theatres and all unventilated rooms must be avoided by persons subject to chronic coughs and colds. Whether the cough comes from the throat or lungs, pure air must be had for its cure. Pure air cures enlarged tonsils, elongated uvula, sore and congested throat, and like conditions. Cough due to the pres- ence of foreign bodies in the ear is only stopped when these are removed. Simple and non-flesh diet will cure stomach cough. Ancurismal cough only goes when the aneurism is cured, and the hysterical cough when the hysteria is cured. Unnecessary cough should always be stopped by deep breathing and a strong determination to suppress it." Congestion of the Lungs.- Symptoms.- Short, dry cough, or phlegm streaked with blood; distress in the chest; palpitation of the heart; face flushed; strong, full pulse; rapid and difficult breathing. Causes.-There are two forms, active and passive. DISEASES OF THE RESPIRATORY ORGANS. 101 Active is caused by overwork, alcohol, excitement, heart disease, breathing cold or hot air, croup and pneumonia. Passive is caused by heart disease, low fevers and Bright's disease. Treatment.-Draw the blood from the lungs by hot foot bath and wet cloths on the chest, hot as can be borne. The full warm bath is useful. In fevers, prevent congestion of the lungs by frequent change of position. The diet should be fruits and grains, avoiding hot foods and drinks and stimulants. Avoid drugs and give a large injection of hot water every day. Lung Fever, or Croupous Pneumonia.-Symptoms.- Chills and fever; vomiting or spasm in children; full, rapid pulse; short breath; breathing forty or fifty times a minute; cough dry, then in two days the spit becomes rusty or bloody; red spot on the cheek of the affected side; sharp pain in the chest; talks low or in a whisper; jerky breathing. Causes.-Exposure while tired, and bad hygiene. Treatment. - Open the windows; daily sponge bath; teacupful of milk or thin gruel every four hours; plenty of water to drink; cold wet half-pack around the chest while fever is high; hot sitz bath if feet and legs are cold; inject a pint of cold water in the bowels to cool the fever; use but few bed clothes over the patient. I have used the cold wet sheet pack for this disease with splendid results. Wash out the bowels every other day with large in- jections of tepid water. Dr. Mays strongly advocates the use of ice bags to the chest in pneumonia. If in a warm country and no cold water, then sponge with water and expose the wet skin to the air and let the water evaporate. No danger of taking cold. Do not use any drugs. 102 MEDICAL HYGIENE. Catarrhal Pneumonia.-Symptoms.-The same as in croupous pneumonia, except in this the disease is in spots, hence it is called lobular pneumonia. Causes.-Follows measles, whooping cough, and bronchitis; scrofula; heart disease. Treatment.-Same as for croupous pneumonia. Chronic Pneumonia.-Symptoms.-Cough; pains in the chest; difficult breathing; slight night sweats; de- bility; sinking in of chest wall. Causes. - Pleurisy, bronchitis, pneumonia, con- sumption and breathing dust. Treatment.-Treat the cause. Avoid all drugs. As the part of the lung affected hardens, nothing can cure it; but good hygienic living will prevent its spreading. Consumption, or Tuberculosis.-Symptoms.-Loss of appetite; debility; emaciation; red spots on cheeks; cough; night sweats; pain in chest and shoulders; fever, highest in afternoon; hollow above, and sunk in below, the collar bone; may be hemorrhage from the lungs; pulse 120 times a minute in last stages. Diarrhoea and swollen feet show the last stages. It generally begins with dyspepsia and cold hands and feet. Causes.-Impure air, lack of exercise and clean- liness, loss of sleep, poor food, taking cold, catarrh, tight lacing, sexual abuses, hereditary disposition; using the vessels, dishes, pipes, handkerchiefs, or other articles of a consumptive. Kissing a consump- tive in the mouth is often the cause of catching it. Breathing the dust of stone cutting, iron grinding, wool carding and other trades debilitates the lungs and disposes to consumption. Alcohol and tobacco may cause it. Using the milk from cows that have DISEASES OF THE RESPIRATORY ORGANS. 103 consumption, or the meat of diseased animals, causes it. Treatment.-Consumption is curable in its earlier stages. Give up all bad habits. Avoid drugs, to- bacco, alcohol, tea, coffee, meat, rich foods, cod liver oil, pastry, condiments, fried food. Avoid all the causes. Live in the open air; keep the windows open. Be careful to breathe through the nose. Exercise daily according to strength. Take a daily sponge bath. The diet should be mainly fruits and grains. Several times a day take several deep breaths in the open air. If hemorrhage from the lungs occurs, treat it as described elsewhere. For the night sweats take a quick, hot sponge bath at going to bed, and cover lightly. The cough is relieved by sipping hot water. Do not use drugs to stop the cough, as it brings up the phlegm and corruption. Cool the fever by the cold, wet sheet. Pains in the chest are almost instantly relieved by hot wet cloths between the shoulders, and cold wet cloths over the lungs. Change both the cold and hot cloths every five min- utes. Mrs. Dr. Nichols died at the age of seventy-four, notwithstanding she had severe hemorrhages from the lungs at twenty-nine, and also four years later. She said: "Labor and anxiety obtained the mastery over my feeble frame and injured lungs, and I was attacked while giving a course of lectures with severe bleeding. I attempted to go on, but was prostrated, and bled from my lungs in one week nearly three quarts. I was made as weak as a baby. As soon as possible I commenced exercise in the open air, and very active treatment with water. I used sponge and pouring baths, and constantly had my whole chest and abdomen enveloped in wet bandages. I had my 104 MEDICAL HYGIENE. lungs examined with a stethoscope. The physician said there was considerable disease in the upper por- tion of the lung. I lived very simply, taking no ani- mal food, except a very little butter and a little milk. In six months I again had my lungs examined. All traces of disease had disappeared. I have continued the use of the water since. I have had some slight attacks of hemorrhage on occasions of much mental suffering and much labor. I find myself perfectly able to control the bleeding by means of water. The cough I had at first entirely disappeared." I have heard several college professors admit that drugs did no good in consumption, and also that cod liver oil and all fats were very harmful, as they could not be digested. A change of climate helps some, but hurries others to the grave. Center Point, Texas, has a splendid climate, beautiful scenery, with cheap yet good accommodations. It is a small town, about forty miles north of San Antonio, on the San Antonio and Arkansas Pass Ry. Dr. A. M. Carpenter, of St. Louis, says that climate, out-door life and attention to the stomach will cure a consumptive, if he can be cured. Pleurisy. - Symptoms.- Chills; fever; pain or "stitch in the side" below the nipple; dry cough; difficult breathing. Chronic form has slight pain, hacking cough, night sweats and palpitation of the heart. Causes.-Acute variety is caused by injuries, ex- posure, or muscular exertion, and occurs with pneu- monia, rheumatism, measles and various other dis- eases. Chronic variety is caused by an acute attack, consumption, alcohol or Bright's disease. Treatment.-Rest in bed, light diet, and hot wet cloths applied to the pain, generally relieve; if not, DISEASES OF THE RESPIRATORY ORGANS. 105 then apply cold wet cloths over all the chest. Give a daily sponge bath, and keep the room well ventilated. Chronic pleurisy is very obstinate. Give two hot air or hot sitz baths once a week, and every other day wash out the colon with large injections of hot water. Apply each day alternately hot and cold cloths. Live according to the best hygiene, avoiding drugs, meat, tobacco, stimulants, tea and coffee. Dropsy of the Chest, or Hydrothorax.-Symptoms.- Follows dropsy of abdomen; difficult breathing. Causes.-Heart or kidney disease. Treatment.-Treat the cause. Use the hot air bath, or vapor bath, or hot sitz bath daily. Live according to the best hygiene. The majority of cases cannot be cured completely. If the fluid is not absorbed, after faithful trial of the above, then have a surgeon remove the fluid by tapping. Pneumothorax.-This is air in the cavity between the lung and ribs. It is caused by wounds, or break- ing down of the lung from consumption, or abcess of the lung. Symptoms.-Sudden pain in the side; intensely difficult breathing; cold skin; cold sweat; may be violent cough; enlargement of affected side, bulging out the space between the ribs; placing the ear to the side and shaking the patient, you can hear a splashing sound. Treatment.-Hot sitz baths, and hot wet cloths applied to relieve the pain. Have a surgeon remove the fluid with an aspirator, then treat for chronic pleurisy and consumption. Bfseaees of tbe IRcrvous Spstcm. Meningitis, or Brain Fever.-Symptoms.-Vomiting; fretful; headache; pupils of the eyes generally dilated and not same size; pupils do not contract when more light is thrown on them; spasms; fever generally low until near the close; pale face flushes at times; severe pain in the back, like in small-pox; may not be able to swallow; stupor. Causes.-Consumption; wounds; adjacent disease, such as inflammation of the eye, nose or ear, erysipe- las, measles, scarlet fever, small-pox, typhoid, rheu- matism, lung fever, blood poisoning and mental over- work. Treatment.-Keep quiet in a dark room, with ice cold wet cloths, or ice, on the head. Cool the fever also by injecting a pint of cold water in the bowels, several times a day, if necessary. Give a daily large injection of hot water to clear the bowels. The food should consist of gruels, toast, grains and cooked fruit. If the legs and hands are cold, apply hot irons, or bottles of hot water to them. Give a daily, quick hot sponge bath. Sponge down the spine with cool or cold water to cool the fever. Avoid all drugs. For the vomiting, keep all food out of the stomach, and apply a cold cloth under the chin, with a hot wet cloth on the stomach and drink hot water, or swallow bits of ice. If the head is tender and sore, use tepid water and let it evaporate. Cerebritis requires the same treatment as the above. 106 DISEASES OF THE NERVOUS SYSTEM. 107 Congestion of the Brain. - Symptoms.- Headache; disorders of vision and hearing; vertigo; blunted in- tellect; bad dreams; jerking of limbs in the sleep, and twitching of muscles of the face. In children there will be vomiting, nightmare, contraction of pupils of the eye and spasms. Causes.-Heart disease; sunstroke; mental over- work; excess in eating; mental anxiety; alcohol; opium and drugs as medicines. Treatment.-Remove the cause if possible. Ele- vate the head. Apply cold on the head, ice if neces- sary, and hot to the feet. Take a hot wet sheet pack twice a week, and on other days take a hot sitz bath twice a week. Take a rest for a few weeks and live on a spare diet. For sleeplessness take a quick sponge bath, and hot foot bath just before going to bed, and wear a wet towel around the head all night. Never eat less than three hours before bedtime. The diet should consist mainly of fruits and grains. Avoid meat, greasy foods, pastry, drugs, tea, coffee, alcohol and tobacco. Anaemia of the Brain.-Symptoms.-Headache, re- lieved by lying down; dizziness, worse after exertion; fainting; convulsions, if the attack is sudden; pupils dilated; cold feet and hands. Causes. - Hemorrhages; mental shock; general anaemia; female diseases; tobacco and sexual ex- cesses. Treatment.-Improve the general health by plenty of fresh air, sunshine, regular bathing, and two hours' exercise each day. Take seven hours' sleep at night with a short sleep just after dinner. Keep the bed- room window open a few inches at night. Take an injection of one to three quarts of hot water every other day. Eat plenty of fruits, grains and vegc- 108 MEDICAL HYGIENE. tables. Do not eat meat more than once a day. Ob- serve the rules somewhat for dyspepsia. Avoid drugs, tea, coffee, tobacco and stimulants. Compression of the Brain.-Symptoms.-Pupils of eyes dilated, and if strong light is brought near them, they contract; comatose, or abnormally deep sleep. Causes.-It is caused by exudation of the serum of the blood in fevers, and accidental wounds. Treatment.-Perfect quiet, in a well ventilated room, and Nature will absorb the extra serum. If the head is cool, do not apply cold. Keep the feet and hands warm. Avoid drugs and stimulants. Consult a surgeon. Apoplexy.-Symptoms.-May begin suddenly or with warnings of faintness-, noises in the ears, confused vision and loss of memory. Patient falls suddenly unconscious and motionless; face flushed; breathing is irregular and noisy; pupils are not affected by light; temperature is generally a little below the nor- mal; generally paralysis of one side; maybe vomit- ing. The paralysis of one side may come without loss of consciousness. Causes.-Alcohol; old age; syphilis; heredity; gout; over-eating; sexual excesses; fits of anger or terror, and over-exertion. Treatment.-Carry to a cool, quiet place. Raise the head. Apply ice to the head and give a foot bath, hot as can be borne. Loosen the clothing. Keep the feet and hands hot and the head cold. Place the patient on his side, so his tongue will not fall back into his throat. Sponge with cool water to cool the fever. Keep the bowels open with an injection of one to three quarts of hot water every other day. Two weeks after the attack begin and massage the para- lyzed muscles twice a day for ten minutes. Keep the DISEASES OF THE NERVOUS SYSTEM. 109 window open. If the bladder does not empty itself, it must be emptied with a catheter two or three times a day. The diet should consist of grains (rolled oats, cracked wheat, rice, barley) in mushes, gruels and soups, with cooked fruit. Avoid meat, vegetables, fats, sweets, rich foods, tea, coffee, beer, whisky and tobacco. Do not bleed nor use drugs. Do not allow visitors. To prevent bed sores, do not allow the patient to lie always in one position and keep the skin perfectly clean with a daily bath. If the bed sore forms, dress it with a cloth greased with vaseline and get a round air cushion from a surgeon for the patient to lie on. Give a daily sun bath if possible. - Some recover in a few weeks, while others improve after several months. Cerebral Abcess.-Symptoms.-Vomiting; paralysis; convulsions; mental dullness; impaired memory; exaggerated knee jerk. There may be meningitis. Causes.-Blood poisoning; glanders; apoplexy; thrombosis; chronic ear disease, and wounds. Treatment.-The treatment is surgery. Tumors of the Brain.-Symptoms.-Headache; de- fects of vision, hearing, taste and speech; dizziness; vomiting; spasms; palsies. Causes.-Injuries; syphilis; consumption and can- cer. Treatment.-No hope of cure, but a strictly hygienic mode of life will render the patient more comfortable. The diet should be strictly fruits, grains and easily-digested vegetables. Surgery is promising to do something for this disease. Aphasia, or Loss of Speech.-Symptoms.-Partial, or complete loss of speech. Causes.-Injuries; hysteria; meningitis; abcess of the brain, or apoplexy. 110 MEDICAL HYGIENE. Treatment.-Treat the cause. Surgery may help. Follow the treatment for nervous debility. Vertigo, or Swimming of the Head.-Causes.-Too much or too little blood in the brain; diseased mus- cles of the eye; indigestion; ear disease; neuralgia; gout; tobacco; sexual excess; tea and coffee; loss of sleep. Symptoms. - Objects moving around; may be nausea, vomiting and palpitation of the heart. Treatment.-Remove all causes. Live on a plain, simple diet, and obey all hygienic rules. Avoid drugs, tobacco, meat, rich foods, tea and coffee. Keep the windows open at night. Take an injection of one to three quarts of hot water every other day. In severe disease of the ear it is very hard to cure vertigo. Sick Headache, or Migraine, or Megrim.-Symptoms.- It is generally on one side; glimmer before the eyes for five to thirty minutes before the attack; mental depression; some part of the body, as the arm, may tingle and feel asleep; noises in the ears; bilious vomiting. Causes.-Errors in diet; debility; overwork. Treatment.-I have seen many cases relieved by absolute fasting. Kellogg reports many cases entirely cured by quitting the use of tea, coffee and tobacco. Exercise in the open air. Take two baths a week. Eat plenty of fruit and grains. Avoid fats, sweets, drugs, tea, coffee and tobacco. To relieve an attack, take a hot sitz bath and eat nothing. Alcoholism, or Drunkenness.-Symptoms.-Exhilara- tion; half-delirium; deep sleep; face bloated; pupils contracted; pulse feeble; skin cold. Causes.-Intoxicating drinks. Treatment.-The powerful medicines of the Kee- ley and other " gold cures" have made scores of men 111 DISEASES OF THE NERVOUS SYSTEM. insane, and paralyzed. It is a proven fact that all desire for intoxicating drinks is taken away by avoid- ing meat, greasy, rich foods and condiments, such as pepper, mustard, horseradish, catsup, vinegar and salt. These things irritate the stomach, and cause thirst and a demand for strong drink. Salt meat and salty food are great cause of so much drunken- ness. Cooks and wives, I beg you to put on the table more fruits and grains (rice, oats, wheat, hominy, barley), and less meat and highly seasoned foods. Within a few days the taste gets accustomed to food without pepper, mustard, vinegar and salt. Pouring cold water on the head and back of the neck brings some men out of a drunken stupor. Sunstroke, apoplexy, paralysis or other nerve trouble may be mistaken for drunkenness by a policeman, and the sick man taken to jail instead of the hospital. Delirium Tremens.-Symptoms.-Loss of sleep; hor- rid dreams, visions and imaginations; if spoken to he answers properly, but he is delirious the next mo- ment; generally, trembling and restlessness; face flushed or pale; attack lasts two to four days. Causes.-Not only drunkenness, but constant drinking, though never drunk. Treatment.-Rest in bed, in a dark room, without any visitors, and only one nurse. Avoid tying him if possible. Apply cold to the head, and give the hot wet sheet pack, which opens the skin and thus relieves. Do not use any drugs. Open the bowels with large injections of hot water. Morphine Habit, or Opium Habit.-Symptoms.-Loss of appetite; emaciation; skin pale and sallow; sleep- less; loss of energy; restless; some claim that the victims of this habit lose all power to tell the truth. 112 MEDICAL HYGIENE. Causes.-Generally from using morphine as a med- icine. Treatment.-Resolutely refusing to use it for two weeks may cure. A long sea voyage may cure. Sepa- ration of the patient and a special nurse to watch are generally necessary. Then adopt the best hygiene of baths regularly, fresh air, exercise, and plenty of fruits and grains, avoiding drugs, meat, tobacco, beer, whisky, and rich, highly-seasoned foods. Kellogg cures by shutting off all morphine for two days, then allowing small doses for a few days, then shutting it off for two days, then still smaller doses, and so on, giving the patient to understand he must bear some pain. Tobacco Habit.-There are now on the market sev- eral patent medicines which claim to cure this habit. It can be cured much better without them, for the poison of the drug has a bad effect upon the body. First, be determined to quit, then take a daily hot sitz bath, or a daily hot air bath, or a daily hot wet sheet pack, for about ten days, to completely re- lieve the system. Also take an injection of one to three quarts of hot water every other day for a month. Keep thebedroom window open at night, and exercise at least two hours a day. Sun Stroke, or Heat Stroke.-Symptoms.-Face and lips pale; skin clammy; head hot; pulse feeble; dizziness; dim vision; dilated pupils; nausea; high fever. Causes.-Exposure to great heat. Treatment.-If patient dies, it is generally in nine hours from the attack. Carry to a cool place and ap- ply ice to the head, or pour cold water on the head. Keep the legs and arms warm. If high fever, apply ice to the spine and give an injection of one quart of DISEASES OF THE NERVOUS SYSTEM. 113 cold water, or wrap him in a cold wet sheet. Many never completely recover from sun stroke. Acute Hydrocephalus.-Symptoms.-Resulting from Bright's disease, or a general dropsy; has nausea and vomiting and in two days convulsions, which pass into stupor and death. Resulting in children begins with restlessness, dizziness, sleeplessness, twitching of muscles, and in several days convulsions, stupor and death. Causes.-Consumption, errors in diet, too much mental work by children. Treatment.-Apply cold to the head and hot to the feet and hands. Keep quiet in a dark room. Apply the hot wet sheet pack daily. Most cases die. Chronic Hydrocephalus or Water on the Brain.-Symp- toms.-Large size of head; emaciation; eyes prom- inent. Causes.-Generally scrofula, consumption or syph- ilis in the mother. Treatment.-Tapping by surgery is so far the only successful treatment, withdrawing but a few ounces of fluid ata time, having bands around the head. Chronic Poisoning from Mercury.- Symptoms.- In- flammation of stomach; ulcers in the mouth; diarrhoea; foul breath; tremors or palsy; ulcers of bones; may be hallucinations. Causes.-Taking calomel and other form of mer- cury as medicine and working with mercury, such as makers of mirrors, thermometers, barometers and workers in mines of mercury. Treatment.-It is generally curable. Adopt the best hygiene. The diet should be confined to cooked fruits and grains, avoiding meat, fats, sweets, tobacco and stimulants. Take a hot sitz bath every other 114 MEDICAL HYGIENE day, and on the other days a hot wet sheet pack. Keep the windows open. Avoid drugs. Chronic Lead Poisoning.-Symptoms.-Anaemia; skin earthy or dull; derangement of digestion; mouth dry and sweet taste; foul breath; coated tongue. Lead colic has also blue line on gums, cold sweat, scanty urine, severe pain in abdomen. Causes.-Working in lead mines, painting, plumb- ing, soldering, printing, working in type foundry, making lead toys; lead pipes for drinking water; food wrapped in lead foil. Treatment.-Remove the cause. Lead paralysis comes after repeated attacks of lead colic. If lead paralysis, then use massage to the affected part. Use an injection every day of one to three quarts of hot water. Keep the windows open day and night. Take a daily sponge bath, and the treatment recommended for chronic poisoning from mercury. Chronic Poisoning by Arsenic.-Symptoms.-Loss of appetite; rheumatic pains in the legs; pain in the ab- domen; headache; inflamed eyes; cannot bear the sun light; muscles weak; may be paralysis; eruption on the skin; nervous prostration; skin peels off. Causes.-Using arsenic as a medicine; handling green and brown wall paper and artificial flowers; manufacturing green paint and dyes; breathing air from arsenic wall papers; leather dressing. Treatment.-Same as for chronic poisoning from mercury. Spinal Hyperaemia.-Symptoms.-Pain in the lower part of the back, shooting into the hips; tingling in the legs and feet; difficult to walk; may be difficult breathing and palpitation of the heart. Causes.-Exposure, arrested menstruation, malaria, wounds, alcohol and drugs, especially strychnine. DISEASES OF THE NERVOUS SYSTEM. 115 Treatment.-Rest in bed. Do not lie on the back. Apply cold cloths or ice to the spine. Follow the best hygiene in nursing. Drugs are useless. Spinal Meningitis.-Symptoms.-Chill; pain in the back, which is greatly increased by movement; dizzi- ness; vomiting; muscles of the back are rigid; stiff limbs, neck and trunk; high fever; can't bear to be touched or moved; often difficult to empty the bowels or bladder; fever moderate or high; difficult breathing; spasms; stupor; may be some paralysis. Causes.- Exposure; bad hygiene; consumption; wounds of the spine; concussion from falls. It occurs generally in children. Treatment.-Under drug treatment they generally die. Perfect rest in bed; very simple, light diet of gruels, toast and milk; open windows; sponging with cool water, or wrapping in the cool wet sheet, to cool the fever; alternately hot and cold cloths on the spine for thirty minutes each; these are the best treatment. Give an injection daily to clear the bowels. If the bladder is not emptied two or three times a day, then use a catheter to empty it. Avoid drugs and solid, heavy food. Myelitis or Inflammation of the Spinal Cord.-Symp- toms.-Slight fever; tingling in the limbs; rheumatic pains; cramps in legs; partial or complete paralysis; loss of feeling in limbs; loss of control of bladder and rectum. Causes.-Exposure, wounds, stopping of menstrua- tion, blood poisoning, drunkenness, syphilis. Treatment.-It is often cured. Drugs are harm- ful. Give absolute rest is best. Give a hot wet sheet pack daily and also the injection of hot water daily. Hot air baths are recommended. Apply cold and hot cloths alternately to the spine. 116 MEDICAL HYGIENE. Infantile Paralysis.-Symptoms.-Sudden paralysis of a leg or an arm, or all one side of the body. Causes.-Sitting on stone steps; exposure; inju- ries; eruptive fevers. Treatment.-Perfect rest in bed; ice to the spine to stop the inflammation; after the inflammation sub- sides apply the hot cloths alternately with cold on the spine. The diet should be fruits and grains. Keep the window open day and night. Massage the mus- cles twice a day. Avoid drugs. Muscular Atrophy, or Wasting Palsy.-Symptoms.- Generally begins in arm, then shoulder and back; paralysis results; face is not affected; wasting in legs is rare. Cause.-Syphilis, injuries, exposure, over-use of the muscles. Treatment.-Massage the muscles twice a day. Adopt the best hygiene of pure air, vegetarian diet, and regular bathing. Apply hot and cold wet cloths to the spine. Lateral Sclerosis.-Symptoms.-Legs get weaker and weaker until both of them are completely paralyzed. Causes.-Syphilis; heredity; drug poisons as medi- cines; alcohol; injuries. Treatment.-Same as for muscular atrophy. If caused by drug poisons, syphilis or alcohol, then give the hot wet sheet pack every other day and the large injection of hot water every other day. Locomotor Ataxia.-Symptoms.-Lightning pains in the legs; inability to walk properly; pupil of the eye is contracted and does not change when light is thrown on it; some loss of feeling in the skin; no knee jerk; often loss of sexual power. Causes.-Heredity from parents 'who were insane DISEASES OF THE NERVOUS SYSTEM. 117 or epileptic; overfatigue, as in soldiers; prolonged mental anxiety; sexual excess; alcohol. Treatment.-It is rarely cured if fully developed. It requires five or ten years to cause death. It is often relieved by rest, daily sponge bath, application to the spine of hot and cold cloths, each for thirty minutes for two hours a day; massage to the affected muscles, plenty of fresh air and light diet. Drugs are useless. The cold douche to the spine is recom- mended. Give an injection of one to three quarts of hot water every other day and the hot wet sheet pack twice a week. Ataxic Paraplegia. - Symptoms.-Begins slowly; trembling in lower limbs, with aching; sexual power is lost; has locomotor ataxia, not being able to stand with the feet together and the eyes shut; the knee jerk is increased; often cannot hold the urine; grad- ual paralysis of lower half of the body. Causes.-Heredity, syphilis, exposure, alcoholic and sexual excesses. Treatment.-Same as for locomotor ataxia. Simple Neuritis, or Inflammation of a Nerve.-Symp- toms.-Constant pain which is increased by move- ment or pressure; the pain may radiate to other parts; maybe redness, slight swelling and tingling; may be cramps, wasting of muscles and paralysis. Causes.-Wounds, malaria, dislocation of bones, taking drugs as medicine, violent contraction of mus- cles, sprains, exposure; may come from inflamed tis- sues in that region, which is the hardest kind to cure. Treatment.-Remove the cause. Give perfect rest. If due to cold, then take a sweat in a hot sitz bath. If due to wounds, then apply cold along the nerves. If there is wasting of the muscles or par- alysis, then massage twice a day. The diet should con- 118 MEDICAL HYGIENE. sist of fruits, grains and vegetables. Drugs are use- less. Apply hot cloths or ice along the nerve, and take hot sitz baths for the pain. Keep the window open and take a large injection of hot water every other day to clear the bowels. The pain is apt to lin- ger a long time in the aged. Multiple Neuritis.-Symptoms. - May begin with numbness, loss of power to hold up the hands or feet; paralysis of various muscles; loss of feeling in the limb; may be paralysis of leg muscles and only loss of feeling in the hands. This disease is the in- flammation of many nerves at once or in rapid suc- cession. The pain may last a year or two. Causes.-Poisons of alcohol, lead, arsenic, silver, or following diphtheria, small-pox, variola, typhoid, consumption, syphilis, malaria, rheumatism and gen- eral debility of old age Treatment.-Discover the cause and remove it by the treatment recommended elsewhere in this book. Rest is of the greatest importance. Prevent any position of the body that would cause deformity; hence keep the legs and feet straight. Use the treat- ment recommended for neuritis. Neuroma, or Tumors in the Nerves.-Symptoms.- Pain not only at the diseased part, but in the parts where the nerve goes; pain may ache or be shooting; seldom muscular weakness; tumor is more movable in the transverse than in the long axis of the limb; pressure causes pain both in the part and where the nerve goes; in some cases there are no symptoms at all. Causes.-Wounds, syphilis and nervous debility. Treatment.-Strict hygienic living cures some, while others require a surgical operation. Some can DISEASES OF THE NERVOUS SYSTEM. 119 not be cured at all. Avoid drugs. When the symp- toms become stationary they do not get worse. Sciatica.-Symptoms.-Pain may be constant or at intervals of hours; pain is generally worse at the mid- dle of the thigh, back of the knee and on top of the foot; dull, heavy ache; may be cramps of the leg. Rheumatism has pain only on movement. Causes.-Poor blood; rheumatism; gout; malaria; alcohol; syphilis; tumors; exposure; sitting too much on hard chairs; constipation; sexual excesses or pressure of the womb. Treatment.-The same as for neuralgia. Avoid drugs. Rest if severe. Bandage the leg in a hot wet towel and leave on all night. Take a hot sitz bath next morning. Sciatica of the Arm.-Symptoms.-Pain above the collar bone, under the shoulder blade, in the arm pit, and down the arm; dull pain in the whole arm. Causes.-It accompanies gout and muscular rheu- matism, and hence is hard to cure. The patient is generally past fifty years of age. Treatment.-It is generally very tedious. Take plenty of rest and a hot sitz bath, or hot wet sheet pack every other day. Take an injection of one to three quarts of hot water every other day. Avoid drugs, meat, rich foods, alcohol, tobacco, tea and coffee. Use the treatment for neuralgia. After the tenderness is gone, the arm can be gently rubbed. Beriberi. - Symptoms.-Anaemia; dropsy of the whole body; debility; numbness; pain; difficult breathing; may be paralysis of legs, and of the arms also; scanty urine; heart troubles. Causes.-It resembles multiple neuritis, and re- quires the same treatment. It is found in Asia, Africa and South America, but not in Europe or North 120 MEDICAL HYGIENE. America. Europeans in foreign lands seldom have it. Neuralgia.-Symptoms.-Darting pains which cease at times; finally the pain is constant; pain often radiates to other nerves; skin becomes quite insensi- ble; generally no fever; may last a few minutes, or several days. There are two forms of neuralgia, superficial and deep. The superficial is in the face (tic-douloureux), back and top of the head, in arm pit and down the arm, in the ribs (generally by the fifth and sixth ribs), in the small of the back, in front or inner side of the thigh and at the lowest end of the spinal column. The deep neuralgia is of the heart, stomach, womb, ovaries, urethra, bladder, rectum, kidneys and testes. Causes.-Eating too much meat; poor food; rheu- matism; syphilis; malaria; anaemia; scars; anxiety; exposure; poisoning; tobacco; alcohol; tea and coffee. One of my college professors said that nine times out of ten neuralgia was caused by tea and coffee. Treatment. - In old age it is often hard to cure. Remove the cause. Hot wet cloths, or cold wet cloths, or ice, will relieve the pain. Dry heat, as a hot smoothing iron, hot water in a bot- tle, or hot bag of meal, may relieve. Sometimes a hot sitz bath relieves. Rubbing gently with the hand is often helpful. Neuralgia of the head is quickly relieved by wrapping the head up in a blan- ket wrung out of water nearly boiling hot. Kirk re- lieves some cases by applying along the spine, towels wrung out of cold water, and changed every five min- utes. This soothes the inflamed nerves as it does in chorea, or St. Vitus' dance. Kellogg recommends the application for three to five minutes of a mixture of pounded ice and salt, wrapped in muslin. To cure DISEASES OF THE NERVOUS SYSTEM. 121 it permanently the patient's health must be improved. Keep the windows open day and night. Read the above list of causes and avoid all of them. The diet must be simple and plain, avoiding fats, sweets, rich foods, pepper, vinegar, mustard and other condi- ments. Take a daily sponge bath. Sun baths several times a week are helpful. Keep the bowels open by large injections of hot water every other day. Paralysis of the Face.-Symptoms.-Corner of the mouth is depressed; eylids open; unable to spit, whistle or swallow; cannot wink or close the eye on the paralyzed side. Causes.-Exposure to cold; injury; syphilis; disease of the middle ear; heart disease. Treatment.-If caused by exposure, then give a hot sitz bath every other day and on other days a hot wet sheet pack. Every other day give a large injection of hot water. Eat plenty of fruits and grains and but little meat. Massage the affected muscles several times a day by rubbing and pinching them. Be sure to always breath pure air day and night. Galvanic or Faradic electricity applied every other day is a help. Th is paralysis generally gets well. Shaking Palsy, or Paralysis Agitans.-Symptoms.- Trembling in hand, arm or leg; sleeplessness; often mental changes. Causes.-Old age, debility and constipation. Treatment.-Rest for both body and mind is of great importance. Improve the general health by pure air, daily hot sponge bath, and a diet of fruits, grains and vegetables. Avoid tobacco, stimulants, meat, rich foods, drugs, tea and coffee. Massage the affected muscles. Every day give an injection of one to three quarts of hot water to keep the bowels open, as some claim constipation is a main cause of the 122 MEDICAL HYGIENE. disease. Prof. Kirk of Edinburgh has had great suc- cess in palsy and all forms of paralysis by the thorough application of hot or cold cloths (generally hot) to the spine where the nerves branch off to the affected part. For example, if the legs were affected the hot cloths were vigorously applied to the lower part of the spine; if the arms were affected, then the hot cloths were applied between the shoulders. Paralysis of the Lower Limbs, or Paraplegia.-Symp- toms.-Power of motion and feeling lost; usually the bladder and rectum are paralyzed. Causes.-Heredity; syphilis; concussion from-a fall; exposure to wet cold; prostration of childbirth or abortion; sexual excess; debility; excessive athletic exercise. Treatment.-The same as for palsy. Dr. Trail generally cured paralysis of one side of the body by hygiene alone. Curing paralysis depends on the cause, as some can not be cured. Complete recovery is rare. Wasting of One Side of the Face.-Symptoms.-One side of the face grows thinner and smaller than the other; the bones of the face may also be smaller; ear and teeth may also be smaller on that side; whiskers don't grow on that side. Causes.-Injuries; has followed scarlet fever and diphtheria Treatment.-There is little hope for improvement unless it comes on in adult life or from an injury. Treatment the same as for palsy. Paralysis Following Acute Diseases.-Paralysis some- times follows diphtheria, scarlet fever, typhoid, erysipelas, variola, measles, mumps, malaria, diar- rhoea, dysentery, acute rheumatism and influenza. No doubt that the drug treatment given for the above DISEASES OF THE NERVOUS SYSTEM. 123 diseases is largely the cause of the paralysis, because hygienic doctors of wide experience never have serious complications (sequelae) following their treat- ment of these diseases. This paralysis usually comes on suddenly on one side of the body, and may be loss of speech. It generally passes away, but may con- tinue. The paralysis following diphtheria generally passes away in six or eight weeks. In the diphtheretic paralysis it may be almost impossible to swallow, and the voice is nasal from paralysis of the soft palate. Also there may be grave heart symptoms and the eyes may be troubled. The bladder suffers only in the worst cases. If the swallowing muscles are so par- alyzed that the food goes into the windpipe, then the food must be passed into the stomach through a rubber tube, or injected into the rectum. The treat- ment consists of the best hygiene, viz.: pure air day and night, daily sponge bath, diet of fruits, grains and vegetables, sun baths, massage, and essentially the same treatment as for palsy. Chorea.-Symptoms.-In slight attacks there are only twitchings and jerkings of various muscles. In severe cases these symptoms are greatly increased so the patient cannot sit nor lie down. In walking the steps are unequal and irregular. It may affect only one side of the body. The skin is often worn through and no complaint of pain. It is always accompanied by poor digestion and constipation. There is a kind that comes on in old age. Causes.-Constipation; poor hygiene; masturba- tion, and anaemia. Treatment.-Loss of sleep and heart troubles are the main dangers. Take plenty of exercise in the open air. Keep the windows open a few inches night and day. The diet should be mainly fruits and 124 MEDICAL HYGIENE. grains, with few vegetables. Avoid all drugs, meat, rich foods, tobacco, stimulants, tea and coffee. Take a daily, quick, hot sponge bath, and a daily injection to move the bowels. Eat only three meals a day, and not a bite to eat between meals. It is well to mas- sage the whole body daily. Prof. Kirk, of Edin- burgh, says he never failed to cure the most serious cases of this disease in a few days by the following plan: Take an ordinary towel and fold it eight-ply longways, so as to make a thick bandage. This is wrung out of the coldest water at hand, and placed on a dry towel folded four-ply. As carefully as possible both are placed along the whole length of the spine, the wet one next to the skin, and the patient is gently laid down on them. In two or three minutes some little lessening of the dance may be seen. After about four minutes you make ready another cold towel, and change it for the first one wrung out. When you have done this about six times, you will let the patient lie still on the towels for about fifteen minutes, and then repeat the six changes again. Then give another rest of fifteen minutes. Now take the towels off, and rub all the back gently with warm olive oil (sweet oil). This process is to be gone through with every morning till all movement of an involuntary, jerky character has entirely disappeared. This will generally be in about eight days even in the worst cases. Epilepsy, or Falling Sickness.-Symptoms.-Sudden falling; loss of consciousness for a few minutes; white face; spasms, or fits; frothing at the mouth. Causes.-Heredity; syphilis; brain disease; womb disease; sexual excesses; alcohol; tobacco; mental overwork, and errors in food. Treatment.-Remove the cause if possible. If the DISEASES OF THE NERVOUS SYSTEM. 125 parents had epilepsy, or if it comes from brain trouble, it perhaps cannot be cured. Many can be cured by hygiene. During the fit little can be done, except apply cold water on the head, and keep the patient from biting his tongue by a wedge of wood between his teeth. When the patient can tell just before an attack comes, it can often be prevented by putting the hands in cold water, or by grasping firmly some object. Dr. Trail says that the diet is the main agent of cure, and should consist of fruits, grains, vegetables and wholemeal bread. Avoid drugs, meat, tobacco, alcohol, tea and coffee. Take a daily sponge bath, and every other day a large injection to move the bowels. Take plenty of sleep, and exercise in the open air. Eat only three meals a day, the supper being light. Kellogg says that eating too much is a great hindrance to cure. Keep the windows open day and night. Hysteria. - Symptoms.-Patient talks excitedly, laughs, cries, falls down, groans, sobs; may last a minute or an hour; seems to be a ball in the throat; palpitation of the heart; may become cold and lose consciousness. Causes.-Idleness; sexual excess; errors in diet; nervous debility and womb disease. Treatment.-Loosen the clothing; admit fresh air and apply cold or hot wet cloths along the spine. Prevent future attacks by removing the cause and liv- ing according to the directions given for torpid liver. Be sure to take an injection of one to three quarts of hot water every other day. Nervous Prostration, or Neurasthenia.-Symptoms.- Nervousness; peevishness; sleeplessness; cold hands and feet; dyspepsia; flashes of heat; headache; diz- 126 MEDICAL HYGIENE. ziness; weariness; melancholy, and scores of other symptoms. Causes.-Overwork; loss of sleep; sexual excess- es; tobacco and alcohol; errors in diet; such as tea, coffee, condiments and excessive use of meat; too little exercise; irregular habits; drugs as medicines. Treatment.-Avoid strictly all the things enumer- ated as causes. You will improve and get well if you will take a daily sponge bath, two hours' exercise daily, keep the windows open day and night; drink a cup of water half an hour before meals; eat only three meals a day and eat nothing between meals; take a hot sitz bath once or twice a week; take a large injection every other day to move the bowels. Exopthalmic Goitre.-Symptoms.-Enlarged gland on the front of the neck; eyes staring; palpitation of the heart; anaemia; debility; nervousness; sleepless- ness. Cause.-Nervous exhaustion; heredity; great fright; heart disease. Treatment.-Some cases get well. Avoid drugs. Take rest for both body and mind and follow mainly the treatment for nervous exhaustion. Lockjaw, or Tetanus.-Symptoms.-Comes on sud- denly; stiffness of jaws and neck; children may have the mouth partly open; difficulty in swallowing; spasms; body maybe bent backward in form of an arch; may bend forward and head nearly touch the knees; great suffering. Symptoms appear in a few hours, or as late as two weeks after the injury. Causes.-Generally from wounds; may be from exposure to wet cold. Treatment.-Rest and quiet. Apply ice along the spine. Give a full hot bath. Keep the windows open. Pull a tooth to feed the patient or give nutritive in- DISEASES OF THE NERVOUS SYSTEM. 127 jections. Death generally results in three to fourteen days. Spasms of Muscles in the Arm and Leg:, or Tetany.- Symptoms.-Spasms of muscles of the hands, feet, arms and legs. It may last only a few minutes or hours. Causes.-Exposure to wet cold, Bright's disease and lead poisoning. Treatment.-It generally passes off without any special treatment. Apply cold wet cloths, or better, ice, to the spine. Prevent future attacks by living according to the treatment recommended for nervous exhaustion. Writer's Cramp, and Cramp of Piano-Players, Vio- lin Players, Blacksmiths, Telegraphers and Dancers. -Symptoms.-Stiffness, pain, cramp and may be par- alysis in the muscles used. Causes.-Overwork of the muscles. Treatment.-As soon as the trouble is discovered, give the muscles complete rest, which often brings complete recovery. Improve the general health by hygiene. Massage with cold and hot applications cures some. Some are incurable. Cramp.-Symptoms.-Contraction of a muscle with great pain. Treatment.-It is generally easily cured by firm pressure with the hand, or if in the foot pressing it against any hard object. I have often seen it quickly relieved by application of cold. Hot wet cloths re- lieve it. A hot sitz bath and a large injection of hot water relieve cramp in the stomach. The habit of cramping can be cured by strict hygienic living. Wry Neck, or Torticollis.-Symptoms.-Twisting of the head away from the natural position; may be a jerking all or part of the time. 128 MEDICAL HYGIENE. Causes.-There are three varieties. One is con- genital or fixed, in which the muscles are shortened, and the head is pulled to one side. This can be cured only by surgical operation generally, but slight attacks can be cured by massage and hygienic living. The second form is spasmodic and of nervous origin. It may be slight or severe, and if fully developed is hard to cure. It needs only the treatment recommended for nervous prostration. The third form is of rheu- matic origin and is cured by hot sitz baths and strict hygienic living. Uraemic Convulsions.-Symptoms.-May be preceded by partial or total loss zof sight; unusually severe spasms (fits) come together, separated by a few min- utes or hours; albumen in urine; resembles an epi- leptic fit. Cause.-Kidney disease. Treatment.-As in all convulsions use plenty of cold air, and cold water on the head, and the body in a hot bath. Treat the kidneys. Drugs are useless and harmful. Trance, or Catalepsy, or Hypnotism. - Symptoms.- Muscles are hard and limbs stiff; later the limbs can be moved and they remain where they are put; breathing and pulse slow; consciousness may or may not be lost; may come at certain periods. Causes.-Hysteria; heredity; debility; exhausting diseases, or an object placed before the eyes. Treatment.-Cold wet cloths, or ice, to the head and spine to stop an attack. Between attacks treat the same as hysteria. Lumbago.-Symptoms.-Pain in the back, usually shooting upwards, and increased by muscular exer- cise; sometimes accompanied by sciatica. Lumbago is called a neuralgia by some and muscular rheuma- DISEASES OF THE NERVOUS SYSTEM. 129 tism by others. Rheumatism has soreness while neu- ralgia has not. Causes.-Cold and damp; rheumatism; malaria; sexual excesses and overwork. One attack predis- poses to another. Treatment.-Rest is the first thing. Hot sitz baths twice a day and the application of hot wet cloths gen- erally relieve. Take injections of one to three quarts of hot water. Some cases are quite hard to cure, and if not relieved by the above, then eat only one meal a day, and massage by firm pressure and rubbing the affected part. Drugs do no good. Treat the same as neuralgia and wear a hot wet towel around the small of the back all night for several nights. Intercostal Neuralgia.-Symptoms.-Deep breathing; laughing, coughing and sneezing are exceedingly pain- ful; pain usually continuous; pain in the chest, on one or both sides; it is confined to the spaces be- tween the ribs and has three tender points, near the breast bone, straight down under the arm pit and near the spine. Causes.-Same as neuralgia. Treatment.-Apply cold and hot wet cloths thor- oughly to the spine opposite the affected part. Treat same as neuralgia. Headache.-The usual causes of headache are con- stipation; torpid liver; inactive kidneys; overloaded stomach; lack of bathing; poor blood; womb trouble; stomach and lung diseases; fevers; syphilis; debility; rheumatism; brain troubles; too much or too little blood; hysteria; poor ventilation; alcohol; tea; coffee; late suppers and heart disease. Treatment.-Remove all the above causes if possi- ble. Generally it can be relieved by a hot foot bath with cold wet cloths on the head. If caused by stom- 130 MEDICAL HYGIENE. a ch trouble, apply hot wet cloths on the stomach. If subject to headache, avoid tea, coffee, alcohol, fried food and drugs. Take a quick sponge bath daily. Keep the windows open day and night. Exercise at least two hours a day. Take an injection of one to three quarts of hot water every other day. Eat plenty of fruits and grains (rolled oats, cracked wheat, gra- ham bread, hominy and barley). Spasm of the Face.-Symptoms.-Twitchings of vari- ous muscles of the face and head. Treatment.-Same as for nervous exhaustion. Sleeplessness, or Insomnia.-Causes.-Late suppers; too little exercise; mental overwork; indigestion; to- bacco; drugs; tea; coffee; an afternoon nap; lack of bathing; constipation; cold feet; excitement; novel reading or hard study just before going to bed. Treatment.-This is a very serious disease and re- quires prompt attention. Remove all the above causes. Exercise an hour (walking, for example) just before going to bed. A cool sponge bath or a warm bath just before going to bed cures some. If you can not sleep do not get up and read. Sleep comes to some by throwing back the bed-clothes and exposing for a few minutes the naked body to the air, rubbing the skin gently at the same time. Some get sleep by taking several deep breaths very slowly. Keep the windows open night and day. Sleep-Walking, or Somnambulism.-This is a nervous disease caused by disordered digestion, worms in the alimentary canal and brain diseases. Treat the cause. Dr. Kellogg says a strip of tin or wet carpet placed near the bed, so that when the person gets up he will put his feet on it, will wake him up. Hypochondria. - Symptoms. - Excessive anxiety in regard to health; undue attention to every little DISEASES OF THE NERVOUS SYSTEM. 131 symptom; false ideas as to the presence of disease though faithful examinations can produce no evidence of disease. Causes.-Heredity; weak nerves; disordered diges- tion; former ill-health, though now comparatively well. It may lead to melancholia when tendency to suicide develops. Treatment.-The acquired form can be cured, but not the form from heredity. Cure any actual ailment. Live strictly according to hygiene, with daily sponge bath, plenty of exercise, fresh air and diet of fruits, grains and vegetables. Avoid drugs, meat, tea, coffee, rich foods, tobacco and stimulants. Have some work to do to keep the mind off of the disease. The cure is slow. If she is well, show her she is, and insist on it. diseases of tbe JBloob Vessels anb ®loob. Inflammation of the Heart-Case, or Acute Pericarditis. -Symptoms.-Rough, rubbing sound heard on listen- ing to the heart; generally acute pain under the left nipple, which is increased by breathing and coughing; may be fever, nausea, palpitation, difficult breathing, faintness, hiccough and irregular pulse. Inflamma- tion of the sac surrounding the heart may be well marked and yet have no characteristic symptom. Causes.-Dr. Trail says the main cause is drugs taken for rheumatism and other diseases. It gen- erally follows some other disease, as rheumatism, pleurisy, influenza, scarlet fever, variola, puerperal fever, consumption, Bright's disease, blood poisoning, gout, scurvy, diabetes, measles or peritonitis. Treatment.-Remove the cause. Rest (if sevele give perfect rest in bed with perfect quiet). Plain diet, avoiding meat, tea, coffee, rich foods, tobacco and alcohol. Apply hot wet cloths to the pain. Sponge with tepid water to cool the fever. It being an inflammation, use the cool wet sheet pack daily. If there is severe dropsy of the heart, the water may be removed by tapping with an aspirator, though this will very rarely be necessary if thorough use is made of the hot wet sheet pack and hot sitz bath on alternate days. Do not use drugs. Keep the windows open. Chronic Pericarditis, or Inflammation of the Heart-Case. -Symptoms.-Pain and distress under the left nipple; 132 DISEASES OF THE BLOOD VESSELS. 133 irregular and feeble pulse; difficult breathing and rough, rubbing sound heard on listening to the heart. Cause.-An acute attack. Treatment.-Same as for acute pericarditis. Dropsy of the Heart.-Symptoms.-Dry cough; pain under left nipple; difficult breathing; irregular and feeble pulse; cannot swallow; putting the ear over the heart, the heart-sounds seem far away. Causes. - Generally dropsy, Bright's disease, sudden pneumothorax, aneurism, tumors, or disease of the veins of the heart. Treatment.-Treat the cause. Give very plain, dry diet. Drink only for thirst. Use the hot wet sheet pack one day and the hot sitz bath the next, with a daily sponge bath. Clear the bowels every other day with an injection of hot water. If not re- lieved after a faithful and thorough trial of the above, remove the water by tapping with an aspirator. Avoid drugs, stimulants, tobacco, alcohol and meat. Inflammation of the Lining Membrane of the Heart, or Acute Endocarditis. - Symptoms. -Palpitation; cough; fever; vomiting; rapid pulse; noises in the ears; slight difficulty in breathing; various peculiar sounds heard on listening to the heart. Causes and Treatment.-Same as for inflamma- tion of the heart-case. Malignant Endocarditis.-This is a malignant inflam- mation of the lining membrane of the heart. The pulse is rapid, irregular and feeble, and associated with a de- pressed state of the body, as shown by headache, deli- rium, sordes on the teeth, irregular fever, vomiting and chills. So far this has been associated with lung fever, influenza, erysipelas and blood poisoning. No doubt it conies from the maladministration of drugs. 134 MEDICAL HYGIENE. Treatment same as for inflammation of the heart- case. Chronic Endocarditis, or Valvular Disease of the Heart.- Symptoms.-General dropsy; stomach, kidney and liver troubles prominent; murmurs heard on listening to the heart; palpitation of the heart and other usual heart symptoms of pain and difficult breathing. Causes.-Alcohol, syphilis, Bright's disease, and following rheumatism, pleurisy, and infectious dis- eases. Treatment.-Treat the symptoms of dropsy, kid- ney, liver and stomach troubles. It is generally in- curable, but life may be prolonged greatly by a reg- ular, temperate and hygienic life. Avoid overwork of body and mind. Avoid drugs, exposure, alcohol, tobacco, meat, tea, coffee and sexual excesses. Hypertrophy, or Overwork of the Heart.-Symptoms. -Palpitation; frequent and irregular pulse; difficult breathing; can't sleep with head low; can see the chest wall rise with each beat of the heart, but lower and to the left of the normal place; visible pulsation of the arteries; extended area of dullness on per- cussion. Causes.-Valvular disease of the heart, alcohol, tobacco, excessive use of tea and coffee, and Bright's disease. Treatment.-Avoid all causes. Rest on the back several hours a day. The diet should be plain and consist of fruits, grains and vegetables. Niemeyer recommends wearing constantly over the heart a rubber bag filled with ice water. In Germany this disease is cured by living entirely on grapes and a little bread. Almost any sub-acid fruit will do as well as grapes, such as apples, peaches or pears (dry or fresh). Use very little or no sugar on fruit. Use the DISEASES OF THE BLOOD VESSELS. 135 daily sponge bath, open windows, and hot sitz bath, or hot wet sheet pack twice a week. Avoid drugs. Dilatation of the Heart.- Symptoms.- Feeble pulse; pain; liver, stomach and kidney troubles; cough; can- not lie down; often great relief from the above symp- toms during the disease; finally dropsy. Causes.-Valvular disease of the heart; over-exer- tion in the young; syphilis; Bright's disease; alcohol and gout. Treatment.-It can be cured if the kidneys, lungs and other organs are not too badly diseased. Rest is of the first importance. Treat the symptoms of dropsy, liver, stomach and kidney troubles. Kellogg says he has seen splendid results from the application of electricity to the spine, neck and over the heart. Avoid drugs and follow the treatment for overgrowth of the heart. Inflammation of the Muscle of the Heart, or Myocarditis. -Symptoms.-Symptoms are very obscure, as feeble pulse, difficult breathing, palpitation, debility, first sound of the heart weak or absent. Causes.-Alcohol, tobacco, syphilis, and high fevers. Treatment.-Rest, diet of fruits, grains and vege- tables, daily bath and other hygienic measures are the best general treatment. Drugs do no good. Like all inflammations it needs cold; hence wear cold wet cloths over the heart several hours a day. Hygienic treatment of high fevers prevents it. Fatty Degeneration of the Heart.-Symptoms.-Easily tired; difficult breathing; cold feet; dropsy of the ankles; short breath; faintness. There is generally a pearly, opaque cresent on the upper and lower parts of the cornea. Symptoms are generally obscure. May be irregular breathing. 136 MEDICAL HYGIENE. Causes.-Eating excess of fat foods; alcohol; gout; Bright's disease, and poisoning by phosphorous. Treatment.-If not too chronic it can be cured by hygiene. Drugs are useless. Avoid eating fats and sugars. Moderate exercise, open windows, daily sponge bath, hot sitz baths or hot wet sheet pack twice a week, plain diet, and an injection every other day to. clear the bowels, are the best treatment. Avoid excitement, anger, violent exercise, alcohol, tobacco, tea and coffee. Palpitation of the Heart.-Symptoms.-Excessive ac- tion of the heart; pain; difficult breathing. Causes.-Valvular disease of the heart; disorders of digestion; dyspepsia; womb trouble; excitement; tea; coffee; tobacco; alcohol; anaemia, and sexual excesses. Treatment.-Remove the cause. Place a cold wet cloth or ice over the heart, or press strongly on the large arteries on the sides of the neck to relieve an attack. To prevent future attacks, cure the dyspep- sia, nervous exhaustion, anaemia and other causes. Rapid Heart, or Tachycardia. - Symptoms. - The pulse increases to 150 to 250 a minute. The usual pulse is about 72 a minute. Causes.-"Change of life"; tobacco; nervous ex- haustion and chronic inflammation of the stomach. Treatment.-Same as for palpitation. Rupture of the Heart.-Symptoms.-Intense pain; rapid, irregular pulse; restlessness; pallor; cold skin; vomiting; greater area of dullness because of hem- orrhage. Causes.-Fatty degeneration, dilitation, abcess, and aneurism of the heart. It generally occurs past sixty years of age. Treatment.-The patient may die suddenly, or DISEASES OF TllE BLOOD VESSELS. 137 may live as long as eight days. Give him rest, and ease his pains by hot wet cloths or morphine (since he cannot get well) in one-eighth or one-fourth grain doses every hour or two. Misplaced Heart.-The normal location of the heart is shown by the beating of the heart, which is seen in the space between the fifth and sixth ribs, and half way between the left nipple and the breast bone (sternum). This visible beat (of the apex) of the heart is misplaced upward by abdominal tumors, dropsy of the abdomen, excessive gas in the abdomen, shrinkage of upper part of the left lung, and dropsy of the heart. The heart is misplaced down by emphy- sema, pneumothorax, and enlargement of the left ventricle of the heart. It is misplaced to the left by fluid in the right pleura (between the right lung and the ribs), and enlargement of the left ventricle of the heart. It is misplaced to the right by left pneu- mothorax, or fluid in the left pleura, and shrinkage of the right lung. Treat the cause. The heart may be misplaced from the time of birth, so as to be in the right side, or in the middle line or even in the abdomen, below the diaphragm, instead of in the left side, as is normal. If the heart is well formed, in the abnormal positions it does not matter. Nothing can be done, except be careful. Slow Heart, or Bradycardia.-Svmptoms.-Pulse from 50 to only 10 a minute. The usual pulse is about 72 a minute. Causes.-Nervous diseases; poisoning; fatty heart; uraemia; high fevers, and rheumatism. Treatment.-Treat the cause. Hot sitz baths and hot wet cloths over the heart will relieve. Daily sponge bath, rest lying down, open windows, and 138 MEDICAL HYGIENE. plain diet of fruits, grains and vegetables are best. Do not use drugs. Irregular Pulse, or Arrhythmia.-Symptoms. -Irreg- ular pulse and others, depending on the cause. Causes.-Dyspepsia, tobacco, tea, coffee, hysteria, melancholia, nervous exhaustion and heart disease. Treatment.-It can be cured, unless it is caused by chronic heart disease. Remove the cause as directed for the various diseases. Give rest to body and mind. Drugs do no good. Angina Pectoris, or Neuralgia of the Heart.-Symp- toms.-Intense pain and oppression about the heart, which may extend across the chest and back to left shoulder; faintness; great pallor of the face; gen- erally frequent and excessive urine. Causes.-Heredity; nervous exhaustion; rheum- atism; tobacco; malaria; exposure and indigestion. Treatment.-Treat the cause. Live mainly as di- rected elsewhere for nervous exhaustion. To relieve an attack pour cold water on the head, warm the legs and arms by hot foot bath and hot irons or bottles of hot water, and give an emetic of plenty of warm water and tickling the throat. Hardening of the Arteries, or Artheroma.-Symptoms. -The arteries on the wrist and other places feel hard and bony. Causes.-Old age; syphilis; alcohol; heredity; rheumatism; kidney trouble; malaria and lead pois- oning. Treatment.-Nothing can remove the deposit after it forms, but further progress of the disease can be stopped by strict hygiene. Daily sponge bath, open windows, two hours' exercise each day, avoiding alco- hol, tobacco, meat and rich foods is the best treat- ment. DISEASES OF THE BLOOD VESSELS. 139 Aneurism.-This is a tumor, or swelling, containing blood and communicating with an artery. It may be found in any part of the body, but generally inside the chest, on the aorta. When large it may be mis- taken for an abcess. Women rarely have it. The symptoms are trouble with the heart and one or both arms become dropsical. The tumor pulsates, and putting the ear to it a blowing sound is heard. Dr. Tuffnell has given some conclusive examples of the complete cure of abdominal aneurism by absolute rest, day and night, in bed, for at least three months, and a restricted diet. The restricted diet reduces the heart's action. Tuffnell's cures were proven true by dissections after death. He cured one case of aneurism on the arch of the aorta by the same means. The rest is total, never leaving the bed for three months nor moving, except to turn on the side once in a while. The diet was ten ounces of solid food and eight ounces of liquid a day. Surgical opera- tions are recommended, together with strict hygiene. Never use drugs. Embolism and Thrombosis.-An embolus is a blood clot or other body floating in the blood. An embo- lism is clogging of a blood vessel by an embolus. This may cause apoplexy, paralysis or wasting of muscles in those parts. Thrombosis is a clot formed at the point where it is found. The brain, kidneys, liver and lungs are the organs generally affected by embolism. Causes.-Disease of the heart and surgical opera- tions. Treatment.-Perfect rest, light diet, open windows and daily sponge bath are the best treatment. Clots of blood in wounds may form embolism if the patient is not quiet for a time. 140 MEDICAL HYGIENE. Inflammation of the Veins, or Phlebitis.-Symptoms.- Pain on pressure; swelling and redness along the veins. Causes.-Wounds, surgical operations and throm- bosis. Treatment.-Hot or cold wet cloths applied, and the cool wet sheet pack twice a day. Drugs do no good. Varicose Veins.-Symptoms.-Veins greatly dilated and winding. Piles and varicocele are different vari- eties of this disease. Causes.-Constipation; pregnancy; tight garters; tumors; a truss; or being on the feet too much, and stimulants (as tea, coffee, alcohol, tobacco and drugs). Treatment.-If not promptly and properly treated they form ulcers. Dr. Allinson, of London, says: " With proper treatment no ill results need be feared. Avoid operations, such as cutting, strangulation of them, as these operations are nearly always useless. Elastic stockings, rubber bandages, and such things, do no good, but may cause mischief in other structures. Do not use tobacco, beer, wines, spirits, tea, coffee, white bread, rice, sugar, tapioca or pota- toes. Whole meal bread, fruits and vegetables must be consumed freely. Exercise (walking) must be taken regularly. Eat but little meat. Garters must not be worn below the knee. Pregnant women must not expect to lose their vericose veins till after their confinement. To rub the veins upward with the hand night and morning is a good practice." Dr. Allinson says he has cured cases just by their eating whole meal bread (not the stuff which bakers make out of bran, white flour and molasses and call it graham bread). DISEASES OF THE BLOOD. 141 Inflammation of the Lymphatics.-Symptoms.-Pain- ful lumps in the neck, or armpits, or groins. Causes.- Malignant diseases (as gonorrhoea and syphilis) and ulcers. Treatment.-Apply hot fomentations. I have had splendid results in this disease from the cool wet sheet pack. If the enlargement ulcerates, let it get perfectly ripe before opening, then dress it with cold wet cloths. White Blood, or Leucaemia.-Symptoms.-Anaemia; enlarged spleen; enlarged glands in the groin; great pallor; swelling of abdomen; fever; delirium; death. Causes.-The books say that the cause is unknown. I saw one case and am quite convinced it comes of too much drugs as medicine. Treatment.-Practically the same as anaemia (sun- shine, daily bath, pleasant surroundings, open win- dows, massage, diet of fruits, grains and easily digested vegetables). Drugs only do harm. Anaemia.- Symptoms.-Pale face; weakness; de- bility; cold hands and feet. Causes.-Poor food; hemorrhage; worms; lack of exercise and fresh air; excessive nursing; malaria; Bright's disease; sexual excesses; mental overwork; dyspepsia; fever. Treatment.-Find the cause and remove it. Iron is useless and harmful. The cure is very simple and very sure. Take plenty of sleep. Keep the windows open a few inches. Exercise according to strength, until finally two hours a day. Sun baths and quick sponge bath should be taken daily. If not able to ex- ercise, then have massage for half an hour daily. Eating plenty of fruit, whole meal bread, grains and vegetables makes blood and cures constipation. Avoid all drugs, meats, sweets, pastry, alcohol, tea, 142 MEDICAL HYGIENE coffee and tobacco. Take a hot sitz bath twice a week. Take an injection every other day. Green Sickness, or Chlorosis.-Symptoms.-Anaemia; dark circles about the eyes; suppressed or scanty menstruation; depression of mind. Causes.-Poor food; improper food; lack of sun- shine and fresh air, and heredity. Treatment.-Same as anaemia. Pernicious Anaemia.-This is a progressive anaemia which usually resists all drug treatment. The spleen is not enlarged. Causes.-Found in pregnancy and syphilis. Treatment.-They usually die in six weeks to a few months. This is a very rare disease. Rest is the main treatment, together with all else that is recom- mended for anaemia. Hodgkin's Disease.-Symptoms.-Anaemia with en- larged glands in various parts of the body. The cause is unknown. Treatment.-Same as for anaemia. Do not use drugs. The liver is generally diseased, hence treat it. Bronzed Skin, Addison's Disease.-Symptoms.-Loss of appetite; indigestion; langour; dizziness; yellow then bronze colored skin. Causes.-Consumption, scrofula and syphilis, and degeneration of the capsule on the top of the kidneys have been thought to be the causes. Treatment.-It is incurable. The patient gen- erally lives a year or two. Prolong his life by prac- tically the same treatment as for anaemia. Bleeder's Disease, or Haemophilia.-Symptoms.- Bleeding from a slight scratch which does not stop; spontaneous bleeding from nose, mouth, lungs, stomach, bowels, or urinary organs. The bleeding DISEASES OF THE BLOOD. 143 may continue for days or weeks in spite of all treat- ment by drugs or hygiene. Cause.-Hereditary. Treatment.-Keep the bleeding part cold with ice and the legs and hands hot. Cold air and ice are the best means to stop*bleeding. If the bleeding con- tinues a long time, use hot wet cloths alternately with the ice. Hot water in the stomach will often stop bleeding elsewhere. Mechanical means may be used, as stuffing the vagina full of cold wet cloths or the nose full of cotton. Prolonged and steady pres- sure sometimes stops it. There is no remedy to per- manently cure, but would be less likely to have it if strict hygiene is followed. Avoid drugs. Scorbutus, or Scurvy.-Symptoms.-Anaemia; debil- ity; swollen gums, which bleed easily; depressed spirits; dry, rough skin. ' Causes.-Lack of fruits and vegetables as food; melancholia; prolonged heat. Treatment.-Eat plenty of fruits and vegetables. Take a daily bath. Keep the windows open a few inches. Purpura.-Symptoms.-Simplex variety has small, bright red spots under the skin which fade to purple. Urtican variety has small elevations on the skin like wheals, without itching, on the legs, breast and arms. Bleeding variety has besides the spots under the skin, a bleeding from the mucous surfaces. Moderate fever and debility accompany purpura. Causes.-Unknown. Children and aged people have it. Treatment.-Rest and good hygiene as recom- mended for anaemia. Avoid drugs. Blue Disease, or Cyanosis.-Symptoms.-Blue skin; palpitation; cold skin. 144 MEDICAL HYGIENE. Cause.-Heart is deformed. Treatment.-It can not be cured. Avoid exposure to all diseases and live according to hygiene. Impure Blood.-This is a disease many people think they have and so they take drugs and patent medi- cines. Only three things can make pure blood, viz.: pure food, pure water and pure air. If you have im- pure blood these three things will make it pure. Do not take drugs or patent medicines. About four- fifths of human blood is water. Water is cheap. Drink a pint of hot water and it will do you more good than all the drugs in the world. I drink only boiled water if I can get it EHseascs of tbc Ikfbneps anb SBIabbcr. Congestion of the Kidneys.- Symptoms. - Urine abundant, scanty and pale; pain over the kidneys; constant desire to pass water; maybe scanty urine with blood in it. Causes.-Exposure, fevers, drugs as medicines, diseases of the heart and lungs, or pregnant womb. Treatment.-B. M. Hypes, M. D., says that drink- ing plenty of hot water is the best kidney medicine one can take. Wet sheet pack or a hot bath twice a week. Diet of fruits, grains and vegetables. Avoid drugs, tea, coffee, alcohol and meat. Acute Bright's Disease.-Symptoms.-Pain in kid- neys; fever; scant, highly-colored, smoky urine; dropsy; anaemia. Causes.-Exposure, scarlet fever, diphtheria, drugs as medicines, injuries, alcohol and tobacco. Treatment.-Hot wet cloths over the pain. Hot sitz bath, or hot air bath, daily. Avoid all causes as well as meat, tea and coffee. Drink water. Chronic Bright's Disease, or Albuminuria.-Symptoms. -Debility; urine frothy when shaken; albumen in urine, as shown by white'appearance when mixed with nitric acid; palpitation; vomiting; dizziness; defec- tive vision; dropsy a late symptom; neuralgiac pains; urine scanty. Causes.-Syphilis, malaria, alcohol, consumption, pregnancy, opium; drugs which act on the kidneys, 145 146 MEDICAL HYGIENE. exposure, excessive use of meat, and consumption. It rarely occurs after forty. Treatment.-The skin must relieve the kidneys, hence the hot air bath and hot wet sheet pack twice a week. If the dropsy is severe give the hot air bath daily, or cover him well with blankets and put hot irons or bottles of hot water around him. The diet should be limited to fruits and grains. Sun baths, open windows day and night, and daily sponge baths are useful. Sips of hot water or swallowing bits of ice, with a cold wet cloth under the chin, relieve the vomiting. Dr. C. E. Page says Bright's disease never attacks those who live on coarse food, live abstemiously and drink water chief- ly. II. W. Dickinson, M. D., F. R. C. P., says that "without treatment of any kind there is reason to suppose that a large majority of the subjects of it would recover. We must avoid the use of any drugs, which under the name of stimulating diuretics, might exasperate the existing disease. Of all diuretics water is the best." I repeat that Dr. Hypes says that drinking plenty of hot. water is the best kidney medi- cine one can take. Dr. C. E. Page says that the causes of Bright's disease (and of all kidney troubles as a rule) are: " (1) Excess in diet; (2) the use of foods that cannot, or are not properly masticated and insalivated, as mush, or bread wet and washed down with any sort of artificial fluids, gravy-drowned vege- tables, etc.; (3) stimulating drinks, as beer, spirits, tea and coffee; (4) excess of animal food." He claims that avoiding the above four causes, and eating only two spare meals a day, with exercise, fresh air and bathing, will cure it. Avoid tobacco, alcoholic drinks, and highly seasoned food. Small Red Kidney, or Interstitial Nephritis.-Symp- DISEASES OF THE KIDNEYS AND BLADDER. 147 toms.-Abundant pale urine; seldom dropsy; fre- quent nose-bleed; puffiness under the eyes; disor- dered vision; often uraemic poisoning. Causes.-D. E. Hughes, a prominent physician of Philadelphia, says in "Compend of Practice," "I have slowly become convinced that the large increase of nephritic cases can be attributed to the, wide-spread use of drugs of the salicylic order." Treatment.-Same as for Chronic Bright's disease. Suppurative Kidney, or Pyelitis.-Symptoms.-Chills; fever; pain in the small of the back; urine looks milky and contains pus. Causes.-Gravel, drugs as medicine, inflammation of the bladder. Treatment-Hot sitz baths and hot wet cloths for the pain. Diet and other rules same as for Bright's disease. Uraemic Poisoning, or Uraemia.-Symptoms.-May be dropsy in various parts; nausea; vomiting; itching of the skin; tremors; convulsions resembling epileptic spasms; fever; drowsiness or deep sleep (coma). Causes.-Suppression of urine from Bright's dis- ease; consumption, or cancer, of kidney; child-bear- ing, or surgical operations on the genito-urinary or- gans. Treatment.-Treat the symptoms. For the con- vulsions give a full hot bath and pour cold water on the head. Follow this with a hot air bath, or hot wet sheet pack, to cause sweating and relieve the system. Sponge with cool water to cool the fever. Follow the diet and general rules of chronic Bright's disease. Drugs only do harm. Gravel of the Kidney, or Renal Calculi, or Renal Colic.- Symptoms.-Severe pain in the small of the back, darting down into the thigh; pain in the testicle on 148 MEDICAL HYGIENE. the same side; pain may cause convulsions; great de- sire to pass water; blood in the urine; pain stops after a few minutes or hours. Causes.-Not fully understood; errors in diet and drink. Treatment.-Sit in a tub half full of water hot as can be borne. Drink several eups of hot water. Ap- ply hot cloths to the pain. Take an injection of one to three quarts of water hot as can be borne. Future attacks can be prevented by daily sponge baths, two hours' exercise each day, windows open a few inches day and night, eating only three light meals a day, avoiding meat, alcoholic liquors, tobacco, tea, coffee and drugs as medicines. Better to eat only two meals a day, as thousands do. Better drink soft water, or boil all hard water. Hemorrhage from the Kidneys or Bladder,-Symptom. -Blood in the urine. Causes.-Gravel; congestion of the kidney; acci- dents. Treatment.-Same as for gravel, or renal colic, except use the word " cold " where the word " hot " is used in gravel treatment. Fatty Degeneration of the Kidneys.- Symptoms.-De- bility; puffiness under the eyes; frequent urination; general dropsy; albumen in the urine; cloudy urine; symptoms of uraemia. Causes.-Excessive use of fats; alcoholic liquors; exposure; lack of exercise, and acute inflammation of the kidneys. Treatment.-If the disease is far advanced it is im- possible to completely cure. Better to eat only two moderate meals a day. Avoid alcoholic liquors, beer, tea, coffee, meat, fats, sweets, tobacco, and all starchy substances, as potatoes and rice. Drink DISEASES OF THE KIDNEYS AND BLADDER. 149 plenty of soft, or boiled, water. Take hot air bath or sitz bath, or hot wet sheet pack once a week. Movable or Floating Kidney.-Symptoms.-It may exist a long time and patient not know it. It is felt as a movable tumor, the shape of the kidney. While lying on the side the tumor can often be seen, but ly- ing on the back it can not. Causes.-Pregnancy; corsets; severe falls, or con- genital. Treatment.-It very rarely does any harm. If there is slight pain, wear a bandage around the ab- domen. No treatment except a surgical operation can fasten the kidney in place. The work of the kidneys should be lessened by daily sponge baths and avoiding meat, fats, alcoholic drinks, tea, coffee and tobacco. Catarrh of the Bladder, or Cystitis.- Symptoms.- Acute cystitis has frequent urination; chilliness; pain in lowest front part of the abdomen; burning along the urethra; cloudy urine. Chronic cystitis has slight pain; scanty but frequent urination; white sed- iment of pus settles in the chamber; debility; mental depression. Causes.-Gonorrhoea; inflammation of the womb; drugs as medicines; exposure; gravel; Bright's dis- ease; long retention of urine; careless use of cath- eter. Treatment.-The acute variety gets well in a few days without much treatment. For the chronic variety avoid meat, alcoholic drinks, tea, coffee, and all con- diments, such as spices, pepper, mustard and vinegar. Eat but little or no salt. Take a daily sponge bath and a hot sitz bath or wet sheet pack once a week. If the bladder is much enlarged, the urine should be drawn off with a clean catheter twice a day. Do not 150 MEDICAL HYGIENE. use any drugs. Drink plenty of soft water, or hard water after it is boiled. Irritability of the Bladder.-Symptoms. - Frequent urination; desire to pass water after the bladder is emptied; smarting pain in urination. Causes.-Sexual abuses; masturbation; alcoholic liquors; excessive use of meat; holding the urine too long. Treatment.-Avoid all the causes. Avoid tea, coffee, tobacco, meat, alcoholic drinks, spices and highly seasoned food. Take a daily sponge bath. Take a cold sitz bath for three minutes twice a day. Eat plenty of fruit. Wash out the bowels with a large injection of hot water every other day. Drugs do no good. Paralysis of the Bladder.-Symptoms.-Retention of urine; often severe pain in bladder. Causes.-Same as cause paralysis elsewhere. Treatment.-Empty the bladder with a catheter three times a day. Treat paralysis as directed else- where. Remove all causes. For an hour a day keep hot wet cloths, changed every five minutes, on the lower part of the spine, with cold wet cloths over the abdomen. Gravel, or Stone in the Bladder.-Symptoms.-Same as irritability of the bladder; white or red sediment settles in the chamber; after exercise may be blood in urine; while passing urine the flow may suddenly stop. Causes.-Drinking hard water; excessive use of soda, baking powder and salt; excessive use of meat and alcoholic liquors. Treatment.-Remove all causes. Drink plenty of distilled or soft water, or hard water after it is boiled (it can be cooled after boiling). Take a daily sponge bath, two hours' exercise a day, and keep the windows DISEASES OF THE KIDNEYS AND BLADDER. 151 open day and night. Treat the irritable bladder as described elsewhere. Some claim that drinking plenty of pure soft water will dissolve the stone. Have the stone crushed, as a last resort, by a surgical operation. Drugs do harm and no good. A hot wet sheet pack once a week is helpful. Inability to Hold Urine.-Symptoms.-Passing water every few minutes. Causes.-Catarrh of the bladder; partial paralysis; drugs as medicine, and alcoholic drinks; debility. Treatment.-Remove the cause by proper treat- ment. Follow the treatment of irritability of the bladder. To cure wetting of the bed avoid drinking for three hours before retiring; empty the bladder just before going to bed. Follow the directions for torpid liver. The celebrated Father Kneipp says: " I advised six children, from eight to twelve years old, to walk for three to five minutes in a bath tub with so much cold water as to reach the calves of the legs, and then to take brisk exercise, either in the room or in the open air. After five days only two of the six children wetted their bed; in a few more days these also were cured. After the walking in water they made every time use of the arm-bath, holding their arms in cold water for a few minutes." Retention of Urine.-In this there is tenderness over the bladder. The urine is held in the bladder because of inflammation, paralysis, stricture, tumor, or stone. Generally a hot sitz bath or hot wet cloths over the lower part of the abdomen, or the sound of pour- ing water from one vessel to another, will relieve. If not, then use the catheter three times a day. Suppression of the Urine.-Apply hot wet cloths over the kidneys for an hour. Give hot air baths, or hot wet sheet packs, every day. Give a daily injection of 152 MEDICAL HYGIENE. one to three quarts of hot water. If not relieved, ap- ply alternately ice and hot wet cloths to the kidneys for twenty minutes each and repeat twice, and follow the treatment for congestion of the kidneys. Do not use drugs. Painful Urination.-This is generally relieved by a daily warm sitz bath and avoiding highly seasoned foods, spices and alcoholic drinks. Diabetes Mellitis, or Glycosuria. - Symptoms. - De- bility; emaciation; large quantities of urine contain- ing sugar as shown by a sweetish taste, or the follow- ing test: "Place in a small bottle two or three tea- spoonfuls of the urine and add an equal amount of strong solution of caustic potash. Now add a strong solution of sulphate of copper, drop by drop, until the blue precipitate which is formed is no longer dis- solved. Then heat to the boiling point. If sugar is present the blue color will be changed to yellow or orange." Causes.-Sexual excesses; eating large quantities of sugar; malt liquors. Treatment.-It is admitted by leading drug doctors that this should be treated by diet and not by drugs. Treat the symptoms of dyspepsia, anaemia and nervous exhaustion as directed elsewhere, omitting whatever contradicts the specific treatment mentioned below. Do not eat sweets or starchy food, as pota- toes, peas, rice, oatmeal, cracked wheat, honey, corn meal, and sweet fruits. Eat all kinds of meat, but very little bread; sour fruits (oranges, peaches and sour apples), and green vegetables, as lettuce, cucum- bers, asparagus and green beans. Keep the skin active by a daily sponge bath and hot sitz bath once a week. Some claim to have cured this by allowing the FEVERS. 153 patient nothing to eat but two or three quarts a day of skimmed milk. Exercise two hours a day. Diabetes Insipidus.-Symptoms.-Great thirst; pass- ing one to five gallons a day of pale urine, free from sugar or albumen. A pint and a half to three pints a day is the normal amount of urine. Causes.-Heredity; malaria; syphilis; debility. Treatment.-Drink but little. Eat only fruits, grains and vegetables. Avoid meat, tea, coffee, tobacco and alcoholic drinks. Do not use iced drinks or foods. Take a daily sponge bath, and a hot sitz bath or hot air bath twice a week. Avoid all drugs. Keep the windows open a few inches day and night. fevers. Any Fever.-All fevers, no difference by what name they are called, are treated practically in the same way. The quickest, surest and best way to cool any fever is by one of the following hygienic plans: (1) Sponging the whole body, except arms and legs, with cool, or tepid water. (2) Wrapping a cool wet sheet around the body, keeping the feet warm with hot irons, and cold cloths on the head. (3) Pouring cold water on the head, held over the edge of the bed. (4) Injecting into the bowels a pint or quart of cold water, even ice-cold in high fevers. (5) Putting the whole body, up to the chin, in cool water. Some put the body in tepid water, then cool it by cold water and ice. (6) Keeping cold wet cloths on the bowels and chest and sponging down the middle of the back. (7) Giving the patient ice water to drink. Tens of thousands of cases have 154 MEDICAL HYGIENE. been treated by the above and always with success, never with failure. I have heard drug doctors admit that the drugs given to cool the high fevers often killed the patient. If the fever is only moderate, then sponging with cool water is sufficient. I have seen high fevers reduced to normal in ten or fifteen minutes just by pouring cold water on the head (this also relieves nausea and vomiting). Use any one of the above plans until the fever is reduced to nearly normal. This will take ten minutes to three hours, and if the fever returns repeat the remedy. The cool wet sheet should be used when the fever is at its highest, at least not when the fever has been going down till it is already near normal. A sick person should have to drink all he wants of water, or water flavored with fruit juice. As to diet, in the beginning of any sickness it is best to eat nothing for twenty- four or forty-eight hours. In high fever there is little or no digestive fluid in the stomach. Toast, gruels of the grains, milk, vegetable soups, grapes, oranges, lemons and cooked apples are the best diet in fevers and sickness, avoiding vegetables, meat, sweets, meat soups and beef tea. In sickness drinking plain hot water and putting hot irons or bottles of hot wa- ter around the body, is a better stimulant than whisky. I have often seen stomachs too weak to hold anything down, keep and digest a gruel made by boiling for half an hour two tablespoonfuls of rolled oats in a quart of water. Be sure to keep the windows open day and night, winter and summer, for both sick and well. Let plenty of sunshine in the room. (Dr. I. N. Love, of St. Louis, says in the Medical Mirror for August, 1895, that " the vitality of the germs of con- sumption is rapidly destroyed by direct sunshine.") Have but little cover over a fever patient. Do not FEVERS. 155 allow visitors or callers except to nurse or help work. Keep the room quiet, but don't whisper. When nec- essary to speak, talk out loud. Keep the room cool, about sixty-five or seventy degrees, if possible. Fevers, the same as all other diseases, are greatly helped toward cure by a daily quick hot sponge bath, which keeps the skin pores open. Treat all symp- toms, as headache, diarrhoea, sleeplessness, hemor- rhage and debility as directed elsewhere in this book. Cold wet cloths or ice on the head relieves delirium. Pains in the back or legs are relieved by warm baths and hot sponging. Ice on the abdomen, bits of ice in the rectum, or sitting in cold water, stops bleeding in the bowels. Wash out the bowels every day by injecting one or two quarts at a time of tepid water. You do this be- cause many, if not most, diseases come from constipa- tion, because the filth staying in the bowels is ab- sorbed and goes all over the body, poisoning every part. If there is great prostration it is better to cool the fever by sponging the back and chest, not using the wet sheet or pouring cold water on the head. Avoid all drugs, meat, alcoholic stimulants, tea, coffee, tobacco, cake and other pastry. The chamber should always contain a solution of copperas, one pound to the gallon of hot water, or other disinfect- ant, and as soon as the chamber is used it should be removed from the room and its contents buried in the earth at a safe distance from any well or cistern. The discharges of a patient suffering with a contagious or communicable disease should not be put in a common privy or water closet, for this often spreads the dis- ease. It is well for every family to have a fever ther- mometer. Ninety-eight and one-half degrees is the normal temperature. One degree above that is slight 156 MEDICAL HYGIENE. fever; three degrees above is moderate fever, and four to seven degrees is high fever. Hold the ther- mometer in the mouth or tight in the armpit for five minutes. Be sure to shake the mercury down to 98 before using it. Dr. C. E. Page says in the "Arena" for September, 1892: "In my fever practice I have frequently ob- served the effects of fasts of six, eight, ten and twelve days to be in the highest degree productive of the health and comfort of patients, as, on the other hand, I have, during the past twenty years, observed deplor- able effects of the almost universal plan of constant feeding. In some of these most distressing cases that have happened to be thrown in my way, when all hope in the minds of friends had been abandoned, I have found that withdrawal of food, drugs and stimulants, and the substitution of simple, fresh, soft water, has produced results that seemed almost miraculous." Simple Tever.- Symptoms.-Chilliness; fever; head- ache; coated tongue; scanty, highly-colored urine. Causes.-Over-work; over-eating; excitement; ex- posure. Treatment.-Rest in bed. Fast a day or two, or at least eat but one light meal a day. Open the skin pores by a hot sponge bath. Cool the fever by spong- ing with cool water. Move the bowels by a large in- jection daily. Do not use drugs. Influenza, or Grip, or La Grippe.-Symptoms.-Chill; fever; aching of the whole body; watery eyes and nose; loss of appetite; debility. Causes.-Claimed to be little organisms; baccilli. Treatment.-Same as simple fever. Dr. Atkinson, of St. Louis, said that more people who had la grippe died from the antipyretic medicine than from FEVERS. 157 the disease. Instead of whiskv, or other stimulant, drink hot water and take hot foot baths. Typhoid Fever.-Symptoms.-Begins slowly; usual fever symptoms of chills, headache, nausea and loss of appetite; may be nosebleed; diarrhoea or constipa- tion; temperature rises to 103 or 106 degrees; more Or less delirium; at end of first week a few red spots appear on the abdomen, chest or back; low down on the right front side of the abdomen tenderness and gurgling on pressure; may be hemorrhage from the bowels; first two weeks fever is about same all the time; beginning of third week the fever is less and less in the morning, but the same in the evening. It generally lasts several weeks. Causes.-Contaminated water and milk. It is next to impossible to take typhoid if you drink only boiled water (not merely filtered) and wash the bowels out once or twice a week with an injection at one time of one to three quarts of hot water. Treatment.-Keep the bowels washed out thor- oughly with large injections of hot water. Use the hot wet sheet pack daily for an hour the first two weeks to draw the poison from the system. The well known Dr. A. C. Bernays, of St. Louis, says the best physicians do not now use a single dose of medicine for typhoid fever. Follow the treatment recom- mended for " Any Fever " at the beginning of this chapter. Water, orangeade, and sour lemonade are the only foods necessary. Some use milk. Use no solid food for a month or two after all fever has stopped. Keep cold wet cloths on the abdomen to avoid hemorrhage and to cool the fever. Typhus Fever, or Ship Fever.-Symptoms.-Largely same as typhoid, except it begins suddenly and has violent delirium, with an eruption like measles. 158 MEDICAL HYGIENE. Causes and Treatment.-Same as typhoid. In two weeks the fever suddenly declines. Cerebro-Spinal Fever.-Symptoms.-About the same as spinal meningitis, except this is epidemic, has eruptions on the skin, and begins suddenly. Causes.-Not known. Treatment.-Same as spinal meningitis, and "Any Fever" at the first of this chapter. Relapsing Fever, or Bilious Typhoid.-Symptoms.- Begins suddenly; usual high fever symptoms; no eruption; fever disappears in one or two weeks, but may return in a few days and have three or four of these relapses; spleen greatly enlarged. Causes and Treatment.-Same as for typhoid. Ague, or Chills and Fever, or Intermittent Fever.- Symptoms.-It has a cold, a hot and a sweating stage. These three symptoms may come every one, two, three or four days. Causes.-Malaria. Treatment.-Fast on the chill day. Take a hot sitz bath or hot wet sheet pack for an hour on the well day. Eat plenty of sour fruits. Warm the patient in the cold stage by hot bricks and drinking hot water, and cool him in the hot stage, and let him alone in the sweating stage. Follow the general directions given under "Any Fever" at the first of this chapter. Quinine and all drugs are unnecessary. If the case continues, then move out of the malarious district. People who sleep and live upstairs do not have the ague. For ague cake, see page 92. Bilious, or Remittent Fever.-Symptoms.-Cold, hot and sweating stages, with the usual symptoms of fever (headache, vomiting and coated tongue). Causes.-Malaria. Treatment.-Practically same as typhoid. Use FEVERS. 159 the cool wet sheet pack to cool the fever, and the hot air bath or hot sitz bath when the fever is lowest or absent, to remove the poison. Do not use drugs. Typho-Malarial Fever.-This is typhoid, complicated with malaria, and needs same treatment as typhoid. Congestive Chills, or Pernicious Fever.-Symptoms.- Chills; violent symptoms, as extreme coldness, or con- vulsions, or hemorrhage, or vomiting. Causes.-Excessive poison by malaria. Treatment.-Same as for ordinary ague, except much more vigorous. During the chill apply hot bricks, bottles of hot water, and drink hot water; rub the skin vigorously. Apply ice cold cloths and ice to the head. Do not use drugs. Yellow Fever.-Symptoms.-Three stages: (1) Vio- lent fever for one to three days with delirium; (2) no fever for one to four days; (3) collapse with high fever, yellow skin, and often a black vomit. Causes.-A specific poison with hot weather. Treatment.-Experience has proven the following to be the best treatment: Use no drugs. Wash out the bowels by large injections twice a day; ice cold cloths for the pain in the head; put nothing in the stomach but water till convalescence occurs; then gruels. Follow the directions for "Any Fever" given at the first of this chapter. Dengue, or Break-Bone Fever.-Symptoms.-Usual fever symptoms, with great aching, soreness and swollen joints. Treatment.-Same as for "Any Fever" at first of this chapter. Scarlet Fever.-Symptoms.-High fever, followed in twenty-four hours by a bright scarlet rash on the neck and chest, which covers the whole body in a few hours. 160 MEDICAL HYGIENE. Treatment.-Same as for "Any Fever" at the first of this chapter. Drugs are useless and harmful. Remove all carpets, curtains and useless furniture from the room. Thoroughly disinfect or burn all clothes, toys and vessels. Give a hot sponge bath twice a day. It is highly contagious. Do not allow visitors. When the patient has recovered, burn two pounds of sulphur in the room tightly closed, and leave closed for twenty-four hours. Scrub or re-paper the walls. Measles.- Symptoms.- Resembles a severe cold; eruption begins on the neck; red spots run together; the eruption fades away in five or six days. Treatment.-Wash out the bowels daily with large injections of hot water. Wrap up in a hot wet sheet or take a full hot bath to bring out the measles. Drink cold water. Eat but little. Take a hot sponge bath daily. Keep the windows open day and night. Drugs do no good. German Measles, or Rubella.-Symptoms and treat- ment the same as measles. Smallpox.- Symptoms.- Chill; vomiting; intense pain in the back; great prostration; eruption appears the third day; sixth day the spots arc little blisters; eighth day the pus forms, with the point of the cone depressed. Treatment.-Treat the same as for "Any Fever" at the first of this chapter. It may be necessary to tie the hands to keep them from scratching. To pre- vent pitting, cover the face and hands with linseed oil, and keep them covered with cool wet cloths, fre- quently changed. Use no drugs. Keep the room well ventilated, and there is but little danger of the nurse catching smallpox. Chicken-Pox, or Varicella.-Treat the same as "Any FEVERS 161 Fever" at the first of this chapter. Avoid drugs. Erysipelas.-Symptoms.-High fever; nausea; skin swollen, glossy and red; eyes may swell shut. Treatment.-Never use iodine nor any drug. I have seen erysipelas in its worst form treated success- fully as described for "Any Fever" at the first of this chapter. Rose Rash.-Treat same as measles. Diphtheria.-Symptoms.-Slight fever; prostration; glands of throat and back of neck enlarged; grayish- white false membrane in the throat. There may be white patches in the throat without croup or diph- theria. Treatment.-Open the bowels with large injections of hot water, two to four times a day. Keep the feet and hands hot. Apply ice cold cloths, or pounded ice in a muslin rag, to the throat. Every half hour apply hot wet cloths to the throat for ten minutes. Hold ice far back in the mouth. Give daily a hot sitz bath or hot sponge bath. Do not give any food till the crisis is past. The above treatment will save every case if begun early and carried out thoroughly. Follow the advice for "Any Fever" at the first of this chapter. As a disinfectant for the throat, mix one part glycerine and three parts of water, and put into this four drops of carbolic acid to the ounce of the mixture. Swab the throat with this mixture every half hour. Some of the best physicians of New York City have declared the anti-toxine treatment a com- plete failure. Mumps.-Symptoms.-Painful swelling below the ear. Treatment-Follow the advice for "Any Fever" at the first of this chapter. If they "go down" into the scrotum, simply rest in bed with cold wet cloths on the parts. Do not use drugs. 162 MEDICAL HYGIENE. diseases. Acute Rheumatism.-Dr. C. E. Page says that a fast (drinking water when hungry) of one to eight days cures every case of acute rheumatism, as well as many other diseases. Treat same as chronic rheumatism. Avoid drugs. Chronic Rheumatism.-Follow the treatment for tor- pid liver. Take a hot sitz bath one day, and a hot air bath or hot wet sheet pack the next for two weeks. Then take a hot sitz bath or hot wet sheet pack twice a week for two weeks. Wash the bowels out every other day with an injection of one to three quarts of hot water at a time. Avoid meat, alcoholic drinks, tea, coffee, rich foods, tobacco and drugs. Boil all hard water used to drink. Eat plenty of fruit and grains. Eat only three meals a day. Keep the win- dows open day and night. Rub and knead the bowels twice a day for five minutes. For a half hour each day have massage, or practice gymnastic exercises (such as standing up and bending the body forward, sidewise and backward; lying on the back and lifting the feet straight in the air several times, etc.). If painful and stiff joints, rub them and apply hot wet cloths. By the above plan, without drugs, I cured a man in four weeks who had not been able to cross his legs or put on his shoes for two years. Gonorrhoeal Rheumatism.-This generally affects the knee, but may go to other joints. It comes on at any stage of gonorrhoea or gleet. Remove the cause, and treat same as chronic rheumatism. Gout.-Avoid meat, eggs, alcoholic drinks, tea, coffee and drugs. Treat same as acute and chronic rheumatism. UNCLASSIFIED DISEASES. 163 Muscular Rheumatism.-Wear flannel. Apply hot wet cloths and bottles of hot water. Treat same as rheumatism. Synovitis.-This is an inflammation of the lining membrane of a joint; shown by swollen joint. Treat same as rheumatism, together with rest to the joint, application of hot cloths, massage (rubbing and mov- ing the joint thoroughly twice a day). As soon as possible exercise should be taken. Avoid drugs. White Swelling.-This is chronic synovitis, and needs the same treatment. Cholera.-The best prevention of cholera is a diet of fruits and grains, and washing out the bowels every other day with large injections. Abundance of ex- perience has shown that the best treatment, even after the patient is in the state of collapse, is to wash out the bowels three or four times a day with two to four quarts at a time of hot salt water, and put him in a full hot bath to produce sweating. Use no drugs. Cool the fever, and manage as described for "Any Fever" at the first of this chapter. Hydrophobia.-Not one in a thousand bitten by a mad dog takes hydrophobia. Under drug treatment it is never cured, but with hygiene it is generally cured. J. Laurie, M. D., says the thorough vapor bath has cured it, even after convulsions have com- menced. S. W. Dodds, M. D., says the full hot bath up to the neck has cured several cases. Mad dog stones and drugs are useless. If bitten, have some one suck the wound, then take a full hot bath to open the skin, and wash out the bowels daily with in- jections of one to three quarts of hot water at a time. Scrofula.-This requires exactly the same treatment as anaemia and nervous exhaustion. Piles.-Nearly every case is readily cured by hygiene. 164 MEDICAL HYGIENE. I have cured bad cases of six and seven years' stand- ing without drugs or surgery. Follow the treatment recommended for torpid liver, and take a hot sitz bath every other day. Moderate gymnastic exercises are good. This will cure in from one to four weeks. It is much better to eat only wholemeal (graham) bread. Fistula in Ano.-Dr. T. R. Allinson says this disease generally gets well in a few months by practically the same treatment as for torpid liver. Prolapsus of the Bowel.-I cured one case of this by the same treatment as for piles. Chronic Ulcers.-I have cured several cases simply by the constant application of cold wet cloths, after they had used various drugs and doctors. Take a daily sponge bath; keep the windows open day and night. Avoid meat, grease, tobacco, drugs, alcohol, tea and coffee. Hernia.-This can often be cured without surgery, truss or drugs. I cured a bad case, without drugs or surgery, where the patient had worn a truss for seven years, and was unable to walk a step without it. Send to John B. Alden, New York, N. Y., for " Pelvic and Hernial Therapeutics," by G. II. Taylor, where the full treatment is described. Massage, ice, cold water, hot water, and full hot bath are remedies to reduce a hernia that does not go back into place. Common Cold.-Take a hot foot bath (not merely warm) and drink plenty of hot lemonade, or plain hot water, just before going to bed, and do not eat any breakfast next morning. It is better to take a hot sitz bath before going to bed, as the object is to sweat. Eating only one meal a day for two or three days cures all common colds. Never take drugs. Obesity, or Too Much Fat.-This is caused by eating UNCLASSIFIED DISEASES. 165 more food than necessary. A working man needs more food than one who has but little exercise. Avoid all drugs and anti-fat medicines, for they injure the health. Avoid meat, grease, eggs, alcoholic stim- ulants, sweet fruits, sugar, milk, sweet foods, nuts, tea and coffee. Eat but three spare meals a day of green vegetables, sour and sub-acid fruits, and grains. Do not use sugar or grease in the cooking. Exercise vigorously at least two hours a day. Take at least two hot baths a week. Keep the bowels open with injections. Keep the windows open day and night. Plethora.-This is too much blood, and needs the same treatment as obesity, and also every other day a hot air bath, or hot sitz bath, or hot wet sheet pack. Pain.-Pain is relieved by heat, cold, electricity, rubbing, rest and position, diet and drugs. Drugs are needed only in very rare cases. Hot wet cloths, or bottles of hot water and hot bricks, relieve most ordinary pains. Ice, or ice water, or cold water, relieves pain of inflammation, beginning felon, some forms of neuralgia, headache, toothache and rheuma- tism. Freezing by ice relieves pain of cancer. Hot sitz baths or hot air baths relieve most pains, espe- cially of menstruation. Rubbing with the hand often relieves headache, neuralgia or pain in the joints. Pressure by bands, or the hands, often relieves head- ache, pleurisy and pleurodynia. Abstaining from tea, coffee, meat, tobacco and alcoholic drinks often relieves neuralgia and cancer. Drinking large quan- tities of hot water relieves pain in kidneys, bladder and painful urination. Dr. J. H. Kellogg says: "As a general rule, too, the drug employed for the relief of pain, when it is long continued, creates a disease often worse than that it is attempting to cure." Insanity.-Dr. Page, in "Natural Cure," published 166 MEDICAL HYGIENE. by Fowler and Wells, New York, says: "Compara- tively few, even of the co-called hopelessly insane, but might in the early stages of their disease be com- pletely restored, and at any period so long as there is great vital force." His plan is fresh air, bathing, an absolute fast, then a limited fast, always abstaining from drugs, meat, rich foods, condiments, tea, coffee, tobacco and alcoholic drinks. Hot air baths are also highly recommended for insanity. Toothache.-Consult a dentist. Avoid sweet foods, tea, coffee and alcoholic drinks. A day's fast gener- ally cures it. Earache.-Take a hot foot bath, or a hot sitz bath, and apply large hot cloths to the ear, or hot bricks, or bottles of hot water. Have them hot as can be borne; or press gently and firmly a cold damp (not wet) cloth to the back of the head, and have hot to the feet. Do not simply put on a wet cold cloth. Fast a day or two, if necessary. Do not put oil in the ear. Running Ears.-Wash or syringe the ear with warm water twice a day. Apply cold, or hot, wet cloths for a half hour twice a day. Be sure to take a daily hot sponge bath. Exercise two hours a day. Keep the windows open day and night, and avoid meat, tea, coffee, tobacco, alcoholic drinks and drugs. Bad Hearing.-By the above plan for running ears I cured a case of total deafness for three weeks from rupture of the drumhead of the ear by an abcess. Prof. Kirk cured some by applying to the back of the head for an hour each day a rubber bag of hot water. Do this for a week, then omit it a week, then apply it again for a week, and in a few weeks good hearing will return. Some have been cured of total deafness in a few weeks by applying for a half hour a day large UNCLASSIFIED DISEASES. 167 hot wet cloths to the back of the head, and also mas- sage every day to the back of the head and neck. Applying cold wet cloths to the ears cures some. Treating enlarged tonsils cures some. Injections of warm water into the ear, washing out hardened wax, cures some. Some cannot be cured. Catarrh of the Middle Ear.-Symptoms.-Pain; noises in the ear; uneasiness in the ear; suppuration. Fast a day or two. Apply cold wet cloths, then hot wet cloths, each for half an hour a day. Pour cold water on the head for five minutes three times a day. Wash out the bowels once a day with a large injection. People subject to this disease should take a daily sponge bath, keep the windows open day and night, and avoid meat, rich foods, tea, coffee, tobacco, alco- holic drinks and drugs. Rupture of the Drumhead of the Ear.-This is caused by blows on the ear, loud sounds, accidents and ab- cesses. It sometimes causes permanent deafness, but generally heals itself without deafness, if left alone a few weeks. Singing, or Noises in the Ear.-This is caused by ear wax, anaemia, plethora, biliousness, sick headache, gout, heart disease, Bright's disease, chlorosis and changes of structure. All but the last form can be cured by removing the cause. Foreign Bodies in the Ear.-Bend the head to hold the affected ear down, then gently syringe in warm water. The forceps, or a loop of fine wire may remove it. Use great care. If an insect, drop in a little sweet oil or glycerine. Gonorrhoea, Sterility, Syphilis, Masturbation, Impotence, Gleet, and all diseases of men are described and suc- cessful hygienic treatment given in a small book 168 MEDICAL HYGIENE. called "Mysteries and Diseases of Men,'' by the author of this book. Cancer.-Symptoms.-Hard tumor; cutting pains; fetid, watery ulcer, with thick lips. Treatment.-Many cases have been cured, or ren- dered inactive for life, by eating only one spare meal a day of fruits, grains and vegetables, avoiding meat, tea, coffee, tobacco, alcoholic drinks, condiments, rich foods, pastry and drugs. Take a daily sponge bath, keep the windows open day and night, and exercise according to strength. The above diet, even if three meals a day are eaten, greatly lessens the pain. Surgical operations arc rarely successful. Many growths are called cancer that are not. Tumors.-Most tumors are best treated by a surgical operation, but many can be cured by hygiene. Im- prove the general health. Eat only three, better two, spare meals a day of fruits, grains and vegetables, avoiding meat, rich foods, tobacco, drugs, alcoholic drinks, tea and coffee. Drink filtered rain water, or boil all hard water. Take a hot sitz bath or hot wet sheet pack once a week. Take a daily sponge bath and keep the house well ventilated day and night. Take a large injection every other day to remove all poisons from the bowels. Massage the tumor and apply the cold douche daily. Dropsy.-Wherever the dropsy is, it requires a dry diet. Drink nothing but water and only for thirst. Take daily a hot air bath, hot wet sheet pack, or hot sitz bath. The diet should be simply fruits and grains, avoiding meat, alcoholic drinks, tobacco, tea, coffee and drugs. Sore Eyes, or Conjunctivitis.-Give the eyes rest; shade them from the light; apply cold wet cloths, frequently changed; sponge them with hot water UNCLASSIFIED DISEASES. 169 twice a day. Be sure to improve the general health with a sponge bath every day and keep the windows open all the time. Every other day take a hot wet sheet pack. One of the busiest and most widely known eye doctors in St. Louis, says that drugs used in well eyes would make them sore, therefore he says do not use them to cure sore eyes, for drugs only make sore eyes worse. The diet should be simple and light. If only one eye is sore, protect the other by using separate towels for the two eyes. Granular Lids.-Treat same as sore eyes, except apply also hot wet cloths for ten minutes once a day. Stye.-This is a small boil on the eyelid. Ice cold cloths applied thoroughly at iirst may shorten their time, but it is generally best to apply hot wet cloths. Twitching of the Eyelids.-This is a nervous disease, though it may occur in people who seem well. Treat same as for nervous exhaustion. Inflammation of the Cornea, or Pannus.-Apply hot wet cloths and massage (rub the eye round and round with the hand). Treat as for sore eyes. Cataract.-A plain vegetarian diet, bathing and good hygiene often cures this. A surgical operation is often successful. Spots Before the Eyes.-Follow the treatment for torpid liver and indigestion. Poor Sight.-An eye specialist, or oculist, should be consulted, and buy properly fitting glasses, having each eye tested separately. Never buy of spectacle peddlers. Any Disease of the Eye should be treated by hygiene, surgery, or eye-glasses. Never use a drop of patent eye waters or drugs in the eye. Blacked Eye.-A blow on the eye may turn the skin black. The best remedy is to apply cold wet cloths. 170 MEDICAL HYGIENE. Rickets.-Symptoms.-Pale face;'emaciation; head enlarges; curvature of the spine; joints enlarge and long bones become curved. Treatment.-Avoid drugs. Keep the child in the fresh air and sunshine with a daily hot sponge bath. If the child is nursing, the mother should eat only fruits, grains and vegetables, and observe all the rules of hygiene. If the child is not nursing it should eat plenty of fruits, with grains (rolled oats, cracked wheat, hominy and rice) and vegetables, avoiding meat, tea and coffee. Give a hot wet sheet pack twice a week. Ulcer of Bone, or Caries. - These are cured by hygiene. The spinal column, the foot and ankle, are the most commonly affected. Improve the health, and as the blood improves the ulcer heals. Take a daily hot sponge bath. Keep the windows open night and day; keep the ulcer well wrapped in cold wet cloths; take a daily sun bath, or walk in the sun; exercise according to strength; wash out the bowels with large injections every other day. Eat but three spare meals a day of fruits, grains and vegetables, avoiding meat, tobacco, alcoholic drinks, tea, coffee, rich foods, pastry, eggs, milk, vinegar, mustard, pep- per, spices and drugs. Take a wet sheet pack, or hot air bath, or hot sitz bath, twice a week. Avoid surgery. Necrosis, or Death of Bone.-This is similar to caries and requires the same treatment. Softening of Bones, or Osteomalachia.-Symptoms.- Aching in the bones; back, ribs and pelvis are first affected and serious deformities occur; pains resem- ble rheumatism; occurs always in pregnant women. Causes are unknown. Treatment.-This very rare disease is pronounced UNCLASSIFIED DISEASES. 171 incurable. Good hygiene prevents its attack. Treat same as rickets. Osteitis, or Inflammation of Bone.-Symptoms.-Ob- scure at first; rheumatic pains in bones; bone tender, and may suppurate or enlarge and deform. Causes.-Injury; syphilis; scrofula; rheumatism. Treatment.-Remove the cause. Give rest and apply hot wet cloths and treat the same as rickets. Skin Diseases.-The treatment given for " ulcer of bone, or caries," will cure nearly all skin diseases, no difference what their name, including erythema, eczema, herpes, rash, psoriasis, blebs, comedo, pru- rigo, pityriasis,, impetigo, dry skin, dandruff, exces- sive sweat, itching, freckles and others. Many skin diseases are helped by keeping the skin soft with vaseline. Dr. T. L. Nichols, speaking of hygiene cur- ing all skin diseases said, " Leprosy, that would in some countries condemn its victim to lifelong seclu- sion from relatives and friends, I have cured by wet sheet packs and hot air baths." Sea Sickness.-This is caused by the motion of the ship affecting the nervous system. In an eight days' voyage across the Atlantic, I was deathly sick four days, although I had been careful in diet for a month previous. If I kept my eyes on the floor of the deck, I had no inclination to vomit, but one glance at the waves brought nausea. Treatment.-Drugs nor alcoholic drinks are of any service. Eat nor drink nothing but hot water till the attack is well over. Take a daily sponge bath and stay on deck in the fresh air. Night Sweats.-This accompanies consumption and general debility. It is not a sure sign of consump- tion. Consumptives do not always have it. I have seen it begin in a few minutes after the patient falls 172 MEDICAL HYGIENE. asleep and be so great as to completely wet the night- dress. The best treatment is to take a hot sponge bath at bed time, and eat a light supper. Drugs do no good. Bad Breath.-In diabetes the breath smells sweet like apples. In Bright's disease it smells like urine. In last stages of consumption it is very offensive. It is also caused by bad teeth, high fever, indigestion, ulceration of the mouth, constipation and lack of washing the teeth. Remove the cause. Cold Feet.-Exercise two hours a day. Wear under- wear long enough to go inside the shoe tops, not a few inches above the shoe top. Take a cold foot bath for two minutes, then rub them dry. Follow the treat- ment for anaemia. Sweating Feet.-Improve the general health. Take a daily sponge bath. Wash the feet night and morn- ing. Wear clean, not simply dry socks, and broad- soled shoes. Fainting.-Lower the head to a level with the feet; sprinkle cold water on the face; loosen the clothing. To cure it, follow the treatment for anaemia. Pimples.-Arc generally quickly cured by avoiding meat, grease, butter, rich foods, pastry, sugar, mas- turbation, and large amounts of salt. Burns and Scalds.-Immerse the burnt part in cold water, or apply cold wet cloths. If the burn is small apply common cooking soda; if large, apply cloths covered with melted fresh lard (unsalted lard), or carron oil. Carron oil is composed of equal parts of linseed oil and lime water. Leave these cloths on till matter forms, then remove them and wash with warm water and castile soap. After that change the greased (or oiled) dressings once a day, and wash with warm water and castile soap. Bath the whole body daily. UNCLASSIFIED DISEASES. 173 Keep the patient quiet. Keep the windows open. The diet should be light at first, as gruels, toast, or milk and barley water in equal parts. Avoid drugs, meat, tea, coffee, and alcoholic stimulants. Boils and Carbuncles.-Eat only three spare meals a day of fruits, grains and vegetables, avoiding fats, meat, sweet and rich foods, pastry and drugs. Ice ap- plied early may cut them short. Hot wet cloths ease the pain. Do not open till they are fully ripe. After the core is pressed out, apply cold wet cloths. Itch.-Mix two ounces of sulphur with one pound of lard and rub on the clean skin for three nights, then wash it all off. This kills the little animals in the skin that cause itch. Ringworm.-This is caused by a parasite. Apply common black ink twice a day to kill it. If on the scalp the hair must be cut short. Improve the health with daily bath, exercise fresh air and plain food. Felon or Whitlow.-Dr. Allinson says never to cut a felon and that "simple diet, rest and hot wet cloths will quickly cure such complaints and without opera- tion." Apply the hot wet cloths thoroughly every four hours. Eat nothing but a glass of hot milk four or five times a day till the bad symptoms are passed. I have seen felons cut short and driven back by hold- ing the hand in ice water for ten minutes about every hour. Red Nose.-Follow the treatment for dyspepsia. Eat but three meals a day. Chilblains.-Just before going to bed take a foot bath hot as can be borne, followed by a cold foot bath. Take plenty of exercise and observe the best hygiene. Lice.-For head lice and crab lice saturate three times a day with common coal oil, or kerosene. Or 174 MEDICAL HYGIENE. for crab lice apply red precipitate mixed with lard. For body lice simply change clothing and bathe. Kill those on the clothing by hot water. Nightmare.-Avoid meat, late suppers, over-eating, sweetmeats, tea and coffee. Take a daily bath and keep the windows open day and night. Abcess.-They form as a result of inflammation and are generally accompanied by slight fever, chills, swelling, pain and throbbing. Failing health is about the only sign of a chronic abcess. The best treatment is to apply hot wet cloths and when fully ripe open with a knife if they do not open themselves. Wash them out daily with hot water and apply cold wet cloths. Cuts and Wounds.-Stop the bleeding; wash out the dirt and remove foreign bodies; bring the edges of the wound together by stitches, or sticking plaster, or a bandage. Stop the bleeding by pressure, or tightly tie a handkerchief between the wound and heart. If the wound is serious call a surgeon or take the patient to him. In sewing up a wound use white silk thread and a clean needle, leaving them in boiling water for five minutes before using. Put the stitches about one- fourth of an inch apart and remove them after three or four days. Cold wet cloths should be kept on the wound. Get clean cloths every day. Give a sponge bath daily, with daily large injection into the bowels, and a spare diet. Accidental Poisoning.-1. Drink a pint of warm water (with a teaspoonful of mustard in it is better), and tickle the throat to cause vomiting. Repeat this. 2. Give white of egg, or cream, sweet oil. 3. If an acid, give a teaspoonful of common soda in a glass of milk. 4. If an alkali (as potash or lye), give the juice of two or three lemons, then oil or cream. 5. If the patient UNCLASSIFIED DISEASES. 175 wants to go to sleep, apply alternate hot and cold to the spine and walk him about. Drink plenty of hot water. A hot wet cloth over the heart stimulates it if it flags. Convulsions.-These may last only a minute, or half an hour. Put the child in a hot bath and pour cold water on its head. When the hole in its head sinks in during a convulsion, showing lack of blood, turn its feet higher than its head. Wetting the Bed.-This is caused by poor health, drinking too much, late suppers, constipation, worms, kidney disease, stone in the bladder, masturbation, and a lazy habit. Remove the cause and treat as de- scribed for inability to hold the urine on page 151. Falling of the Bowel, or Prolapsus Ani.-When the bowels move, the intestine comes out a little way. It is caused by poor health, constipation, worms, and straining at stool. Carefully put the intestine back with your finger. Remove the cause. Improve the health by daily sponge bath, open windows night and day, sunshine, exercise, and a diet of fruits, grains and vegetables. Avoid drugs, rich food, meat, tea and coffee. Scald Head, or Eczema of the Scalp.-This is gener- ally found in scrofulous children and is often started by lice and uncleanliness. Treat same as scrofula and skin diseases. Stammering.-This is a habit, rather than a disease, and comes from imitation and excitement. Encour- age the child; calm it; encourage it to sing, to recite poetry, and if it begins to stammer stop it, and have it begin at the beginning. Curvature of the Spine.-If the disease is not too chronic it can be cured by hygiene. Follow the treat- ment for torpid liver. Massage the muscles of the 176 MEDICAL HYGIENE. back for half an hour twice a day. Swing by the hands for five minutes three times a day. Climb a ladder hand over hand for five minutes twice a day. This may cure if applied thoroughly for two or three months before a plaster jacket is employed. Hip Joint Disease.-It is generally caused by hered- itary consumption and an injury. Symptoms are drawing up of the leg; wasting muscles; pain in the knee; child cries out in its sleep. Treatment.-Hot sponge bath every other day. Open windows day and night. Plenty of sun baths and sunshine. Diet of fruits, grains and vegetables. Injections of iodoform and sweet oil into the joint by a surgeon. Walk on crutches and have a raised sole put on the shoe. Do not allow any cutting into the joint. Avoid drugs. A Sick Child.-Many children from two to fourteen years of age, vomit, have fever, coated tongue, head- ache and loss of appetite. I have cured many cases with a hot bath, a large injection into the bowels, and wearing over night a hot wet towel around the chest. Repeat all the treatment next night if necessary. Eat but little. Use no drugs. HHseaoeo of Women. Painful Menstruation, or Dysmenorrhoea.- This is caused by corsets, constipation, high living, nervous exhaustion, taking cold, torpid liver, and wrong posi- tion of the womb. Remove the cause. Take a hot sitz bath and drink hot water. Rest pn bed and eat but little. Keep the feet hot. Apply hot wet cloths. Follow the treatment recommended for anaemia. I have seen severe cases greatly improve by taking a large injection of hot water into the bowels every other day. Avoid eating meat, rich foods, pastry, tea, coffee, and all drugs. Avoid corsets and hang the skirts from the shoulders. Scanty Menstruation.-Improve the health by the treatment recommended for anaemia and when the woman gets plenty of blood she will menstruate fully. Never use drugs. A consumptive whose men- struation stops should never try to force menstrua- tion. If there are tumors or a wrong position of the womb, they should be treated. A hot sitz bath in- creases the flow. Avoid corsets. No Menstruation, or Amenorrhoea.-Causes.-Preg- nancy; taking cold; change of diet or residence; con- sumption; ulcer of stomach; piles or other bleeding; deformity. Remove the cause. At the expected time take a hot sitz bath, or a hot wet sheet pack, with drinking hot water and applying hot cloths and bricks. Rest in bed. Avoid all drugs. If there is 177 178 MEDICAL HYGIENE. a deformity the abdomen will swell and give pain, and this needs a surgeon. Profuse Menstruation.-This is generally caused by plethora, or debility, or congestion of the womb. Treat the cause. If there is plethora eat but two meals a day, with plenty of out-door exercise and two cold sitz baths each day between menstruation. Ap- ply cold wet cloths over the lower part of the abdo- men. If the menstruation lasts much too long it is instantly stopped by a cold sitz bath. Wear the union suit underwear and hang the skirts from the shoulders. Menstruation too Close Together.-This is caused by debility. Some menstruate normally every three weeks. Apply cold cloths if profuse. Improve the general health by two hot sitz baths a week, and a diet of fruits, grains and vegetables. Take an injec- tion of one to three quarts of hot water at a time into the bowels every other day. Avoid meat, rich foods, drugs, and sexual excesses. Keep the windows open day and night. Take a daily sponge bath. Lie down and rest a half hour every forenoon and after- noon. Knead the bowels for five minutes twice a day. I have seen the above work wonders. Wear the union suit underwear and hang the skirts from the shoulders. Ovarian Trouble.-Symptoms.-Pain or tenderness in the groin; increase of pain at menstruation; pain in standing or walking; general distress. Treatment.-Rest in bed; apply hot wet cloths; daily hot sitz bath; daily hot vaginal douche; daily injections of one or two quarts of hot water into the bowels; sun bath daily; diet of fruits and grains; open windows; massage. Avoid drugs, caustics and surgical operations. DISEASES OF WOMEN. 179 Inflammation of the Womb.-Symptoms.-Debility; leucorrhoea; painful menstruation; pain in lower part of the back, extending around the body; pain and tenderness on the lowest front part of the abdomen; may be swelling of abdomen. Treatment.-Same as for ovarian trouble. I have seen severe cases thus quickly cured. Whites, or Leucorrhoea.-Symptoms.-Discharge of a viscid mucous from the vagina between menstruation periods. Treatment.-Same as for ovarian trouble, especially the hot sitz baths and hot douche. Inflammation of Vagina, or Vaginitis.-Symptoms.- Hot, burning pain; leucorrhoea; frequent and painful urination. Treatment.-Same as for ovarian trouble. Gonorrhoea.-Is treated same as for ovarian trouble. Avoid drugs. Itching of the Genitals, or Pruritus.-Remove the cause. Take a cold sitz bath for two minutes twice a day and apply vaseline to the parts. Painful Sitting, or Coccyodynia.-Apply cold and hot wet cloths each for half an hour twice a day, and take a daily sponge bath. Inflammation of the Breast, or Masittis.-Symptoms.- Burning pain; tender and hard swelling. Treatment.-Apply wet cloths, hot as can be borne, for half an hour, then ice-cold cloths for half an hour. Do this for several hours. If an abcess forms, let it ripen, open it and treat same as common abcess. Avoid all drugs. Displacements of the Womb.-(Anteversion, retro- version and prolapsus.)-The symptoms are dragging pain in the lower part of the back, extending around the body; frequent urination; leucorrhoea; tender- 180 MEDICAL HYGIENE. ness over the lowest front part of the abdomen; painful menstruation. Treatment.-Do not wear corsets. Hang the skirts from the shoulders. Follow the treatment for ovarian troubles. Gymnastics and movements which I have used to cure displacements of the womb are fully de- scribed in a book called "Pelvic Therapeutics," by Taylor, published by John Alden, New York, N. Y. Send for that book, or apply to a hygienic doctor. Avoid all drugs, pessaries, and supporters. A surgical operation is rarely necessary. Sterility. - After years of childless marriage, children have been born, by both the husband and wife adopting these rules: (1) Avoid tobacco, alco- holic drinks, tea, coffee and drugs. (2) Vegetarian diet is best. (3) Keep the windows open day and night. (4) Take a daily sponge bath. (5) Exercise two hours a day. (6) Hot air bath every two weeks. (7) Cure all leucorrhcea and misplacements. (8) Avoid sexual intercourse oftener than twice a week. Ulceration of the Neck of the Womb.-This requires the same treatment as for ovarian trouble. Nymohomania.-This is a high degree of sexual ex- citement, as the passions are uncontrollable. It needs cold sitz baths for two minutes twice a day, and cool injections into the bowels. Avoid meat, rich foods, pastry, pepper, mustard, vinegar, catsup, spices and drugs. Miscarriage and Abortion.-Symptoms are pain in the batik, followed generally by a flow of mucus and blood, then bearing down pains. The pains some times come on before any show of blood. Miscar- riage is caused by diseases of the womb, over-exer- tion, long railway and ocean journeys, shocks, leucor- rhoea, excessive sexual indulgence, fevers, drugs and DISEASES OF WOMEN. 181 general debility. The treatment for threatened abor- tion is rest in bed, light diet, cold drinks, and appli- cation of cold wet cloths over the lower part of the abdomen. Avoid much exercise for a week or two. If the miscarriage occurs, then the treatment is the same as above with the addition that if the hemor- rhage is not readily stopped by cold wet cloths, then sit just two minutes in a tub half full of cold water. No danger; I have used it. Avoid drugs. Women who are in the habit of miscarrying can carry their children to full term if they will improve their health by living according to the chapter on " Child- birth without pain," avoid sexual excess, and if preg- nant, keep quiet at about the usual time of menstru- ation and avoid all causes of miscarriage. Women who have miscarried many times have become happy mothers by the above advice. Then they may have so many children as to cause them to consult the doctor on how to prevent conception. "Change in Life," or Menopause..-This comes between forty and fifty years of age with flashes of heat, more or less leucorrhoea, and liability to be sick. Use no drugs. Keep the hands and feet warm; drink hot water; take hot half pack daily and otherwise as for menstruation too close together. Childbirth Without Pain or Danger.-It is a fact that the heathen women and savages bring forth children with little or no pain. These women work till the hour of confinement, and after a painless delivery are up and at work in a few hours, or the next day. In Sicily childbirth is neither painful nor dangerous. The women of North American Indians, on the march, will go aside to some stream, bring forth her child, wash it and herself in the cold water, and immediately go ahead with the march. They do this 182 MEDICAL HYGIENE. because of health. Civilized women could do, and have done, the same by a nine months' strict hygienic living. The way to have childbirth almost without pain and danger is very simple. It is obtained thus: 1. Eat fruits, grains and vegetables, with meat not more than once a day. Eat only three meals a day, and vege- tables only for dinner. Eat only wholemeal bread or corn bread. Avoid all highly seasoned foods and rich, complicated dishes. Avoid fats and sugars and all alcoholic drinks. Use tea or coffee only once a day. Better to use no tea or coffee, but hot water. Drink a glass of water half an hour before each meal. 2. Take a daily sponge bath, with a full warm bath with soap once a week. Finish the weekly warm bath with a quick dash of cold water. For two months be- fore delivery, the patient must take a daily cool sitz bath for five or ten minutes. Do not have it cold nor warm, but cool. If the water is hot or cold it might cause a miscarriage. A warm vaginal douche should be used each time the sitz bath is taken. The cool sitz bath should be used once a week during the first months of pregnancy. 3. Breathe only pure air both night and day. Have the bedroom window open an inch or two in all kinds of weather. 4. Since the work of childbirth is mostly muscular, the muscles must be kept strong by daily exercise. She should do ordinary house work and take a long walk in the open air daily, except during storms. She should be on her feet all the time possible, for sitting down all the time causes malpositions of the child, adhesions of placenta, and other disorders. Light gymnastic exer- cise is good. If the patient cannot exercise then she must have light massage and light Swedish move- ments daily. She should continue all exercise clear DISEASES OF WOMEN. 183 up to the day of confinement. 5. Avoid all drugs, no difference what the disease, especially opium. 6. The dress must be loose and no corset worn. Deter- mination and daily exercise will soon strengthen the muscles so as to do without a corset. If possible the underclothing should be flannel. 7. Avoid overwork and worry. 8. It is much better, both for mother and child, if there is no sexual intercourse during pregnancy, especially the last three or four months. Mrs. Dr. Nichols, who had an extensive obstetric practice in New York City and afterward in London, in speaking of childbirth without pain, said: "My practice at the period of birth is as follows: When the delivery is perfectly accomplished, which includes, of course, the placenta, I allow the patient to rest ten minutes. I then with a vagina syringe, throw a pint of cold water upon the uterus. This greatly facili- tates its contraction and gives immunity from after pains, which are caused by the efforts of the uterus to contract, and it is a law that diseased nerves give pain in contracting. This ready contraction of the uterus secures the woman against flooding and prolap- sus. As soon as I have thus used the syringe,. I put a broad bandage wrung from cold water around the abdomen, and pin it closely, compressing the abdo- men. I then wash the patient thoroughly in cold water with a sponge or wet towel, and change her clothes, and leave her to rest. She generally sleeps six hours. When she awakes, she rises and goes into a sitz bath, and is bathed over the whole body, and has a fresh bandage. She is able to walk and sit up for fifteen minutes after this bath in ninety-nine cases out of a hundred." The pain of childbirth comes largely from the diseased, starved nerves. If those nerves are strengthened by several months of strict 184 MEDICAL HYGIENE. hygiene, then the pain is just that much less. If the pregnant woman has the usual drug treatment, of course it is not safe for her to get up so soon. Obstetrics, or flOibwiterp. The Signs of Pregnancy.- Stopping of menses; morning sickness comes on in about five weeks; the breasts begin to enlarge in about six weeks; in three months the abdomen enlarges; the child can be felt moving about the fourth month. To tell if a woman is pregnant for past four months, dip the hand in cold water and lay it on the lower part of the abdomen and the child will move. Prevention of Pregnancy.-Because of poverty, dis- ease, deformity, already too many children, or other reasons, some want to prevent conception and so con- sult a doctor. Some methods are comparatively harmless and others are not. Diseases of Pregnancy.-Do not use drugs for any of the diseases of pregnancy. Live according to the chapter on " Childbirth Without Pain." Toothache may be relieved by opening the bowels with large injections and living on a light diet for a day or two. Avoid sweets. Morning sickness may be relieved by eating very little for supper and breakfast; also by eating some- thing fifteen minutes before getting up. In very bad cases let the stomach have entire rest for two or three days, the patient drinking hot water. Constipation needs only coarse foods and a large injection into the bowels every other day. OBSTETRICS, OR MIDWIFERY. 185 Piles need the same remedy as constipation and frequent cool sitz baths. See page 163. Acidity, flatulency, heartburn, sick-hcadache, sleep- lessness and diarrhoea are generally promptly relieved by a correct diet of fruits and grains. Cramps in limbs are relieved by vigorous rubbing, or hot and cold applications. See page 127. Itching of the parts demand to bathe the parts often and frequent tepid sitz baths. For frequent urination drink as little as possible. For retained urine give a hot sitz bath or hot vag- inal douche and let the patient try to pass water dur- ing the bath or douche. Use a catheter if necessary. For inability to hold the water let the patient lie down as much as possible, and while walking wear the abdominal bandage, as it is caused by misplaced womb. Craving or longing for certain food should not be gratified. No danger of marking the child. Varicose or enlarged veins need plenty of rubbing upward. Patient should not exercise too much, and while sitting the feet should be raised. See page 140. Neuralgia comes from bad food and drink, and needs hot wet cloths or dry heat. Avoid tea, coffee, beer and drugs. See page 120. Swelling of feet and limbs need rubbing upward for half an hour twice a day. If the whole body is dropsical, it demands a diet of fruits and grains, with a hot wet sheet pack or hot air bath daily. Difficulty of breathing is best relieved by good hy- giene and avoiding over-eating. Fainting is relieved by putting the patient flat on her back, or even elevate her feet higher than her head, and open windows. Hysteria is always cured by correct diet and habits. 186 MEDICAL HYGIENE. Palpitation of the heart is instantly relieved by cold wet cloths over the heart. Being caused by indiges- tion, it needs correct diet and frequent injections to relieve the bowels. See page 136. Convulsions rarely occur. Live according to the chapter "Childbirth Without Pain," to prevent them. If they come, make the patient sweat by pack- ing around her hot blankets, and bottles filled with hot water, or hot irons. If she becomes profoundly insensible, apply cold to the head. As a last resort use a whiff of chloroform Pains in the breast need cold wet cloths if there is much heat, but if they are like neuralgia, then apply hot. Flooding needs cold wet cloths over the lower part of the abdomen, while the patient is lying down. If this does not stop it, let her sit two minutes in a tnb half full of cold water. No danger, and a sure cure. I have tried it. Management of Labor.-I will here give such com- plete instructions that any man, or any woman, of or- dinary intelligence, can do all that needs to be done, in nine hundred and ninety-nine cases in a thousand. I write this fully, because I trust this book will be used by foreign missionaries, who can not obtain a drug doctor, and by home missionaries who must save expense. I write this after carefully studying the books on this subject by Doctors Allinson, Kel- logg, Trail and Nichols, all of whom are well known as men of large experience. Childbirth is natural. Would nature form the child and then not expel it properly? Dr. Nichols says that out of twelve thou- sand six hundred and five deliveries at the Maternity Hospital in Paris, only one hundred and seventy-eight required assistance; and instruments were used in OBSTETRICS, OR MIDWIFERY. 187 only thirty-seven cases. Some doctors prefer, for many have told me, to use instruments in the majority of cases. They have told me their two main reasons were, it shortened the time, and also they charged a much larger fee by using instruments. Let the pregnant woman live according to the rules in the chapter on " Childbirth Without Pain," eating mainly fruits and vegetables; plenty of fresh air day and night; daily bath and plenty of exercise, avoiding all drugs. When the first labor pains begin, let the patient and nurse go to the bed-room, which should be as large and light as possible. The bed should be hard, not feathers, and protected by oil cloth or old quilts. The bowels should be moved by a large injection of warm water. One to three days before labor begins there is a mucous discharge, streaked with blood and accompanied by grinding pains. To tell if the true labor has begun, let the patient lie on her back, with the knees slightly drawn up. Oil the forefinger and carefully pass it up the vagina to the mouth of the womb. If the neck of the womb is gone and the mouth is expanded an inch, the labor is well begun. Your main work now is to help the patient to be com- fortable. Let her stand, sit, walk or lie down just as she chooses. When she lies down she may take any position she likes. If the labor lasts some hours, be patient. When the pains become so great that the patient decides to lie down, let her clothes be pulled up out of the way. The clothing should be such as to be easily removed. Prepare conveniently several towels, warm and cold water, a vaginal syringe, a pair of sharp scissors and two strong cords. When the pains become severe and close togeth'er 188 MEDICAL HYGIENE. you can ease the pain by firm pressure with the hand on the lower part of the back. Perhaps the patient becomes anxious to know if all is well. You then in- troduce your forefinger, well oiled. You can feel the bag of waters protruding, and by patience can tell what part of the child is presenting. If it is the head, breech or feet, there will likely be no difficulty. Ac- cording to Boivin, nine hundred and sixty-nine out of every thousand are of the head presentation, and eighteen are breech. When the pains become more frequent and the con- traction of the uterus greater, the bag of waters will burst and the head of the child will be born, or else stops at the perineum. In the latter case, the upper part of the vaginal orifice may seem as small as ever. Wait a few minutes. Suddenly the head is born and the patient is relieved. If the body delays coming, you can hook your finger in the armpit and gently pull it out. In the breech presentation, if there is much delay it is easy to introduce the hand and bring down the legs, when the remainder will easily be born, especially if you also pull down the arms. In all cases of delay you can cause the womb to contract by laying a cold wet cloth on the ab- domen. In rare cases the presentation will not be of the head, breech or feet, in which cases it is easy to put one hand on the abdomen, over the womb, and with the other hand well oiled and introduced into the womb, turn the child so as to bring down the feet. Dr. Nichols says that in ninety-nine cases out of every hundred the patient will need no help from the midwife, no difference which part of the child is born first. He further says that for the midwife or physician to sit by the bedside and with the hand OBSTETRICS, OR MIDWIFERY. 189 keep trying to stretch the vagina is an indecent hum- bug. Some claim it is necessary for the midwife to press upon the perineum while the head is being born, to prevent laceration. Others claim this pressure produces laceration. If the child does not cry as soon as born, or only gasps, or breathes feebly, sprinkle cold water upon its chest and back, or wet them. This will generally make it breathe. If not, then hold its head down and press on its chest every few seconds. If the face is purple, put it in a bath as hot as can be borne by the skin, dash cold water on the chest, press on the chest every few seconds. These efforts have brought children to life after they have been apparently dead for an hour. After the babe is born place your hand on the woman's abdomen to see if there is one or more to follow. If not, then attend to the babe. Wipe its eyes. Tie the navel string firmly with cord, about an inch from the body. About an inch further tie it again, and with sharp scissors cut in between the two knots. Then put it on a soft blanket to be washed with warm water and fine soap. Place a soft linen rag around the navel and hold this in place by a bandage around the body, not too tight. Over this put on the babe's night gown. If there is a curd-like matter on the skin, it will dry up and disappear. Wring a towel out of cold water and fold it once or twice and lay it on the mother's abdomen. This causes the uterus to contract. You then take the navel cord in your left hand, and follow it up with the right and pull it gently. This brings away the afterbirth. If you do not thus pull them away, they will be expelled in a few hours by the contracting womb. Whether you pull away the afterbirth or not, 190 MEDICAL HYGIENE. be sure to inject a pint of cold water into the womb. This refreshes, stops hemorrhage, and causes the womb to contract. Fix the mother comfortably in bed. Put the baby to the breast, then let the mother sleep. Give both mother and child a cool sponge bath daily. Give the mother a hot vaginal douche daily. Let the mother rest in bed for a week, though she may be up some in three or four days. The labor may last from one to forty-eight hours. Proper living for nine months before reduces it to a short and almost painless experience. In very rare cases the pelvis may be too small, or the womb may become exhausted and it will become necessary to call in a surgeon. Dr. Dewees, of Philadelphia, in three thousand labor cases, never found it necessary to de- stroy the life of a single child. If the labor is of reasonable length, the woman should have no food, drink or medicine, except occasionally a swallow of water or lemonade; otherwise let her eat gruels and thick soups. Rarely hemorrhage occurs at the beginning of labor. In this case, introduce the hand, well oiled, separate the placenta, bring down the feet of the child and de- liver it. If hemorrhage occurs after labor, because of retained placenta, introduce the hand and remove it, together with the blood clots. Then apply a cold wet cloth on the abdomen, which causes the womb to con- tract and the hemorrhage to cease. If the hemor- rhage does not close readily, let the woman be placed for just two minutes in a tub half full of cold water, just from the well. This will do no harm, and stop the hemorrhage instantly. I have tried it, and others of wide experience in labor cases recommend it. To show that missionaries and nurses of the poor can act as midwife, Dr. Trail says, " I have known OBSTETRICS, OR MIDWIFERY. 191 females in the city of New York adopt a reform sys- tem of living-a plain, simple, vegetable diet, with a daily cold bath, and go through the period of preg- nancy without losing an hour from sickness, the ordeal of childbirth with no assistant or attendant in the room save the husband, take the entire charge of the child from the moment of its birth-assisted, of course, by its other parent-and ' recover ' without a single simptom of anyone of the numerous diseases so common to the lying-in period." If the real labor pains have progressed several hours to no purpose, then call a surgeon to use in- struments. Do not take his drugs under any circum- stances. If the vagina or perineum is ruptured, have a surgeon sew it up. Do not put a "belly-band" on either mother or child. Their abdominal muscles need all the freedom possible. The baud does not prevent large abdomens, and by pressure does great harm. If the mother's bowels do not move the second day, give her an injection of hot water. If the baby's bowels and bladder are not emptied naturally within twenty-four hours after its birth, they should be examined to see if the parts are closed with a membrane. Put the babe to the breast every few hours, though milk does not usually come for two days. The food of the mother should consist of fruits, grains and vegetables. Avoid fats, sweets, alcoholic drinks, beer, tea and coffee. If she has too much milk, then dry toast, wholemeal bread, potatoes, and such like will correct it. By all means she should eat only bread made from wholemeal, not of white flour. If the baby suffers from wind, the mother should eat less fruits and vegetables for a while. The 192 MEDICAL HYGIENE. nipples should be washed in cold water both before and after nursing. Diseases Following Labor.-Sore nipples are healed by cleanliness and applying vaseline. Inflammation of the breast, shown by swelling, pain and redness, needs hot wet cloths for two hours, then cold wet cloths for five minutes, then hot again. If not relieved, apply ice till the symptoms disap- pear, keeping a rag between the ice and skin. Breasts can be dried up (if the child is born dead or for other cause) by the mother not taking any drink for a few days, and eating dry food, together with only partially emptying the breasts. Milk leg, has swelling, pain and general fever, and needs rest in bed with the leg elevated. Apply hot and cold cloths, each for half an hour at a time. Take a daily sponge bath, and every other day an injection of one to three quarts of hot water into the bowels. The diet should be fruits and grains. Keep the windows open day and night. Use no drugs. Insanity, or puerperal mania (madness) requires only a very light diet of fruits and grains, open windows, daily sponge bath, and no visitors nor ex- citement. Avoid drugs. Puerperal fever, or peritonitis, is best treated by ice-cold wet cloths on the abdomen, tepid wet sheet pack, cold to the head and hot bricks to the extremi- ties, with large injections of cool water to free the bowels. Drugs are harmful. Flooding is stopped by sitting in a tub half full of cold water for two minutes. No danger. Infant Nursing.-As it takes three hours for milk to digest, a new-born babe should not have the breast oftener than once in three hours. During the night it may nurse once. When the babe is four months OBSTETRICS, OR MIDWIFERY. 193 old the time between feeds must be four hours, and none at night. Dr. Page's rule is, for babes up to seven months old, if hand-fed, one pint of milk, one- half pint of water, and one and a half tablespoons of rich cream, well mixed, and given one-third of this at each of the three meals, and slightly increase till at nine months it gets one and one-third pints of milk. Sugar added to baby's food causes colic and restlessness. About one-third of all children born die under one year of age. This is due mainly to wrong feeding and medicines. Most babes are fed too much. No babe should ever have a dose of medicine. Eighty-five die that are fed by hand where fifteen die that are nursed by the mother. Give the babe a daily bath. Too much or too often feeding causes colic and crying. Don't feed because it cries. Nine times out of ten it cries because its stomach already is overloaded. Don't give any solid food before it has teeth, which is about the seventh month, and then no flesh, but ripe fruit and porridge of oatmeal, wholemeal of wheat or hominy. Wean at nine or ten months, generally, and do it gradually, giving the first solid meal for dinner. Do this for a month. Do not allow it to eat a bite be- tween meals or after supper. The only drinks babes or young children should have are water, milk, lemonade, orangeade, or thin gruels. Coffee, tea and chocolate cause nervousness. It should have but little salt or sugar in its food, and no pepper, mustard, vinegar, or such appetizers. Let the child sleep all it will. Be sure it has fresh air night and day, hence always have the windows open. Children should be out in the open air all the time possible. Let them run all they please, for exercise means growth and health. Never trot a child on your knee, nor allow others to do it, 194 MEDICAL HYGIENE. for this, like rocking in the cradle, is well called churning the baby's brains. The movements of the bowels the first few days of the baby are dark and watery, then grow yellow, or more firm. A little diarrhoea at teething does no harm. Proper diet, cool injections after each move- ment of the bowels, and cool wet cloths on the bowels will stop a diarrhoea. Never give drugs. When the teeth are coming through, give a teaspoon of cool water occasionally to cool the mouth. Rub the gums with your finger. Do not lance the gums. Baby should not wear any of the clothes at night it wore during the day. Do not try to have the baby fat, for fat babies are much more likely to have croup, sore throat, diphtheria, and all bowel troubles. If the baby has constipation, thoroughly knead its bowels for fifteen minutes before breakfast every morning, and this will cause the bowels to move. Do not fear to give an injection of warm water when you want its bowels to move. Let the baby wear flannel in summer and winter, but in summer during the heat of the day have it dressed cool. Being kept too warm is one great cause of cholera infantum. Do not put anything in the water in which you give the baby a quick, cool sponge bath daily. By no means let it have candy or pastry. Teasing spoils a child as surely as it does a colt. If you want the baby to talk plainly, do not let any one talk baby talk to it. Infantile diseases will be few, or none, if baby is reared according to this advice. Remember fasting and half rations are as much needed in baby's sickness as in yours. For colic apply hot flannels to the bowels, hot irons to the feet, give it an injection of hot water, give it hot water to drink, and keep all food out of its stomach till it is better. More milk or OBSTETRICS, OR MIDWIFERY. 195 food in the stomach makes the colic worse. For hiccough give it hot water to drink and less to eat. If baby takes cold give it an injection to open its bowels, a hot bath to open the skin, rest in bed, and feed it less till relieved. Remember a little undi- gested food in baby's stomach will cause high fever, and even convulsions. Cough, rapid breathing, and flapping of the wings of the nose point to lung trouble in children. Squinting and fixed pupils show brain trouble. Jerking of the legs, and hard abdominal muscles show colicy pains. Hoarseness is an early sign of congenital syphilis. Vomiting is a common symptom in the beginning of all acute diseases of children. Worms do not trouble a child that is fed and cared for according to the above rules. COLLEGE OF HYGIENIC MEDICINE. There is a Hygienic Medical College at 230 West Seventh St., Cincinnati, Ohio. It is chartered by the State. It had 32 students last year. Besides Medical Hygiene, it teaches all subjects usually taught in a Medical College, except Drugs. Write to Geo . C. Kolb , M. D., for a Catalogue. fln&er. Abcess, 174. Abcess of brain, 109. Abdominal dropsy, 82. Abdominal wrapper, 61. Accidental poisoning, 174. Acidity, 85. Addison's disease, 142. Ague, 158. Ague Cake, 92. Air bath, 58. Air, fresh, 64. Alcoholism, 110. Alligator, 16. Amenorrhcea, 177. Amyloid liver, 89. Anaemia, 141. Anaemia, pernicious, 142. Anaemia of brain, 107. Aneurism, 138. Angina pectoris, 138. Ani, prolapsus of, 175. Any fever, 153. Aphasia, 109. Aphonia, 97. Aphthae, 66. Apoplexy, 108. Appendicitis, 80 , 22 , 23. Appetite, loss of, 86. Appetite, too great, 86. Arsenic, 24. Arteries hardened, 138. Artheroma, 138. Ascites, 82. Asthma, 98. Ataxia, 116. Ataxic paraplegia, 117. Bad breath, 172. Bad hearing, 166. Ball in throat, 70. Barnes Medical College, 147, 13. Bathing rules, 64. Bath, air, 58. Bath, arm, 60. Bath, hot air, 57. Bath, sponge, 58. Bath, sitz, 60. Bath, steam, 60. Bath, sun, 57. Bed wetting, 175, 151. Beef tea, 16. Beriberi, 119. Biliary calculi, 87. Bilious attack, 71. Biliousness, 87. Blacked eye, 169. Bladder diseases, 149. Blebs, 170. Bleeder's disease, 142. Blood, impure, 144. Blood, spitting, 100. Blood, white, 141. Bloody flux, 79. Blue disease, 143. Boils, 173. Bone inflammation, 171. Bowels, hemorrhage of, 82. Bowels, inflammation of,J77. Bowels, pain on moving, 86. Brain, abcess, 109. Brain anaemia, 107. Brain compression, 108. Brain congestion, 107. Brain fever, 106. Brain tumors, 109. Breast inflamed, 179. Bread pills, 20. Breathing difficult, 98. Bright's Disease, 145. British Museum, 28. Bronchitis, acute, 97. Bronchitis, chronic, 98. Bronchitis, capillary, 97. Bronchitis, fibrinous, 97. Bronze skin, 142. Burns and scalds, 172. Cancer, 168. Cancer of liver, 90. Cancer of stomach, 72. Cancrum oris, 67. Canker of mouth, 67. Calculi biliary, 87. Carbuncles, 173. Caries, 170. Catalepsy, 128. Cataract, 169. Catarrh of bladder, 149. Catarrh of ear, 167. Catarrh of mouth, 66. Catarrh of nose, 93. Catarrh of stomach, 71. Catarrhal pneumonia, 102. Cerebritis, 106. Change in life, 181. Chest, dropsy of, 105. Chicken pox, 160. Chilblains, 173. 196 INDEX. 197 Child, sick, 176. Chills, 158. Chlorosis, 142. Cholera, 163. Cholera infantum, 78. Cholera morbus, 78. Chorea, 123. Clergy sore throat, 68. Coccyodynia, 179. Cold in head, 93. Cold on chest, 97. Cold, common, 164. Cold feet, 172. Colic, 76. Colic, renal, 147. Colic, lead, 114. Comedo, 170. Congestion of brain, 107. Congestion of lungs, 100. Congestive chill, 159. Conscience, 11. Constipation, 76, 38, 22. Consumption of lungs, 102. Consumption of throat, 96. Consumptives, 25. Convulsions, 128, 175. Cough, 100. Cough, whooping, 99. Cough, winter, 98. Cramp, 127. Croup, 95. Croupous pneumonia, 101. Cure by diet, 38. Cure by fast, 62. Cure by rest, 61. Cure by water, 44. Cure by grapes, 39. Curette, 22. Curvature of spine, 176. Cuts and wounds, 174. Cystitis, 149. Dandruff, 171. Deafness, 166. Delirium tremens, 111. Diabetes, 152, 153. Diet cure, 38. Diet lists, 42. Diarrhoea, 76. Difficult breathing, 98. Digestive diseases, 66. Diphtheria, 161. Disease, 31. Disease, hip joint, 176. Diseases of bladder, 149. Diseases of blood, 141. Diseases of digestion, 66. Diseases of kidneys, 145. Diseases of men, 167. Diseases of nerves, 106. Diseases of pregnancy, 184. Diseases following labor, 192. Disease; heart, 132. Diseases of women, 177. Diseases, respiratory, 93. Disease, skin, 171. Displacement of womb, 179. Dizziness, 110. Douche, 60. Dropsy, 168. Dropsy of abdomen, 82. Dropsy of chest, 105. Dropsy of brain, 113. Dropsy of heart, 133. Drugs, 26 , 23. Drugs, doctors, 7. Drugs, when to use, 27. Drunkenness, 110. Dry skin, 171. Dysentery, acute, 79. Dysentery, chronic, 80. Dysmenorrhoea, 177. Dyspepsia, 74. Earache, 166. Ears, bodies in, 167. Ears, catarrh of, 167. Ears, noises in, 167. Ears, running, 166. Ears, rupture, 167. Eczema, 171. Eczema of head. 175. Electricity, 63. Endocarditis, 133. Enlarged liver, 90. Enlarged spleen, 92. Enteralgia, 76. Enteritis, 77. Embolism, 139. Emphysema, 99. Epilepsy, 124. Erysipelas, 161, 19. Erythema, 171. Europe, 53. Eyes, sore, 168, 169. Excessive sweat, 171. Exercise, 64. Fainting, 172. Falling sickness, 124. Falling of bowel, 174. False croup, 95. Fasting cure, 62. Fatty liver, 91. Feet, cold, 172. Feet, sweating, 172. Felon, 173. Fever, any, 153. Fever, bilious, 158. Fever, bilious typhoid, 158. Fever, brain, 106. Fever, break bone, 159. Fever, hay, 99. Fever, scarlet, 159. Fever, simple, 156. Fever, spinal, 158 Fever, pernicious, 159. Fever, relapsing, 158. Fever, typhoid, 157. Fever, typho-malaria, 159. Fever, typhus, 157. Fever, yellow, 159. Fever, intermittent, 158. Fistula in ano, 164. Flatulence, 84. Freckles, 171. Floating kidney, 149. Flux, 79. Fresh air, 64. Gall stone, 87. Gangrenous mouth, 67. Gastric catarrh, 71. Gastritis, 70. Genitals, itching, 179. Germany, 53. 198 INDEX. Gleet, 167. Glycosuria, 152. Globus hystericus, 70. Glossitis, 67. Glottis spasm, 96. Goitre, 126. Gonorrhoea, 167, 179, 26, 23. Gonorrhoeal rheumatism, 162. Grape cure, 39. Gravel, kidney, 147. Gravel, bladder, 150. Green sickness, 142. Great appetite, 86. Grip, 156. Habit, alcohol, 110. Habit, morphine, 111. Habit, tobacco, 112. Haemophilia, 142. Half pack, 60. Hall treatment, 61. Hamburg epidemic, 17. Hay fever, 99. Headache, 129. Headache, sick, 110. Heart diseases, 132. Heart, fatty, 135. Heart, dropsy, 133. Heart, inflamed, 132. Heart, irregular, 138. Heart, misplaced, 137. Heart, neuralgia, 138. Heart, palpitation, 136. Heart, rapid, 136. Heart rupture, 136. Heart, slow, 137. Heartburn, 85. Heat and cold, 64. Heat stroke, 112. Hemorrhage of lungs, 100. Hemorrhage of bowels, 82. Hemorrhage of stomach, 73. Hemoptysis, 100. Hepatitis, 91 Hernia, 164. Herpes, 171. Hipjoint disease, 176. Hodgkin's disease, 142. Homeopathy, 14. Hot air bath, 57. Hospital hygienic, 53. Hydrocephalus, 113. Hydrophobia, 163. Hydrothorax, 105. Hygiene, 12. Hygienic rules, 43. Hygienic hospital, 53. Hypertrophy of heart, 134. Hypochondria, 130. Hypnotism, 128. Hysteria, 125. Icterus, 86. If uncertain, 56. Indigestion, 74. Impetigo, 171. Impotence, 167. Infant nursing, 192. Infant paralysis, 116. Inflammation of bowels, 77. Inflammation of heart, 132. Inflammation of brain, 106. Inflammation of breast, 179. Inflammation of liver, 91. Inflammation of nerve, 117. Inflammation of stomach, 70. Inflammation of tongue, 67. Inflammation of vagina, 179. Inflammation of womb, 179. Influenza, 156. Insanity, 165. Insomnia, 130. Itch, 173. Itching genitals, 179. Intestinal obstruction, 81. Intussusception, 81. Impure blood, 144. John Wesley, 28. Jaundice, 86. Kansas druggist, 19. Kidney diseases, 145. Kidney, fatty, 148. Kidney, floating, 149. Kidney, gravel, 147. Kidney, hemorrhage, 148. Kidney, red, 146. Kidney, suppuration, 147. Labor, 186. Laryngitis, catarrhal, 94. Laryngitis, edematous, 94. Laryngitis, spasmodic, 95. Laryngismus stridulus, 96. Lateral sclerosis, 116. Lead colic, 114. Lead poisoning, 114. Leucaemia, 141. Lice, 173. Liver, abcess, 88. Liver, atrophy, 89. Liver, cancer, 90. Liver, enlarged, 90. Liver, fatty, 91. Liver, hob nail, 89. Liver, inflamed, 91. Liver, sclerosis, 89. Liver, torpid, 87. Liver, tumor, 90. Liver, waxy, 89. Lockjaw, 126. Locomotor ataxia, 116. Lungs, congestion, 100. Lungs, consumption, 102. Lungs, hemorrhage of, 100. Lumbago, 128. Loss of appetite, 86. Loss of speech, 109 Loss of voice, 97. Lymphatics, 141. Madstones, 15. Marion-Sims College, 13. Massage, 62 , 20. Mastitis, 179. Masturbation, 167. Measles, 160. Megrim, 110. Meningitis, 106. Menopause, 181. Menstruation, no, 177. Menstruation, painful, 177. Menstruation, scanty, 177. Menstruation, profuse, 178. Menstruation, too soon, 178. Mercury poisoning, 113. Migraine, 110. INDEX. 199 Miscarriage, 180. Milk diet, 43. Morphine habit, 111. Mouth diseases, 66, 67. Multiple neuritis, 118. Mumps, 161. Muscular atrophy, 116. My teachers, 13. Nasal catarrh, 93. Nausea, 85. Necrosis, 170. Nephritis, 146. Nervous diseases, 106. Nerve, inflamed, 117. Nervous prostration, 125. Nerve, tumor, 118. Neurasthenia, 125. Neuralgia, 120. Neuralgia of stomach, 74. Neuroma, 118. Neuritis, simple, 117. Neuritis, multiple, 118. Niggers, 25. Nine rules, 56. Nightmare, 174. Night sweats, 171. Noma, 67. Nose bleed, 94. Nose, red, 173. No menstruation, 177. Nursing, infant, 192. Nymphomania, 180. Obesity, 164. Obstruction, intestinal, 81. (Esophagus diseases, 69, 70. Old Mexico, 50. Opium habit, 111. Osteitis, 171. Osteomalachia, 170. Ovarian trouble, 178. Pack. 59. Pain, 165. Painful menstruation, 177. Painful urination, 152. Painful sitting, 179. Painful stool, 86. Palpitation, 136. Palsy, 116, 121. Paralysis, infantile, 116. Paralysis, legs, 117. Paralysis, face, 121. Paralysis, bladder, 122. Paralysis, following acute diseases, 122. Pericarditis, 132. Peritonitis, 82. Pernicious anaemia, 142. Phlebitis, 140. Pharyngitis, 68. Piles, 163. Pimples, 172. Pityriasis, 171. Plethora, 165. Pleurisy, 104. Pneumonia, croupous, 101. Pneumonia, catarrhal, 101. Pneumonia, chronic, 102. Pneumothorax, 105. Poisoning, 174. Poisoning, arsenic, 114. Poisoning, lead, 114. Poisoning, mercury, 113. Pregnancy, diseases of, 184. Pregnancy, signs of, 184. Pregnancy, prevention of, 184. Prevention of pregnancy, 184. Proctitis, 77. Profuse menstruation, 178. Prolapsus of bowel, 164. Prolapsus ani, 175. Prolapsus of womb, 179. Prurigo, 171, 18. Puritus, 179. Purpura, 143. Pulse, irregular, 138. Psoriasis, 171. Pyelitis, 147. Quacks, 19. Quinine, 18. Quinsy, 69. Rapid heart, 136. Rash, 171. Rash, rose, 161. Remedies of hygiene, 57. Rest cure, 61. Respiratory diseases, 93. Red nose, 173. Rickets, 170. Ringworm, 173. Rheumatism, 162, 163. Rose rash, 161. Round worms, 84. Running ears, 166. Salivation, 68. Scalds, 172. Scald head, 175. Scanty menses, 177. Sciatica, 119. Sclerosis of liver, 89. Scorbutus, 143. Scurvy, 143. Scrofula, 163. Sea sickness, 171. Scarlet fever, 159. Sick child, 176. Sick headache, 110. Sitz bath, 60. Skin diseases, 171. Sleeplessness, 130. Sleep walking, 130. Smallpox, 160. Soft bones, 170. Sore mouth, 67. Sore eyes, 168, 169. Sore throat, 68. Spasm of face, 130. Spasms, 128, 175. Spasm of glottis, 96. Speech lost, 109. Spinal curvature 176. Spinal hyperaemia, 114. Spinal inflammation, 115. Spinal meningitis, 115. Spitting up food, 85. Sponge bath, 58. Spleen, enlarged, 92. Stammering, 175. Steam bath, 60. Sterility, 167, 180. Stomach, cancer, 72. Stomach, catarrh, 70. Stomach, dilated, 73. 200 INDEX. Stomach, hemorrhage, 73. Stomach, inflamed, 70. Stomach, neuralgia, 74. Stomach, ulcer of, 72. Stomach, weak, 85. Stomach, wind on, 84. Stone, gall, 87. Stricture, 70, 167. Stye, 169. Summer complaint, 78. Sun bath, 57. Sunstroke, 112. Surgery, 64. Sweat, excessive, 171. Sweat, feet, 172. Sweat, night, 171. Swimming of head, 110. Synovitis, 163. Syphilis, 167. Tapeworm, 83. Tetanus, 126. Tetany, 127. Thread worms, 84. Throat, ball in, 70. Throat, consumption, 96. Throat, sore, 68. Thrombosis, 139. Thrush, 67. Tobacco habit, 112. Tongue inflamed, 67. Tonsilitis, 69. Tonsils, enlarged, 69. Too much fat, 164. Toothache, 166. Torpid liver, 87. Torticollis, 127. Trance, 128. Traumatic fever, 18. Tremens, delirium, 111. Trip to Europe, 53. Trouble, ovarian, 178. Tuberculosis, 102. Tumors, 168. Tumors of liver, 90. Tumors of brain, 109. Tumors, nerve, 118. Typhlitis, 77. Typhoid fever, 157, 13. Ulcers, 164. Ulcers of bone, 170. Ulcers of mouth, 66. Ulcers of stomach, 72. Ulcers of womb, 180. Uncertain, if, 56. Unity of disease, 31. Uraemia, 147. Uraemic convulsions, 128. Urine, retention, 151. Urine, suppressed, 151. Urine, dribbling, 151. Urination, painful, 152. . Vagina, inflamed, 179. Vaginitis, 179. Valedictory address, 47. Vapor bath, 60. Varicella, 160. Varicose veins, 140. Veins, inflamed, 140. Veins, varicose, 140. Vertigo, 110. Vomiting, 85. V. E. M. diet, 42. Water cure, 44. Weil's disease, 87. Wesley, John, 28. Wet sheet pack, 59. Wetting the bed, 175, 151. White blood, 141. Whitlow, 173. White swelling, 163. Whites, 179. Whooping oough, 99. Wind on stomach, 84. Winter cough, 98. Womb troubles, 179. Women, diseases of, 177. Worms, round, 84. Worms, tape, 83. Worms, thread, 84. Wounds and cuts, 174. Wry neck, 127.