NATIONAL LIBRARY OF MEDICINE NLM 001223^ 7 K NLM001223697 p s X X / \ T *■ **-JP V V WA , x V i-lX. / in \/i4i'\y y\ -«^ x\ SMALL-POX: PREDISPOSING CONDITIONS AND THEIR PREVENTION. Dr. CARL %OTH. '<£ BOSTON: ALEXANDER MOORE. 1872. *I Entered according to Act of Congress, in the year 1872, by Alexander Moore, In the Office of the Librarian of Congress, at Washington. yvc ri ;Ti:i:T:oTYvn> by JOHN o. ueoan & co. ii."> Congress Street. SMALL-POX ■:± requires more salt than ten ordinary persons together, to main- tain the proper balance. A person living on a great variety of things, flesh-meat, cereals, vege- tables, fruits, fish, oysters, etc., requires less salt than the one living on one kind of food. It is a common error, or mistake, to regard 36 SMALL-POX. phosphorus as an especial agent for nervous power ; the fact is, the nerves require all the blood- salts together, but especially common table-salt, which is the strongest nervous stimulant nature has provided. Persons who have had Small-pox will re- member, that for some time previous, they felt dull, heavy, and sluggish ; not sick enough to be alarmed by it, but were not as lively and vivacious as formerly; sometimes sad, moody, or melan- choly, and sometimes nervously irritable and unhappy. This peculiarity of feeling always precedes Small-pox, and is occasioned by the excess of albuminous substances in the blood. In the beginning of Small-pox, it is characterized by an extreme headache, the sensations of which are as though a screw was being driven into the back part of the head. This is the condition when the blood-vessels are contracted by the peripheric portion of the nerve, and the blood thereby driven into the internal vessels. This state is always accompanied by excessive chil- liness ; but if the nerve relaxes, dry heat is felt on the skin. In a day or two, paralysis of the peri- pheric portion of the nerve occurs, either over the whole surface of the body, or only over a part; sometimes over the whole surface of the skin, and in the mouth, stomach, and intestines. Such cases are generally fatal. In an exact ratio to the SMALL-POX. 37 paralytic portion of the nerve, the peculiar pox appear, first as red pustules, which swell more and more, according to circumstances, sometimes remaining single, and sometimes running to- gether, so as to give to the patient the appear- ance of a swollen and almost shapeless mass. The severity of the case depends entirely upon the previous condition of the blood. In due time these pustules begin to suppurate, and after hav- ing discharged their pus (which is nothing but decomposed albumen, with a little escaped blood, and some fragments of skin which have been destroyed in the process), dry up, leaving marks on the skin where they were. After persons re- cover from Small-pox they almost invariably say they feel as if new born. The fact is, they are now only healthier than they were previous ; that is, they now experience the benefit of a correct balance in their blood, and, therefore, feel as if new born. But a person who always lives cor- rectly will constantly have a similar experience, and no need for Small-pox. The very fact of this invariable experience of persons who have had the Small-pox is one of the best proofs of their previously sick condition, which, however, they were unable to perceive, simply because they either did not know or think of any better conditions at the time. The excess of albumen in the blood, or the 38 SMALL-POX. predisposition to Small-pox, and kindred diseases, shows itself in some, by a heavy, sluggish feeling, more or less oppressive; others are oppressed with a sadness and melancholy, which makes them ready for suicide; while others, again, are depressed one minute, and ready for a fight the next. The appetite is irregular, and generally of such a character, that while the person wants or craves something, he does not know what he wants. Such persons very frequently give ex- pression to their own view of their condition, by saying, " My blood is too thick." And so it is. Any kind of irritation, which, to a healthy body, would be perfectly harmless in its effect, is quite sufficient, when this condition has reached a cer- tain height, to produce an immediate effect. For example, a fright, nervous depression, a shock of some kind, want of sleep, or impaired diges- tion, may occasion the before-mentioned condition of the nerves, resulting in the expulsion of super- fluous material. It would, however, be a great mistake to sup- pose that by eating a handful of salt the difficulty would be corrected. For since the amount, as to quantity of blood, can never vary in the body, the blood-salts, when deficient or lacking, are substituted by incorrect or used-up material, all of which we shall call blood cinders. These have to be removed before we can introduce the proper SMALL-POX. 39 amount of fresh or new salts. This idea of cor- recting the blood may be illustrated somewhat, by the way in which we renew a fire; before we put on fresh coal, we remove the cinders. But this cannot be done all at once with the human blood ; the process must be gradual. The amount of new material introduced must be in due pro- portion to the excreted one; otherwise, the pur- pose is not reached, or serious trouble is caused. It is possible that the suddenly excessive use of salt max be the i?nmediatc occasion of the appearance of Small-pox, though previously caused by the want of it in the first place. It very often occurs, that although a person has need of salt, his appetite will not crave it, the blood being too much filled with other material. In these cases it will generally be found that a desire for acids exists, the demand for which should be gratified at once; not by vinegar, but by some natural organic acid, such as lemon-juice, sour apples, etc. When the demand for acid has been met, and no improper food constantly in- troduced, the demand for salt, if needed, will manifest itself very strongly. Then, as much salt as the taste demands should be daily eaten with the food. There are probably many persons who will doubt, or perhaps even deny, that there is any deficiency of salt in their case, or as regards 4° SMALL-POX. themselves, or who cannot readily comprehend that they do not live correctly. We shall there- fore give some general rules of diet, from which everybody will be able to understand how the blood difficulty just spoken of is brought about, and how avoided. If a person takes any kind of liquid or drink during the process of eating, he is liable to over- load his stomach, or eat too much. If he does not take any liquid while eating, the saliva, by which the food is moistened during mastication, will stop flowing as soon as the stomach has re- ceived enough. Therefore, if a person eats a beefsteak, and drinks with it sweetened coffee, he makes three mistakes at once. First, he sub- stitutes the coffee for the saliva which nature has provided, and runs the risk of over-filling the stomach; second, he takes sugar instead of salt, which is a gross mistake; and third, by drinking coffee he highly excites and irritates the nerves, thereby making it difficult for the stomach to dis- solve the meat properly. The rule therefore is, to drink coffee alone, or for the most part with a little toast; but coffee with meat or fat is bad, but sugar with meat or fat is much worse. The habit of flavoring rice, puddings, or any kind of starchy material with sugar, though very general among cooks, is a bad one. All starchy food should first be properly seasoned or flavored SMALL-POX. 41 with salt, and then, if required, sugar added. If eggs are used with the starch or starchy food, the defect of salt is still greater, and quite a serious mistake. The drinking of milk in connection with the eating of flesh-meat, or at the same time, is bad, because the milk will immediately absorb the gastric acid, curdle and enclose the meat like a heavy coating, thus preventing it from dissolving ; and at the same time the sugar in the milk will exclude salt from the taste. The use of any stimulant with a solid meal at the same time, is very bad. If a person is hungry, and takes a strong cup of coffee or tea, he thereby loses, for a time, the demand for food, through the action of these substances at the nerves. They act somewhat as a very exciting thing does on a man's brain, by which his appetite, for the time, is taken away. The use of all stimulants are beneficial only as they are properly used, and very hurtful if used improperly. It is, therefore, a very bad mistake to drink tea, coffee, or alcohol with dinner, or a similar meal. No matter how often or how long a person may have done so without direct injury, it is very bad. When a person has come to feel the bad effect, he is quite sick already. These stimulants not only materially hurt our digestion, but take away our natural taste, the inclinations nature gave us, the instinctive knowledge of what we should eat. 42 SMALL-POX. All persons who drink much tea, coffee, or the like, have no instinctive taste or craving for the right or needed food at all. We say" none what- ever, however much they may remonstrate against it. The habitual use of these things is invariably and absolutely accompanied by a weak constitu- tion, a yellow complexion, and either very irri- table or half paralyzed nerves. Hence all nations not using these stimulants are, in general, vigorous and strong; while the Chinese and Japanese are small and weak, and the same is more or less true of all Americans who use tea in excess. The habitual use, as we have said, is bad ; still a good cup of tea after severe mental exertion is more beneficial than a hearty meal, or the best beef- steak. A person whose nerves are tired can no more digest his food well than a person whose muscles are tired can make a satisfying meal from a cup of tea. The great difference relative to the demand of these two kinds of tiredness on the blood, is almost entirely unknown. The use of the nervous system requires a restitution of the blood-salts more than of the so-called respiratory food, sugar, starch, fat, etc., while muscular labor requires very little use of the blood-salts, but more the respiratory food. The necessary food for a person, therefore, depends upon the use he makes of his body. Hence, many persons, while living, as they think, absolutely correctly, SMALL-POX. 43 are, in fact, doing just the opposite. Suppose, for instance, a man who is doing hard brain-work orders, when hungry, a beefsteak with fried po- tatoes, and afterwards eats some puddtng. If the steak is from an animal which has been fatted by stall feeding, it contains no salts, for the free use of salt would prevent the animal from taking on fat, and is therefore withheld; fat contains no salt, potatoes contain none, and fine flour, eggs, etc., from which the pudding is made, while containing sulphur, lime, and phosphorus, contain none, while, as pudding, it contains sugar, put in for flavoring instead of salt. Therefore, if he has not eaten a good deal of salt with such a meal, it is almost good for nothing for him. But had he eaten of partridge, celery with salt and fried po- tatoes, or of venison, and afterwards eaten some nuts and apples, he would then have taken all that his body required. Wild animals know how to provide for all their blood-salts, and are there- fore never so fat. But the first meal is just the thing for a man who has been hard at work with his muscles and not with his brain. This is as good an illustration as can here be given of how a person may be in need of blood-salts, although eating what is believed to be the best food to be had. But with children the matter is much worse. They are fed on starch, milk, white bread and 44 SMALL-POX. butter, pastry and cake, occasionally some meat, sugar and sweetmeats. Let me ask every mother how often they have put salt into the milk with which -they have fed their babes, or into the starchy food or puddings ? The food here speci- fied contains no salt whatever; for domestic meat does not generally contain enough, nor does the milk, unless the cows run in pasture, or are fed very much according to nature, which they are not, because such feeding would not be productive of a sufficient quantity of milk to satisfy their owners. I maintain, that of one hundred children in all our American cities, seventy-five arc more or less deficient in the amount of salt required, and that this deficiency is substituted by sugar. The consequence is scarlet fever, measles, chicken-pox, or small-pox, according to circum- stances. And further, what is the reason (if not a deficiency of salts) that American children for the most part are delicate, not having much en- durance, with white, instead of red, cheeks, and with flesh soft and flabby? The American houses are the best in the world; no country has better food, or a better supply ; no children are kept cleaner, none are dressed better, and more suitably, none get better air, or live in cleaner cities, or attend school in better ventilated school- houses, and yet they are about the weakest! If any man can assign a reason, or answer the SMALL-POX. 45 question here involved, otherwise than we have done, we should like to know it. But we will just mention a better test, which all can apply. Take away from your children for several meals all sugar in every form, and allow them as much salt as they will eat of their own accord, and see ! Would a child one year old, think you, eat salt like sugar if it did not necessarily require it? If a child has already enough salt, and you give it even an atom more, it will spit it out immediately. Or, if you offer a child a few months' old lemon, and it eats it eagerly — does it show nothing ? Give an absolutely well child lemon-juice, and see what a face it will make ! It is hardly necessary to add, that if an adult wishes to ascertain whether his blood requires salt, he must, first, leave off all sugar; second, supply the organic acid, especially lemon-juice, as long as the taste craves it; and third, not to spoil the natural taste by excessive use of alcohol, tea, coffee, tobacco-chewing, or similar strong agents, which paralyze the nerves of taste. In short, we would recommend the following : when undressed, press gently with the hand on the pit of the stomach, under the breast-bone, and if there should be any pain or a sensation of uneasi- ness, either you have an inflamed stomach, or more often, chronic affection of the liver, and are seriously sick, however well you may feel. • In 46 SMALL-POX. this case, or if there is habitual constipation, an educated and skilful physician should be applied to at once, for the removal of the difficulty. If no pain or uneasiness is experienced in the pit of the stomach upon pressure, and there is no habitual constipation, there is no need of a physi- cian to bring the blood into an absolutely normal condition; to accomplish which—i. Never eat sugar at the same time with meat; 2. Salt all food used before adding sugar; 3. Never drink while eating; 4. Drink as much lemon-juice as the taste indicates, and continue its use as long as there is a desire for acids; 5. Eat the desired quantity of salt at each meal; 6. Eat otherwise any kind of food which fancy or appetite craves, but with variety ; that is, not confined to one kind or variety of.fare. I positively maintain that a person who has properly balanced blood — the correct amount of water, salts, and albuminous matter — cannot catch or be liable to any disease, having no predisposition therefor. For I main- tain that if there is no superfluous albumen in a person's blood, none can escape into the skin, as in Small-pox, and the nerves of such a person are in a condition to endure influences that gen- erally produce " cold " or sickness without the least injury to him. Such a person feels vigorous, happy, lively and strong; but he who feels otherwise has not his blood in good order. SMALL-POX. 47 Having thus explained, theoretically, what I believe an absolute and unfailing preventive against Small-pox, I can mention only limited practical and experimental proofs. By observing and demonstrating the above rules, I have found, during a practice of fourteen years, that in all the families I have attended during this time, there is not a single child who has been affected by scarlet fever, small-pox, or any other so-called catching disease, not even the measles; though never allowed to be kept from contact with other children, or to take preventive measures of any kind whatever. As regards myself—was vaccinated when a small child, but never since — have exposed my- self, in all European hospitals that I attended, to the Small-pox patients, without using or taking any preventive measures; at one time, for six months regularly. In Hayti I have been exposed many times, but once especially, purposely re- maining for an hour in a room with five sick and dying children of Small-pox, who had been treated according to the Haytien manner; namely, the pustules cut open, and then rubbed with rum. Two of them died while I was present, and the other three within twelve hours, all of internal gangrene. This exposure was productive of no effect whatever upon my own person, though the stench was of such a character as to affect any 48 SMALL-POX. person if it were possible. Nor have I ever, nor would I ever take any measures of disinfection in seeing Small-pox patients, without the least fear of infection, so long as the blood is in good condition. These facts here mentioned, although not con- clusive proofs, are nevertheless so for me. Since the views here laid down can do no harm, and cost nothing, they should be tested by others. The importance of salt in the human economy is known by all physicians, and should be by everybody; and were some attention paid to this subject, it could be easily ascertained whether Small-pox appears where salt has been properly used or not; for myself, I can only give the ex- perience, and state the facts as they have been derived from study and research. Resume. — Let it be distinctly understood that what I intend to say is, that vaccination has not proved to be an absolutely reliable preventive against Small-pox; and, therefore, that better means for protection are needed. That if is absolutely necessary, first, to know the nature of a disease before any attempt can be , made to prevent it. That I have discovered the following facts, and maintain, that Small-pox consists in the escape SMALL-POX. 49 of superfluous albuminous substances into the tissues of the periphery of the nervous centres of the body, caused, in the first place, by the want of salt. That the proper use of salt is the scientific and most certain preventive of Small-pox, both in theory and practice, that I have any knowledge of. That the use of organic acids is the best means of freeing the blood from abnormal substances', which, for the time being, may substitute the place of salt in the body. That alcohol is an agent which eliminates the blood-salts, and, therefore, after its use, the salt k thus eliminated must be restored. That sugar can take the place of salt in regard to taste, much to the injury of the blood of the person substituting it. That in mental labor more salt is brought into requisition, and used up, than in muscular or physical labor; and, therefore, that more must be used or taken into the body in the former case than in the latter. That a person who has a properly balanced blood cannot catch, or take, Small-pox under any circumstances of exposure. This theory, if correct, must hold good in all cases, without a single exception ; and if nothing can be found to disprove its correctness, it holds 50 SMALL-POX. good that the proper use of salt, in the human economy, will eradicate Small-pox at once and forever. Therefore the use and office of salt should be more generally known and taught in all our public schools. \ B OOKS RECENTLY PUBLISHED ---KV--- ALEXANDER MOORE, 2 Hamilton Place, Boston, The Eye in Health and Disease. Being a Series of Articles on the Anatomy and Physiology of the Human ^ Eye, and its Surgical and Medicaf Treatment. By B. Joy \ Jeffries, A. M.. M. D., Follow of the Massachusetts Med- |< ical Society, Member of the American Ophthalmological / Society, Ophthalmic Surgeon to the Massachusetts Char- ,' itable Eye and Ear Infirmary, Ophthalmic Surgeon to the > Carney Hospital. Lecturer on Optical Phenomena and the ', Eye at Harvard University. 8vo. Cloth. $1.50. Illus- \ trated. V j " We welcome this book, and cordially recommend it." — Med. Times, Phila. Diseases of the Skin. The Recent Advances in their Pathology and Treatment. Being the Boylston Prize Es- say for 1S71. By B. Joy Jeffries. A. M., M. D. 8vo. Cloth. $1.00. " The hijjh standing and wide reputation of Dr. Jeffries is a sufficient guaranty ot the value of this or any other product of his pen." — Congrcgationalist, Boston. The Animal and Vegetable Parasites of the Hu- man Skin and Hair, and False Parasites of the Human Body. By B. Joy Jeffries, A. M., M. D. i2mo. Cloth. $1.00. A book of great value to all teachers and parents. Leprosy of the Bible, and its Present Existence in the World. By B Joy Jeffries, A. M., M. D. i2fno. Cloth. $1.00. [In preparation.] Plain Talk About Insanity. Its Causes, Forms, Symptoms, and Treatment of Mental Diseases. With Re- marks on Hospitals, Asylums, and the Medico-Legal As- pect of Ixsxnity. 13V T. W. Fisher, M. 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The fol- lowing are some of the subjects upon which it treats: — Bites, Bleeding, Broken Bones, Bruises, Burns, Choking, Cholera, Cold, Contusions, Dislocations, Drowning, Dys- entery, Exhaustion, Fevers, Fractures, Hanging, Nursing, Poisoning, Scalds, Sprains, Suffocation, Sunstroke, and other Accidents and Sickness where instant aid is needful. i2mo. Cloth. 265 pp. $1.50. Small-Pox. The Predisposing Conditions, and their Prevention. By Dr. Carl Both. i2mo. Paper. 50 pp. Price, 25 cts. Consumption. By Dr. Carl Both. This is the first work ever published demonstrating the practical application and results of cellular physiology and pathology. 8vo. $2.00. [In preparation.] Good Health A nil ual. A Popular Annual on the Law.-. of Correct Living, as developed bv Medical Science, etc. Vol. I.for 1870, Vol. II.for 1871, andVol. III. for 1S72. con- tain the most valuable series of papers, by eminent writers. ever offered to the public in a popular form, and should be in every family and library. These volumes were prepared from the Magazine of the same name, which has received more and higher recommendations from the Press and from Eminent Authorities, than any other work of the kind in the world. Svo. Cloth. 582 pp. $2.50 each. " The Gas Consumer's Guide." A Popular Hand- book of Instruction on the Proper Management and Econ- omical Use of Gas, with a full Description of Gas-meters, and Directions for Ascertaining the Consumption by Miter, Ventilation, etc. Illustrated. i2ino. Cloth. $1.00. Paper. 75 cts. To any one burning gas this book will save its cost in a very short time. American Scenery, unparalleled in the world. The Wonders of the Yosemite Valley and of California. 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