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by John Kirk
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If the eyes are very sensitive the treatment should go on in dim light, as may be felt necessary. The poultice and cold cloths may be used for an hour twice a day. In bad cases, where sight has been seriously affected, a good rubbing of all the skin of the head with the finger tips may be given before the poultice is applied. This rubbing must not be a trial to the patient, but gently done, with kindly good will, and it must be pursued for fifteen or twenty minutes, until the whole head is in a warm glow.

Eyes, Inflamed, with General Eruptions over the Body.—In some cases the eye trouble is only a part of a general skin inflammation, accompanied with heat all over the body, and an acrid, irritating discharge from eruptions on the face and elsewhere, especially on the head. The cold cloths and poultice will not work in such a case. The chief agent in the cure is fine soap lather (see Head, Soaping). Let the head be shampooed with it for half-an-hour. The whole body should then be lathered and shampooed for a short time in a warm bath; this is best done at bedtime. Much water is not needed; warm soapy lather, well rubbed all over, is what is required. Ordinary soap will make the skin worse; only M'Clinton's will do to soothe and heal it (see Soap). If white specks show on the eyes, the treatment in article on Eyes, Danger to Sight of, will cure these. When this complaint is obstinate and refuses to heal, medical advice should be sought, as blood poisoning is probably present.

Eyes, Paralysis of.—The partial paralysis of the muscles of one eye produces double vision, so that the patient sees two similar objects where there is only one. This double vision is often, however, the result of stomach derangement. If so, it may soon pass away. The true paralysis is more persistent. To cure this, rub the entire skin of the head gently and steadily with the hands and finger-tips (stroking always upwards) for some fifteen minutes. Then apply cold cloths to the eyes as already directed. If the cold cloths are uncomfortable, hot ones should be tried. Do this for fifteen minutes also. Continue alternately for an hour twice or three times a day. We have known one such day's treatment remove the double vision entirely, and no relapse occur, but in most cases the treatment must be persevered in and returned to until the paralysis is overcome.

Eyes, Spots on.—These spots are of two different kinds, and yet they are very much the same in nature and substance. What is called "a cataract" is of a different character. We refer not to this, but to the spots that form on the surface of the eyeball, and those that form in the membrane of the eyelid. When inflammation has gone on for some time on the eyeball itself, portions of whitish matter form on the glassy surface and soon interfere with the sight. When inflammation has gone on in the eyelid, little knots like pin-heads form, producing a feeling as if sand were in the eye. Afterwards these knots grow large and swell the eyelid, and at times the matter in them grows hard, and seems to take up a lasting abode in that tissue. Strong and destructive liquids or powders are sometimes applied, that so affect the whole substance of the eye as to cause blindness. Nothing of this nature is required at all. First, the skin of the head must be dealt with. You will find that this is hot and dry, and somewhat hard on the skull. Rub this gently with the dry hands for a few minutes, then press a cloth tightly wrung out of cold water all round the head. Rub and cool alternately for half-an-hour or more if it continues to produce an agreeable feeling. When the head is all soothed, and good action has been secured, at least on its surface, begin with the eye itself. The same treatment is required for both classes of cases. The eye will be shut at first. You take a fine camel's-hair brush, such as is used by artists, and some vinegar or acetic acid, so weak that you can swallow a portion of it without hurting your throat. This is a very good test of strength for the acid. You carefully brush over the outside of the eyelids and all round the eye with this weak acid. This must be done most carefully and patiently for a length of time, till all sweatiness is washed off, and a fine warm feeling is produced by the acid. The matter softens and breaks up, so that it begins to pass away. We have seen a little ball of hard white matter break up and come away after a single brushing carefully done. When the matter is in the eyelid, and is so situated that you can brush over it in the inside of the lid, it is well to do so; but this operation must be gently and carefully done. When you have brushed with the acid long enough, dry the eyelids and cheek carefully, and rub with a little fresh olive or almond oil. It will be well to cover the eye from the cold, and from any dust that might irritate. You will soon find that it is as clear and sound as could be wished.

Eyes, Squinting.—Various affections of the eyeball muscles cause this. To cure it is often easy, sometimes very difficult. The method of treatment is to stimulate all the nerves of the head and face, and at the same time to soothe their irritation. This is accomplished by massaging the brow and entire head. It must be gently and soothingly done. The open hands are drawn upwards over the brow from the eyebrows, the rubber standing behind the patient. Then both sides of the head and the back of the head are stroked similarly. After this the whole head is rubbed briskly with the finger-points. This should be done often, even four or five times in the day. If the patient objects, it is being unskilfully done; the right sort of rubbing is always pleasant. A squinting eye has been cured in a few rubbings, where the case was a simple one. If the head becomes very hot, it may be cooled as directed above for Children's Sleep. Squinting may be produced or increased by that state of the stomach and bowels in which worms are bred.

Face, Skin of.—To secure a healthy appearance of this is worth much trouble, and any eruption or unhealthy redness is a great trial, especially to ladies. To cure and prevent these, it is usually necessary to look first to the diet. A disagreeable redness of the nose, and pimples in various places, is the common result of too much rich food, not to speak of alcoholic drink, which is always most injurious to the face skin. The use of corsets is another fertile source of this trouble, and many in their desire to improve their figure ruin their faces. Plain, easily digested food is to be taken. Tea must only be used at most twice in the day, and should be exceedingly weak. Half-a-teacupful of hot water should be taken before every meal, and everything possible done to promote digestion. The whole skin must be brought into a healthy state by daily washing with M'Clinton's soap (see Soap); no other should be used for toilet purposes. It is far better than the boasted and expensive "complexion soaps," and can now be had in various forms. Many faces are injured by the kind of soap used in washing. The use of the kind we recommend is remarkably pleasant and beneficial, and a full account of it, and of our motives in recommending it, will be found under article Soap. If, however, the face will not stand the touch of water at all, good BUTTERMILK (see) forms the best wash and cooling application. Also a cloth mask may be worn all night, lined inside with soft creamy soap lather. In violent face irritation this last treatment is especially valuable.

For pimples on the face, the general treatment for the skin mentioned above (see Eyes, Inflamed) is to be used, especially applied to the skin of the back. The buttermilk wash may also be used, but the best effect comes from the general treatment of the skin.

Fainting.—Fatigue, excessive heat, fright, loss of blood, hunger, etc., are common causes.

The action of the heart is temporarily interfered with, and pallor, a sweat on the forehead, with an indescribable feeling of sinking away, precede unconsciousness.

The first thing to do is to bend down the patient's head till it touches the knees, and keep it there for a few minutes. After he has partially recovered consciousness, the clothing should be loosened, and all tight bands or braces removed. The face and hands should be bathed in cold water, slapping the face with a wet towel. Some stimulant, such as hot tea, coffee, or sal volatile, may then be given.

If there is a wound causing loss of blood, it should be attended to at once.

In case fainting is due to hunger, the greatest care should be taken to give only small quantities of food after recovery, as a large amount may prove fatal.

A sip of cold water, or bathing the face with cold water, will generally prevent a threatened fainting. If there appears any immediate danger of a relapse, keep the patient in a horizontal position for some time.

Persons liable to fainting fits should be careful to avoid extremes of temperature, such as very hot or very cold baths.

Fall, A.—After a fall from a height, where there is no apparent outward injury, there is often such a severe shock to the spinal cord and brain that continued unconsciousness occurs. In such a case, foment the spine at first, to remove the effects of the concussion. This may bring on serious difficulty of breathing, owing to congestion of the spinal cord. This can be removed by applying cold cloths along the spine. If the difficulty of breathing be present from the first, then apply the cold at once. The first effect of such a fall is to deprive the brain and spinal cord of vital force. This must be restored by heat. Subsequent effects due to congestion can be removed by cold. The effects of a shock in a railway accident may be similarly treated. Common sense will guide in using heat or cold by watching the effect. Where heat fails try cold. This is the simple rule. It is good also to give the patient some simple purgative medicine, and some warm drink. Avoid all doses of alcoholic drinks. We have known the flickering flame of life almost extinguished by a teaspoonful of brandy.

Feeding, Over.—It is well to remember that over-feeding is a relative term. To take more than a weak stomach can digest, is to over-feed, although very little be taken. We give some invalids food every two hours but that food is only two-thirds of a teacupful of milk, mixed with a third of boiling water. In every case we must watch to give the right amount, no less and no more. Every case will require to be considered by itself in the light of common sense. The amount of food eaten should be just sufficient to supply the body with material to replace that consumed in work, build up its wasted tissues and leave a slight surplus over for reserve store. Anything more is harmful. In youth, if too much be eaten, nature relieves herself by giving the transgressor of her laws a bilious attack, during which there is no appetite, and so the excess is worked off. In later years this safety valve does not work, and the surplus is generally stored as useless fat, impeding the action of the heart or other internal organs, or as gouty deposits in various parts. The Anglo-Saxon race at all events does not limit its diet as we think it should, and Sir Henry Thompson, M.D., has stated that in his opinion more ill-health arises from over-eating than from the use of intoxicating liquor, great a source of illness as this last undoubtedly is.

Temperance in diet is absolutely necessary therefore, if one would be healthy, and the avoidance of stimulating foods, with a restriction of flesh foods especially, is a precept which the great majority of well-to-do people need to attend to.

Bilious attacks, headaches, indigestion, etc., are simply nature's protest against the excess of food being forced upon her, and the natural cure is to severely restrict, or still better, entirely stop the food supply for a day or two. The idea that "the system must be kept up" is a very foolish one; people have lived for forty days and upwards on water alone, and a few days' fasting is a far safer remedy for the troubles we have mentioned than purgative drugs.

Those who have a stomach which quickly rebels against too much or unsuitable food, may, as Sir Henry Thompson says, congratulate themselves on having a good janitor preventing the entrance of what would injure. The man who can and does eat anything, rarely lives to old age.

The perfect appetite which comes from the moderate use of simple foods is a relish which must be experienced to be appreciated.

One way in which the amount of food needed to satisfy the appetite and build up the body may be very largely reduced, is by increasing the amount of mastication. If each bite of food is chewed and chewed until it is all reduced to a liquid state, the amount required will be less than half of what is usually taken, and so much less strain will be thrown on the excretory organs.

Feet, Cold.—Continued coldness of the feet gives rise to many more serious troubles, and should always be attended to. There is no better cure than daily BATHING THE FEET (see), followed by rubbing for several minutes, say five, with hot olive oil after drying. Rub briskly, until the feet glow. Put on dry warm stockings, and see that all foot-gear is kept as dry as possible. Another method of curing cold sweaty feet is to rub the soles with CAYENNE "TEA" (see), and afterwards with warm olive oil. Dry carefully, and wear an extra pair of dry cotton socks or stockings. When the sweating is very abundant and obstinate, there is usually more or less failure in the nerves which keep the skin in order. The feet must then be properly bathed (see Bathing the Feet), then dried and treated with cayenne lotion as above.

Feet Giving Way.—Where there is a great deal of standing to be done by any one, the feet sometimes yield more or less at the arch of the instep. This becomes flattened, and even great pain ensues; lameness sometimes follows. Young girls who have to stand much are especially liable to suffer in this way. In the first place rest must be had. Wise masters will provide due rest for their employees, foolish ones overwork them. Rest is not against, but in favour of work; work cannot be well done without due rest. The proper rest for feet such as we speak of will be the most easy and comfortable position. Comfort is the test of the right treatment. Bathe the feet in hot water for a good while, using plenty of soap. Rub gently with hot olive oil, pressing any displaced bones into, or near, their place. Carefully avoid giving pain. Massage similarly with oil the whole limb, and also the back (see Massage). Do this every day at least once. You may have months to wait, but a sound limb is worth a good deal of patience. When standing is absolutely necessary, strips of strong sticking plaster passed down from above the ankle bones, and round under the instep, help greatly.

Boots are better than shoes, and should be comfortably easy, with low heels.

Fever.—In all fevers, to cool down the excessive heat of the patient (see Heat, Internal) is the best process of treatment. This may be best done by continued cooling of the head. Have a towel well wrung out of cold water. Fold it so as to envelop the head. Press it gently to the head all round, changing the place of pressure frequently. Have a second towel ready, and continue cooling with freshly cooled towels perhaps for an hour or an hour-and-a-half. Then leave the last cold towel on, and put a dry towel above it. The next cooling, when the fever heat again arises, may be given, if it can be managed, by placing a cold towel along the spine. Cover this with a dry one, and let the patient lie on it. Change this, though not quite so frequently as in the case of the head. Work carefully and gently, so as not to annoy the patient. If ice can be had, it may be put in the water used to cool the cloths. If the feet be cold, foment them in a blanket (see Fomentation). Keep this on the feet for an hour. There will most likely be great relief with even one course of such treatment. It must, however, be persevered in until the fever be conquered. In any case of fever, when a patient is too weak to bear the hot fomentation and cold towels, we would recommend rubbing the feet and limbs if cold with hot oil, and the stomach and chest, and if possible the back with soap lather. It is well at first to soap the stomach only, and for some time; and each time till the last it is well to wipe off what you have rubbed on, so that the skin may be as clean as possible for the next. To do this only once is often quite sufficient to soothe, so that the patient falls off into a gentle, natural sleep.

Now, no one need imagine that there is any difficulty in the way of anyone carrying out the right treatment. We have known a young sister who saw her brother brought home in fever. The medical man predicted a long and serious illness, and the necessity of being prepared for all the usual features of such a case. The sister heard all in thoughtful silence, but when the doctor went away she said to herself, "May not I lower this flame? At any rate I will try." So through the night she so effectually cooled her brother's head that when the medical man came next day he expressed his most agreeable disappointment, saying, "It is to be a very light case after all." So it turned out to be, but it would not have been so but for that brave sister's aid. We cannot but earnestly beseech all who have the opportunity to go and do likewise. Often, especially among the poor, dirt and hot, close air have made the fever room a source of frightful danger to all around. Absolute cleanliness, abundance of pure air, and disinfection of the stools, should always be attended to.

Fever at Night.—Frequently, in illness, a fever sets in as night approaches, and increases toward midnight, passing away during the day. The treatment may be as below for Intermitting Fever.

Fever, Delirium in.—See Delirium.

Fever, Gastric.—In this fever, now known as a form of Typhoid, the disease spreads a sort of blight over the nervous centres, and from the first greatly lowers their power. The patient is too weak to bear the powerful cooling recommended in Fever; there is also a tendency to prolonged and "low" fever. First of all, in such a case, the feet and legs must be fomented. Watch against burning the patient, but get as good and powerful a heat as possible right up over the knees. Then after about fifteen minutes the cooling of the head may proceed as in fever. Both cooling and heating must proceed together.

We must think of not merely relieving, but of curing the patient, by attacking the poisonous substance where it has lodged in the nerve centres of the bowels. Pure water, with just as much acetic acid or vinegar dropped into it as will make it taste the least sour, should be given in tablespoonfuls (and hot) as frequently as the patient can take it without discomfort. If possible it should be distilled water, or rain water filtered, but certainly as pure and soft as can be procured. There is no drug that can be prescribed that is equal to pure water, and no acid better than common white vinegar. These three things—the strong fomentation of the feet and legs, the cooling of the head, and the dissolution of the poisonous substances by means of pure water, and their counteraction by means of acid in very small strength—will do wonders in gastric fever. The "turn" may be secured in a week instead of three, if these things are skilfully and persistently applied. We should say that the strong fomentation and cooling of the head should not be done oftener than twice a day, and only once if the patient feels too weak for twice. But as a general rule, the person who is ill will wish these things at least twice a day. The sips of water should be given, say in a dozen separate tablespoonfuls at a time, at least thrice a day—oftener if desired by the patient.

For food there is nothing equal to good fresh buttermilk. All alcoholic drinks are damaging in a high degree in such an illness as this. Sweet milk, if somewhat diluted with good water, will do, but there is nothing so good as the buttermilk fresh from the churn.

Absolute rest in bed is necessary, and no solid food should be given to the patient until his temperature has been ten days at normal point. All food given in the illness should be liquid enough to pass through the meshes of a milk strainer. Care should be taken in this matter, as death has often followed the taking of solid food, when otherwise recovery would have come.

Milk should always form the largest portion of the diet, and may be given with arrowroot or oatflour. Beef tea is of little use, and is always to be avoided if there is a tendency to diarrhoea. Plenty of cold water may always be given.

In a community which is visited by gastric fever as an epidemic this fact is striking—only a portion of the people are affected by the visitation. Here is one man who drinks the water which gives gastric fever to another; that water goes into his stomach as it does into that of his neighbour, and passes through his system the same, yet death is the result in one case, and not even sickness or inconvenience in the other. In the latter case the system has the power of resistance, and our aim should be to increase this. Therefore we say by all means look to the healthful state of the lungs and bowels when you have the least reason to fear that bad water may bring gastric fever to you or yours. If there is any tendency to constipation get some liquorice, and boil it thoroughly with about half an ounce of senna leaves to a twopenny stick. Strain well, and let all in any danger have a teaspoonful of this thrice a day. It will do wonders in keeping matters in a good state within. If possible, give a good rubbing all over once a week with hot vinegar, and follow that up with warm olive oil. That will do a great deal to keep things right outside. Take and give more rest than usual to the toil-worn when such danger is near, and have as good food provided for all as is possible. There may be danger in the air, and still worse danger in the water to those whose vital force has got low, while there is none in either to those whose systems are in good tune.

You are, perhaps, ready to ask if we care nothing about bad water? Certainly; we care a great deal about it, as we do about bad air. By all means condemn wells and streams that are corrupted, and insist on the opening of better ones. Make it a first condition of having anything to do with a place for habitation that it has good air and good water. We are only pointing out the best safeguard when neither the one nor the other can be insured.

In all cases where water is suspected, it should be boiled before use.

There is, in great numbers of persons, both old and young, what may be called the natural aptitude of healing. They are kept back from trying to help because it is regarded as so dangerous a thing to go near fever, and also to interfere where only professional skill is legally allowed. To apply such a remedy as that which we have here sketched for gastric fever is perfectly safe in both senses. No medical man worthy of being regarded will find any fault with it, and there is no danger to either the patient or the person applying it.

The mode we have pointed out involves nothing that may not be easily had by the very poorest. What is wanted is only one or two who shall be Christian enough to care just a little for human bodies as well as human souls, and who shall study such simple and accessible remedies, and be ready to guide their fellow-creatures in a time of trouble.

Fever, Hay.—See Hay Fever.

Fever, Influenza.—This is a slow, smouldering kind of fever. For treatment, pack the feet and legs in hot fomentation over the knees, and apply cold cloths over the stomach and heart, taking care in applying the cold if the patient is weak. In such a case only moderately cool cloths should be used. Carry out these two processes effectively, and a cure should soon result. Give light food—milk and water, and milk diet generally. Give small quantities frequently rather than a good deal at once.

Fever, Intermitting.—For this the treatment may be given as in gastric fever, and, in addition, the stomach and bowels should be carefully lathered over with soap lather (see Lather). This has a wonderfully soothing effect. It may be spread with the hand over the skin, and fresh supplies gently rubbed on until much of the fever is removed. Some five minutes' lathering at a time is enough—this may be done several times a-day. Carefully dry after it, and let the patient rest.

It will be well to anticipate such attacks by softening the skin when it shows a tendency to be hard and dry. A gentle rubbing now and again with fine lather and good olive oil will secure this. We say lather and oil because, when there is no fever heat, lather by itself is too cooling, but when mixed with a little oil the mixture is comforting rather than chilling, and softens nicely.

Fever, Rheumatic.—This results from severe damp chills, usually following exhaustion from some cause. Its best treatment at an early stage is by heat applied to the spinal nerves. If the trouble be chiefly in the legs, treat the lower back; if in the arms, treat the upper back. The heat is best applied by a large BRAN POULTICE (see). A teaspoonful of tincture of Guaiacum may be given before each poulticing, which may be done twice a day for an hour. We have known an illness that threatened to last six weeks cured in one week by this means. Give also teaspoonfuls of hot water from time to time.

Where the trouble has advanced to severe fever, and swelling of the joints, an entirely different treatment is best. Let a lather of soap be made (see Lather), and spread over the chest first, and afterwards gradually over the whole body. After four or five coats of lather have been put on, wipe off with a dry cloth, and proceed to lather again. We have seen half-an-hour of this treatment, well done, greatly relieve the fever; it was continued twice a day, and in three days the trouble was conquered. Care must be taken not to chill the patient. The soaping can be accomplished with only a small part of the body uncovered at once, and, with proper precautions, the bed can be kept perfectly dry. If a proper liniment is procured and lints sprinkled with it wrapped round the joints, the pain will be wonderfully relieved. But such liniments are only to be had on the prescription of a really good medical man, who will not, if he really seeks to heal, and knows his business, object to our treatment being applied.

Sometimes, after rheumatic fever, one or more of the joints become stiff. This stiffness varies in different cases from an apparently complete solidifying of the joint to only a slight inconvenience in its use. We have seen many such joints, even very bad cases, completely cured by a proper use of heat and massage. It is, however, no trifling matter to undertake the necessary work, and perseverance is an absolute requisite. Even very obstinate stiffening will in time be overcome by frequent and strong fomentation, followed by rubbing with olive oil in such a way as to squeeze gently all the muscles and sinews of the limb, and move them under the skin. This should be followed by gentle bending of the joint, back and forward as far as it will go without pain. It may need to be done twice a day for many weeks, yet the result is worth even more trouble, when you literally make the "lame to walk" (see Rheumatism).

Fever, Scarlet, or Scarlatina.—As a first precaution, when an epidemic of this exists, children should be sponged twice a week all over with hot vinegar before being put to bed. This is a powerful preventive. If anything like sore throat appears, bathe the child's feet in hot water until a free perspiration is produced. Dry well, under a blanket, and rub all over with hot vinegar, then put the patient to bed. If in the morning there is no evident fever, repeat the sponging with hot vinegar, dry well, rub with hot olive oil, and dry again. If the fever definitely develops, place the child in a light airy room, from which all unnecessary carpets, curtains and furniture have been removed. No one should enter this room except those on duty in nursing, nor should any from the house ride in public conveyances or attend meetings. These precautions are just as necessary in slight as in severe cases, as infection from a mild case may cause a fatally severe attack in another person.

Where the rash of the fever seems reluctant to appear, the SOAPY BLANKET (see) will bring it out very speedily. But the above simple treatment is usually sufficient. When vomiting is almost the first symptom, six teaspoonfuls of hot water are to be taken every ten minutes for an hour; then treat as above with foot-bath, hot vinegar, and oil.

In a severe case have medical aid if at all possible. Where there is great fever spread a large dry towel or sheet on the bed. Lay one wrung out of lukewarm water on it; let the patient lie down on this. Carefully wrap him up in the damp cloth, then over that wrap the dry one, with a blanket outside over all, and the bedclothes above. This will certainly soothe for a time. It may be repeated every two hours, for twenty minutes or half-an-hour at a time, night and day, till the fever is subdued.

For nourishment in succeeding weakness, give milk and boiling water, mixed in equal parts, every two hours. If stimulants are required, give CAYENNE "TEA" (see), reduced in strength until it just slightly burns the mouth, half a teacupful every half-hour. Cool the head also if necessary, as directed for typhoid fever.

Fever, Typhoid.—Treat as under Fever, Gastric, and Fever. In addition, great care should be taken to disinfect and destroy any stools, and especially to prevent these getting into any drinking water.

Keep the patient at rest in bed.

No solid food should be given during the whole course of the illness. Milk mixed with an equal quantity of boiling water is best. Give only a wineglassful at a time, as often as the patient can take it. If the patient craves solid food, it must on no account be given. It is almost certain to cause a relapse.

Fits.—See Convulsions; Nervous Attack.

Flannel Bands.—See Band, Flannel.

Flatulence.—This is the accumulation of gases in the body, usually caused by fermentation of the food at some part of the digestive process. A failure of the vital energy in the stomach and related organs is generally the cause. Over-exertion, worry, grief, any prolonged strain, will cause this failure. As first treatment, then, the cause should be removed, if this be at all possible. Do less work, cultivate simple faith in God instead of worry. Do not sorrow over-much. The best material remedy is to take tablespoonfuls of hot water every few minutes for several hours. If cold, the feet should be bathed (see Bathing Feet), or fomented, for about an hour at a time. These two simple remedies will generally prove sufficient, if persevered in.

Flushings, Hot.—These are often a really serious trouble, especially to women, at certain stages of life. Most often they come about the age of fifty, but in weakly persons may occur at any time. A disturbance in the nervous system, due to lack of energy, is the cause of such feelings. They are often accompanied by DEPRESSION (see). Any treatment ought to be directed to strengthening the nervous system. A good plain diet, easy to digest, is a most important matter. Soaping with soap lather over all the body (see LATHER) will greatly restore the tone of the nerves of the skin. This may be done every night, and the CAYENNE LOTION (see) rubbed all over every morning for a week or two. This treatment will usually prove successful in curing.

Fomentation.—Some general remarks on this important treatment we give here. First, no fomenting should be done for at least an hour after a meal. And it should usually be followed by a period of complete rest. A very good way to foment any part of the back or front of the body is by an india-rubber bag of hot water of the proper size and shape, with two or three ply of moist flannel between the bag and the skin. These bags can now be had of very various sizes and shapes, and one or more should be in every house. In fomenting a knee, foot, or ankle, a good sized half or even whole blanket is necessary. Fold this one way until it is twenty inches broad. Lay it out on a clean floor or table, and sprinkle sparingly boiling water across one end. Roll this end over and sprinkle the roll, turn over again and sprinkle again, and so on until the whole is rolled up. Thoroughly knead and twist it, so that all is penetrated by the moist heat (see illustration, page 32). Or it may be prepared by soaking the blanket in boiling water, and wringing it out with a wringing machine. It may then be unrolled and unfolded so as to permit proper wrapping round the limb to be fomented. Care must be taken not to burn the patient, or give any shock by applying the fomentation too hot. It must be comfortable. See Heat And Weakness.

Sometimes fomentation may seem to increase the pain, say in a swelled limb, and yet we should persevere in the treatment. This may seem to contradict our dictum that we should be guided by the feelings of the patient. The reason is that if some dead matter has lodged deep down in the limb, it will have to be brought up to the surface ere the diseased state can be remedied. If strong fomentation is used in such a case, it is not unlikely to increase the painfulness of the limb, and a swelling may appear. It will at once be said that the disease is "getting worse." This is quite a mistake—the increased pain is arising from such stirring of life as will bring about a complete cure. If the treatment is continued, the swelling will by-and-by come to a head and burst, and can be treated as in Abcess.

Fomentation, Armchair.—This is applied as follows. Over a large armchair spread a folded sheet. Provide a good large blanket prepared as above in Fomentation. Then rub the haunches, thighs, lower back and abdomen of the patient with a little olive oil. Wrap these parts in a warm dry towel. Open up the hot blanket and spread it (still some three-ply thick) on the sheet on the armchair. Let the patient sit down upon it as soon as it is cool enough not to hurt. Fold the blanket all round the patient's lower body and thighs. Draw the sheet over all, and cover up well to retain the heat. At the end of an hour, or such less time as the patient can endure, a smart washing with hot vinegar, and a gentle rub with warm olive oil, will complete the treatment. This is best done at bedtime, as the patient must go to bed immediately after it.

In cases of failure of the large hip-joints, or of the lower limbs, in sciatica and lumbago, the armchair fomentation is of great use; also when running sores exist from one of the hips or lower back, or even in numbness or lack of vitality in the feet and toes. It is referred to under the headings of the troubles in which it is of advantage.

Suppose that we are dealing with lack of vitality in some organ in the lower part of the body. We argue that the nerves supplying this organ are needing in some way to be increased in force. This is to be done by getting them heated. There is an arrangement in nature which hinders this being quickly done. The rapid circulation of the blood which is going on all round these nerves tends to keep them about the same temperature. The heat, as it is applied, passes off rapidly in the stream of the blood. But if the heating process is carried on long enough, the whole blood of the body becomes gently raised in temperature, and by-and-by the heat applied to the surface reaches the roots of the nerves, not only by means of the circulation, but by gradually passing through the skin muscles, and the bones that are near it. New life is infused, and that where it is specially required. The flagging organ soon shows that it responds to this true stimulant. After a few such fomentations it begins to act as perhaps it has ceased to act for months, and even for years. We speak of what we have seen again and again in cases where distress was caused by what is called "sluggishness" in some important organ, or when such an organ was altogether ceasing to act properly. The armchair fomentation is more successful than the hot sitz-bath, though this is by no means to be despised.

Food and Mental Power.—Unsuitable or ill-cooked food has a most serious effect on the mental powers; and when we take the case of a mental worker, we see that, in order to carry this power right on through a long life, proper diet is of great importance. Also many good mental workers are more sensitive than ordinary men: they are more easily destroyed by strong drink or opium. The nip of brandy, the soothing draught, are terrible dangers to such. Instances of brain power continued far into old age are always lessons in plainness of diet and temperance. One such temperate man will do as much work as ten who are luxurious eaters, tipplers, and smokers. Diet for mental workers should be light and easily digested, with a preponderance of proteid food (see Diet). Rich, tough and fatty foods, and hot stimulating drinks should be avoided. As mental work is generally sedentary work, and consequently having a constipating tendency, some of the vegetable foods giving a stimulus to the muscles of the intestines should form a part of the diet, such as green vegetables, fruits, and oatmeal.

Food in Health.—As will be seen from many of these articles, the question of diet is one of the greatest importance, in health as well as in disease. The onset of disease is, in fact, often due to long-continued abuse of the whole digestive system through the use of unsuitable food. By unsuitable food, we mean not so much food that is bad in itself, but rather that which is not suited to the temperament or work of the eater, or to the climate and circumstances in which he finds himself. A ploughman or fisherman, for example, may thrive on diet which will inevitably produce disease in the system of one whose work confines him to the house for the most of his time. One condition of a healthy life is, therefore, careful consideration of our work and circumstances before deciding on our diet. Also, a man of excitable and irritable temperament will need different diet from one of a slow and quiet nature. The food which will only stimulate the latter will over-excite the former, and may even make him quite ill. What is commonly called bad temper is often only the result of wrong diet, and will disappear under a milder course of food. It will, of course, be seen at once from this, that the case of every man must be considered by itself. A decision as to proper diet can therefore only be made when all the facts about a case are known, and in this matter the man himself must decide a good deal for himself; nevertheless some general directions can be given which will help our readers to a decision in their own case.

In the first place, we would guard against a very common error—viz., that a smaller quantity of food, chemically of a less nutritive kind, means less nourishment to the body. On this head we refer to the articles on Digestion and Assimilation. It may only be remarked here that what the body actually uses, and what is taken into the stomach, are two very different things. It is often the case that food containing less actual nourishment will give greater nourishment to the body than chemically richer food, because the former fits the state of the digestive system better. What each one must consider is, not what food has most of the chemical elements needed by the body, but what food will give up to his own body the most of these elements.

Another error is that the use of medicine can for long assist the body to use heavier food. In a case of disease, medicine often is of the greatest value as a temporary aid to digestion, but its continual use is the parent of great evils, and at last defeats the very end for which it was given. If a person needs continually to use medicine, there is probably either some organic disease present, or, more commonly, great errors in the diet taken. Avoiding medicine, then, except as a very temporary resource, and remembering that food is to be judged more by the way it agrees with us than by its chemical constitution, what rules can we give for diet in certain common cases?

First, diet should vary in summer and winter as the season varies. Foods rich in fat, such as ham and bacon, should be for winter use only, and should even then be more or less used as the weather is cold or mild. For summer diet, milk foods, such as milk puddings, etc., ripe fruits, and green vegetables should predominate, being varied also with the heat or coolness of the weather. In very hot summer weather, animal food should be very sparingly partaken of. It must also be borne in mind that warm clothing or heated rooms may convert a winter climate into a summer one.

Second, diet should vary according to the occupation of the eater. The writer and brain-worker will do best, as a rule, on little butcher meat, taking chiefly fish, eggs, and light milk foods, with vegetables and fruits. Alcohol in any form is especially fatal to brain-workers, and must be avoided, if there is to be really good health.

Third, food must vary according to temperament, age, etc. To give rules under this head is almost impossible. The growing boy will need proportionately more food than the adult, the man more than the woman. It is indeed true here that what is one man's food is another man's poison, and that every man must find out for himself what he needs. It may be generally said that the food which digests without the eater being aware in any way of the process is the best for him.

It may safely be affirmed in relation to this question of food in health, that the middle and upper classes eat quite too much. Hence the stomach trouble and goutiness (often in a disguised form) that they suffer from. Too much carbonaceous food will produce corpulency, and too much animal food URIC ACID (see). On the other hand, the poor, for want of knowledge of really economical nourishing foods, suffer from want of nutrition.

An opportunity is always present, in case of sickness among the poor, by philanthropic persons to inculcate the value of good food. Instead of bringing a basket of beef tea, tea, and jelly, take oatmeal, fruit, milk, and vegetables.

What we have said should be sufficient as a hint to those who wish to regulate their diet on common-sense principles. A little careful thought should enable any one to work out a satisfactory scheme of diet for his own particular case. Regularity in meals is of great importance. There should be fixed hours for meals, with which nothing should be allowed to interfere, no matter how pressing the business may be. Do not assume, however, that it is necessary to eat at meal times, no matter whether appetite for food be present or not. To eat without appetite is an infringement of natural law, and it is far better to go without the meal if nature does not demand it than to yield to custom, or to imagine it necessary to eat because the dinner bell has rung. If not hungry do not eat at all, wait till the next meal time; do not take a "snack" in an hour or two. Three meals are, as a rule, better than more, and many have found two suit them best. Probably one-half the human race (the inhabitants of China and Hindostan) live on two meals a day.

Food in Illness.—Light, easily digested food is of the first importance in many illnesses. To know easily procured and simple foods, which are really light, is a great matter. Saltcoats biscuits (see Biscuits and Water) form one of the best and most nourishing foods. So does oatmeal jelly, prepared by steeping oatmeal in water for a night, or for some hours, straining out the coarse part, and boiling the liquor until it will become jelly-like when cold. Oatmeal steeped in buttermilk for a time, and then moderately boiled, makes an excellent diet. Wheaten meal or barley meal may be used for these dishes instead of oatmeal, according to taste. Many other dishes, with rice, arrowroot, sago, etc., will suggest themselves to good cooks; but for sustaining the invalid and producing healthy blood, none surpass those described.

Fright.—Some most distressing troubles come as the result of frights. In many cases much may be done to relieve such troubles, which arise from severe shock to the brain and nervous system. The results may be very various—from mere stomach troubles to paralysis—but the cure in all cases lies mainly in giving fresh energy to the nervous system.

If a blanket fomentation is placed all up and down the back, over a rubbing of warm olive oil, and the excited person is laid on that, one good step will have been taken in the way of restoration. Then this may be aided by cool cloths very cautiously laid over the stomach and bowels, so as to cool in front, while heat is given at the back. This will be specially desirable if the heat at the back is rather high. When the blanket loses its heat it need not be taken off, but a poultice of bran, highly heated, may be placed under it, so that the heat from the bran may come gradually and comfortably through, and pass into the body in that gradual way. So soon as a sense of genial comfort spreads over the back, it will be found that a right state is stealing over the organs that were threatened by paralysis through the alarm. The defect very soon disappears.

Gangrene.—See Cancer in Foot.

Gatherings.—See Abscess; Ankle; Armpit; Bone, Diseased.

Giddiness and Trembling.—This comes very often as the result of loss of nerve power in the spinal system, due to weakness, shock, or simply old age. A great deal may be done to relieve, and in many cases to completely cure, by the following simple means. Wrap the patient round the middle in a soapy blanket, rubbing well afterwards with hot olive oil. Give an hour's fomentation at a time each night for a few nights; rest for a day or two, and repeat. The fomentation must be a blanket one, but should only extend from the armpits to the hips, not over the limbs. For treatment of giddiness arising from the stomach see Indigestion. Half a teacupful of hot water every ten minutes for five hours is usually an effective cure. This should be done daily for three days. Let it be kept in mind that we must not have "hard" water—that is, water impregnated with mineral substances, such as lime or iron. We must have "soft" water, that is, such as rain water nicely filtered, or "distilled" water, which can be had from any good chemist for twopence a quart.

Glands of Bowels.—See Bowels.

Glands, Swollen.—This is a very common trouble, especially in the young. To restore the skin to healthy action is the first important matter. This may be done by bathing the feet (see Bathing the Feet) until free perspiration ensues, wrapping the patient meanwhile in a warm blanket. Dry well, and sponge with hot vinegar and water; dry again, rub with hot olive oil, and put to bed. As a diet, Saltcoats biscuits and water for some time have of themselves formed a complete cure (see Biscuits and Water). The comfort of the patient will regulate the amount of bathing. Do this every night for a fortnight, except on the Sabbath (when rest from all treatment seems best). If the swelling be slight, two days' treatment may cure it; if the case be severe and of long standing, a longer time will be required.

For treatment of the neck, if there is no sore, put round it a cloth dipped in hot vinegar, and a good poultice of bran or moist hot bag round over this. Put this on for half-an-hour before rising in the morning. After taking them off, rub with warm olive oil, and wipe that off gently. Put a single band of fine new flannel round the neck for the day. If there be suppuration, or running sores, treat in the same way unless the vinegar prove painful, when it may be weakened with water until comfortable. This treatment will, we know, cure even a very bad case of tubercular glands. See Wounds.

There are men so skilful in medicine that they can aid wonderfully in such cases, and surgeons so apt at operating that they too, can do much good. But we should not for a moment think of leaving patients to depend on what can be swallowed, or what lancet and probe can do, when the very sources of life itself are neglected, and cures waited on for months that may be secured in a week or even less. Above all, when you know how to do it, infuse new life in the body, and promote the throwing off of that used-up matter which is showing itself in the disease. How many parents bow down before the idea that swollen glands are constitutional to their children, when the fact is that these children have very fine skins, and need to have these kept in extra good order, not merely in the way of washing, but so that they shall perform their part of throwing off this used-up material of the body efficiently. Some of the most beautiful of our race are thus lost to the world when they might easily be saved.

In some cases swollen glands are caused by bad teeth, running from the EAR (see), sores or insects on the head, or inflamed tonsils. If such causes are present, they should be removed. Extract bad teeth, cure running ears, and properly cleanse the head. Gargle the throat for swollen and inflamed tonsils with warm water, in which a little salt is dissolved.

Gout.—Some have a predisposition to this most painful disease, and require to keep a strict watch on their diet. Meat, specially the internal organs, meat extracts, alcohol, tea, and coffee must be avoided, and milk, buttermilk and porridge, cheese, eggs, and vegetables, especially green vegetables, made into light and digestible dishes, should be relied on solely. Further, the diet should be a small one, most thoroughly and slowly masticated, and plenty of pure water is advisable, in order to help the elimination of the waste which causes the trouble. See Uric Acid.

If the feet be affected, apply gentle heat to the lower part of the spine by Fomentation (see). Sometimes a cold cloth on the lower spine will soothe, but more often heat is the true cure. Wrap the sore foot in softest cotton, and foment very gently through this, using only warm cloths, and taking care to avoid giving pain. The cloths should be just a little below blood heat. Cold cloths are a serious mistake, but at a temperature a little below blood heat a gentle soothing is produced. Care must in every case be taken to do only what the patient feels comforting.

Gravel.—Sometimes mere internal inflammation is mistaken for this disease. In the case of inflammation of the bladder, apply a large hot BRAN POULTICE (see) to the lower back, and change cold towels over the front of the body where the pain is. Afterwards rub all parts over with hot olive oil, and wipe dry. Take only plain food, oat or wheat-meal porridge, Saltcoats biscuits, etc.

Where actual stones are formed, or a tendency to their formation exists, all water drunk should be distilled, or boiled rain water. Where stones are present the heat may be applied to the back, but no cold in front. The soft water tends to dissolve the stones, the heat assists in their expulsion from the body. Diet same as in GOUT (see).

Growth of Body.—See Limb, Saving a.

Guaiacum.—This drug is a West Indian gum, and is one of those remedies we are glad to say will do no harm, while in rheumatism and gout it is most beneficial. A teaspoonful of the tincture in a cup of hot water, or one or two of the tabloids now so easily had, may be taken three times a day.

Haemorrhage.—See Bleeding; Wounds.

Hair Coming off.—There are many forms of this disfiguring trouble, both in the case of young and old persons. It is chiefly due to a wrong state of the skin of the head, which is best treated with careful rubbing with vinegar or weak acetic acid, and finishing with good olive oil. The acid must not be used too strong—not stronger than ordinary vinegar. This may be done every evening, and should be rubbed on for fifteen minutes, till a comfortable feeling is aroused. Dry the head, and then rub on olive oil for five minutes. The vinegar should rather be dabbed than rubbed on. Wash all over in the morning with M'Clinton's soap. Or this treatment may be applied every other night, and on alternate nights the head may be packed up with lather (see Head, Soaping). This treatment is quite safe, and will usually effect a cure, which is more than can be said of the expensive hair washes so much advertised. Many of these are most dangerous. As far as possible go with the head uncovered, and brush the hair frequently. Brushing stimulates the grease glands, and causes the hair to become glossy. Probably the reason men lose their hair so much more than women is that the brushing and combing the latter must give it stimulates the hair roots. Massaging the skin of the scalp with the fingers night and morning will greatly promote growth of the hair. See Head, Massaging.

Hands, Clammy.—Rub the hands and arms well twice a day with CAYENNE LOTION (see).

Hands, Cold.—Much more than is readily believed depends on the state of the hands and feet. We are already familiar with the subject of coldness in the feet, but we meet with cases in which the coldness of the hands is as striking. It is not readily thought that cold hands have anything to do with such illness, for instance, as that of bad action in the stomach. There are cases in which a very great deal can be done to relieve a congested state of the vessels of the stomach, and even a similar state of the lungs, by only bathing the hands in hot water and then rubbing them with hot oil till they have been thoroughly heated and reddened, as they are when effectually warmed. Half-an-hour's bathing of hands in water just a little above blood heat produces a wonderful effect on an invalid when there is too great weakness to stand longer treatment. This is well known to be true of half-an-hour's good feet bathing. In some cases bathing both of hands and feet is much needed. The overburdened heart finds it a vast benefit when by such a bathing the blood is allowed to flow easily through the vessels of the feet and hands.

Hands, Dry and Hard.—Pack the hands in SOAP LATHER (see) mixed with a little fine olive oil. The soap must be finely lathered with a brush, not melted. Pure soft water, never too hot nor too cold, should be used, and the hands thoroughly dried after washing. See Chapped Hands.

Hay Fever.—A most effective preventive and cure for this is the inhaling through the nostrils the vapour of strong acetic acid. The acid may be on a sponge enclosed in a smelling bottle, and its vapour may be freely inhaled. Sponge all over each night with hot acid and water. The head also may be wet with pretty strong acid, and tied up so as to keep in the vapour. Do not, however, use a waterproof covering.

Headache.—There is a vast variety of ailments associated with what is called headache. In itself, it is just more or less pain in the head. When there is such pain, it means that some of the nerves in the head are in a wrong state, probably in nearly all cases a state of more or less pressure. This pressure hinders the free flow of vital action along the nerve, and this hindrance we feel as pain. To remove the pressure is, then, to relieve the pain. Pressure from overwork often causes headache on week-days, which goes off on Sabbath. The rest here removes the pressure, and so the pain. The pressure results from a failure of energy in some part of the head, slight swelling then taking place. To increase the energy is to effect a cure. This may be done by first, at bedtime, soaping the back with warm water and SOAP (see). Then dry, and rub firmly yet gently with hot olive oil, until the whole back glows with warmth. This may take perhaps fifteen minutes. Then give three minutes of warm water pouring over the back. Dry again, and oil with hot oil, and put the patient to bed. Avoid much tea. Avoid altogether tobacco and alcoholic liquors, which of themselves will often cause the trouble. This treatment applies to all that numerous class of headaches which arise from overwork and fag. A cure may often be had by its means, without taking a holiday. But where this can be done, it is well to take it.

The headache, however, may be caused indirectly by the failure of some of the organs to do their duty, when other methods must be adopted. The use of tobacco so injuriously affects the whole system that headache often results, and refuses to be cured unless the tobacco be given up. It is hard to do this, but the difficulty must be faced. Cold, damp feet are a common cause of headaches. Let these be well bathed (see Bathing Feet) for some days, even twice or three times a day, and many kinds of headaches will be cured. Constipation, or sluggish action of the bowels, frequently causes headache. The cure is obvious (see Constipation). Imperfect action of the kidneys also causes it. In such a case apply a large, warm bran poultice (see) across the back behind the kidneys. Oil the skin before and after poulticing. Do this once a day at bedtime for a week, if necessary, but not longer than a week at a time. Take half a teacupful of water before each meal. Use freely the lemon drink described in Drinks, Refreshing.

Headache, Sick.—The stomach and head affect each other powerfully, and a disordered stomach causes severe headache, known as sick headache. In many cases a few tablespoonfuls of hot water, taken at intervals of five minutes, will effect a cure. He is himself "simple" who laughs at this as "simple." If a dose of hot water cures, and removes any need for expensive drugs, that is a matter for thankfulness and not for laughter. When some substance not easily dissolved has lodged in the stomach, hot water is often all that is needed to remove the trouble. But it must be remembered that over-eating, or the eating of indigestible food, must be given up, and the food must be masticated till it is reduced to a liquid condition.

Many will say they have not time for this, but time must be taken, and half the quantity of food well masticated will nourish better than the whole imperfectly masticated.

Headache on waking in the morning is a frequent result of stomach disorder. In such a case take two teacupfuls of hot water, with an interval of ten minutes between. In many cases a slice of lemon in the hot water powerfully aids to cure. Especially is this the case where pains in the bowels are felt along with the headache. If lemons cannot be had, a few drops of vinegar will form a good substitute. Continue to take half a teacupful at intervals all day.

Sick headache may, however, arise from the head causing disorder in the stomach. The head may then be fomented gently, and if necessary soaped (see Head, Skin of) or massaged (see Head, Rubbing, Massage), which should in most cases remove the trouble if carefully and well done.

Headaches are frequently caused by anxiety and worry, which have all the marks of sick headache. Dull pain and heat, more or less persistent, also arise from this cause. The treatment for such cases is given in the preceding article for pressure from overwork. It is well to see, in such cases, that the mental and spiritual cures be applied, as well as the material. Let there be resolute putting away of all worrying ideas at night, and during every leisure time. Let perfect trust in a loving Heavenly Father relieve us of all burdens. Much may thus be done to cure even a sore head and weary brain. We are of "more value than many sparrows" to One whose power and wisdom are really infinite. Take both sides of this great truth, the spiritual and the material, and you will find it a glorious help in worry and disappointing failure. What a remedy it is when good medical treatment and true faith in God come together to give peace to the weary one! See Worry.

Head Baths.—See Baths for Head.

Head, Massaging the.—This is so important in many cases of neuralgia, headache, and eye troubles, that we here describe it. The brow is first gently stroked upward from behind, with the palm of the hand, while the back of the patient's head rests against the chair or other support. The sides of the head are then similarly treated, using a hand for each side simultaneously. Then the back of the head is stroked upward also. After this is well done, the top of the head is stroked similarly from front to back. Then the whole head, except the forehead, is rubbed briskly but lightly with the tips of the fingers with a scratching motion, but not using the nails. This is best done piece by piece, taking care to do every part in turn. This treatment may be often alternated with the cooling of the head with cold towels, with the best results. In all cases of head uneasiness and neuralgia it is invaluable (see Eyes, Paralysis of; Eyes, Squinting; Massage). Frequently a small part of the head will be found where the rubbing with the finger tips is particularly soothing. Special attention, of course, should be given to this, as it is nature's guide to relief. But if pain and uneasiness result from the rubbing, it should be stopped, and some other cure substituted. Understand that what you have to do is to gently press the returning stream of venous blood on in its course from the weighted brow back over the top of the head. Rub very slowly and deliberately, as the stream you are affecting flows slowly. The frequency with which you change from the rubbing to the cold cloth, and from that again to the rubbing, will depend a good deal on the heat that you find persistent in the head, but usually you may rub two minutes and cool during one minute. More or less relief will come in a very short time, and in ten minutes or a quarter of an hour there will be a very great change for the better.



We had a very curious case lately. A little girl was brought to us one morning who had been quite blind of one eye for a fortnight. We tried the eye with a rather powerful lens, but she could see nothing. That eye had a squint, which was also of a fortnight's standing. The pupil of the eye was dilated, but nothing else seemed wrong. The girl was affected with worms in some degree, but otherwise healthy. We gave her head a massaging, such as we have been describing, for some ten minutes or so. She was given the first of four or five doses of santolina next morning, which her mother said she threw up and some bilious matter besides. She was brought to us an hour or so after, and we found that she had forgotten which had been the blind eye. She now saw perfectly with both, and the squint was gone. We had not tried whether the rubbing had had the curative effect before the santolina was given, or whether it was after the latter that the sight was restored, but we are disposed to think that the squinting and blindness both had given way to the head's improvement by the massaging.

Head, Skin of the.—The nerves of sensibility are very largely supplied to the skin of the head, and many large nerves pass under it. It is therefore an important matter that it be kept in a right condition. In various troubles it becomes hard and dry, and even contracts and presses very painfully upon the head, feeling as if it were dried parchment. The pain thus caused is different from neuralgia, and cannot be relieved by cooling, but is easily cured by soaping the head (see Head, Soaping). This may be done every night, and the head tied up with the soap lather until morning. It may then be sponged, dried, and a little hot olive oil rubbed into the skin. In a serious case, where the patient is in bed, this treatment may be given night and morning. Always, in treating such a head, be very gentle, for the least touch is often painful to the irritated skin. The use of a pure and proper pomade, such as some preparation of vaseline, is of importance where the skin is dry, and tends powerfully to preserve the skin and hair in healthy condition.

Careful brushing of the hair, and rubbing of the skin of the scalp will, too, be of use. See Hair.

Head, Soaping.—Have a piece of M'Clinton's soap, a good shaving brush, and a bowl of warm water. Rub the wet brush on the soap, and work the lather up in the hollow of the left hand, taking more soap and water in the brush as necessary, until the left hand is full of creamy, thick lather. Lay this on all over the patient's head. Make another handful, and lay that on also. The lather may be wrought into the mass of hair until it reaches the skin, the brush being dipped in the warm water, and used to work the lather well into the skin of the head. This must be continued until the whole head is thickly covered with fine white lather, like a wig in appearance. You need have no difficulty with ever so much hair. You only comb that nicely back at first, and place the soap lather on the fore part of the head. Then you bring the hair forward, and soap the back part. You may work on at this process for half-an-hour. You will by that time have produced a most delightful feeling in both body and mind of your patient. Tie a soft handkerchief over all, and leave for as long as needed—even all night if required. When removing the lather, use a sponge and warm vinegar or weak acid (see Acetic Acid), and dry gently with a soft towel. This application can be used with good effect in all cases of hard, dry skin on the head, and formation of white scurf. It preserves the hair, and stimulates its growth. It also removes the painful sensitiveness to touch so often felt in the hair and head skin. Care must ever be taken to do it all with a gentle hand. So done it is priceless in its soothing and healing effects on irritable nerves.

Head, Sounds in.—As the result and accompaniment of deafness these are sometimes most distressing, even preventing the patient from sleeping. They are often caused by chill producing some inflammation of the ear, and stoppage of the internal or external air passages. Have a large FOMENTATION (see) carefully packed round the whole head. If properly done, the patient will be comfortable in it for an hour. The fomentation must then be taken off, the head rubbed quite dry, and a warm covering put on. Do this before bedtime for three or four nights. Then desist for three nights. After this place a hot BRAN POULTICE (see) on the back of the head, neck, and spine, so that the patient can lie comfortably upon it for an hour. Oil before and after with olive oil. Give this at bedtime for three or four nights, and rest again for three or four days more. Avoid exposure during this treatment. It is suitable for all cases of ear trouble through chill.

It will be specially important to see that the feet are comfortable, and that health generally is looked to. See Ears; Hearing.

Health and Money.—It will be noticed that the remedies we recommend are in almost every case very cheap—even, like hot water, costing nothing, as they are in every house. This very simplicity and commonness has turned many against our treatment. We know, indeed, of one curious case where olive oil was derided and despised by a rheumatic patient, until his friends got it labelled "Poison, for external use only." It was then eagerly applied, and effected a cure. We warn our readers very seriously against this folly. It is traded in by some who sell the simplest things as secret cures at exorbitant prices, and impoverish still further those who are poor enough already. The price of a drug or appliance is no indication of its value as a cure. Neither is its lack of price. Nor is the price of any particular food or drink an indication of its value. Good and nutritious foods are generally cheap and easily procured. See Diet, Economy in. Our effort has been to find out cures within the reach of every household; and we have found that, as God has put water and air freely within man's reach, so has He put those things which best cure disease within the reach of the poorest. Let us not then despise such things because they are common.

Hearing.—We have had so much success in helping the deaf that we feel warranted in seeking to spread the knowledge of our methods as widely as possible.

Deafness is caused in many ways—very often by exposure of the head to a chill, especially in infancy. We have seen it even arise from enclosing the head in a bag of ice with a view to extreme cooling. What is called "throat deafness" is a different matter, but yields to the same treatment as the cases of chill. The process of cure is very similar to that used in cases of failing sight (see under Eyes), for the aural nerve has to be stimulated as the optic nerve in these cases. Rub the back of the head and neck, using hot olive oil, and continuing gently, yet firmly, until all the parts are in a glow of heat. Do this some time during the day. At night apply the BRAN POULTICE (see), oiling before and after, to the back of head and neck, the patient lying down on it for an hour at bedtime. Gently syringe the ears with tepid water, but only so far as to cleanse them. Rub with ACETIC ACID (see) behind the ears, but not so as to cause soreness. In an obstinate case continue treatment for a month, then rest for a fortnight, and continue for another month.

Cases of deafness arising from dryness and hardness in the ears are to be treated differently. The ear is brushed internally with soap lather (see Lather and Soap). Dip a brush, such as is used for water-colour drawing, into hot water, rub it on the soap, and gently brush the inside of the ear. Renew the lather frequently, keeping up the heat. With another brush moisten the same parts with fine almond oil. Gently, but thoroughly, dry out the ear with a fine roll of lint or soft cotton. In a fortnight we have seen great benefit from this done daily or twice a day. Be careful not to use pressure on the inside of the ear when washing or drying, as this may cause the wax to harden into balls, pressing on the drum. The whole head may also be rubbed with acetic acid, not so as to cause pain, but simply a strong heat in the skin. In all treatment of so delicate an organ as the ear, avoid giving pain.

If the deafness proceed simply from a relaxed state of the tissues in the tubes of the ear, the cold douche applied to the head, with careful drying and rubbing afterwards, will often effect a cure. But it is only a sudden, brief, cold splash which is wanted, not a stream directed for any time on the head, which might do serious injury. In this connection it may be noticed that a child should never be punished by "boxing its ears." Children have had their hearing permanently injured by this thoughtless practice.

Heartburn.—See Acidity in Stomach.

Heat and Weakness.—We have over and over again shown in these papers how heat passes into vital action, and gives strength to failing organs and nerves. But the heat supplied to these organs must be at a certain temperature. All experience goes to show that gentle heating will do all that is required. Moreover, too hot a fomentation, especially if a large one, will weaken the patient, and defeat its own ends. In such a case it is folly to throw up the treatment, and say that heat weakens, when all that is needed is to apply heat at a lower temperature. The right degree of warmth is indicated by the comfort of the patient. It will vary in almost every individual case, and must be found by careful trial. Also it may vary from hour to hour. The heat comfortable during the day may be found insufficient or too great by night, and so on. We must in these matters apply our common sense, and make a real effort of thought, if we wish to be successful.

Heat, Internal.—There is a usual (normal) temperature in all the blood and tissues of the body. If the body be either warmer or colder than this point (98.4 deg. Fahr.), its health is interfered with. A "clinical thermometer" is used to ascertain whether the bodily temperature is normal or not. It is to be had at every druggist's, and is of great importance in a household. By its means the rise of temperature can be detected often before any serious symptoms set in, and due means taken to check trouble in its early stages. The instrument is used by putting it under the armpit, or, with children, between the legs, so that the mercury bulb is entirely enfolded and hidden between the arm, or leg, and the body. Left in this position for five minutes, it is taken out and read. It may also be held in the mouth, under the tongue, with lips close on it.

Where a good deal of fever is shown, as by a rising of the mercury to 101 deg., measures to reduce it should at once be taken, as shown in the articles on various kinds of Fever. By watching the temperature, and taking it from time to time, we can see when cooling is sufficient. Where the temperature is too low—that is, below 98-2/5 deg.—rub all over with warm olive oil, and clothe in good soft flannel. Other methods for increasing vital action may also be tried, as given in many of our articles.

Heel, Sprained.—Often in sprains all attention is given to the bruised and torn muscles, while similarly bruised and torn nerves are overlooked; yet upon the nerves the perfect healing of the muscles depends. Hence, in a sprain of the heel we must be careful not to direct attention to the heel exclusively. That may be bathed (see Bathing Feet) and duly rubbed with oil. A good plan is to apply cloths dipped in cold water and vinegar. Keep the limb perfectly still, and do not attempt to use it for at least a fortnight. After this it may be cured to all appearance, yet a weakness may be left which prevents anything like the full and free use of the limb. It may be all right when resting, but suffers when used for any length of time: this indicates pretty plainly that rest is needed, and is an essential thing for cure. But besides this rest, the foot should be packed during the night in soap lather (see Lather and Soap). Wash the foot in vinegar or weak acetic acid, rub the whole limb from the ankle upwards in such a way as to draw the blood up from the foot, avoiding all down-strokes. Use a little olive oil in this rubbing. Note that the whole limb needs treatment. The juice of Lady Wrack, such as is to be found on the west coast of Scotland, is an excellent remedy for sprained joints; but we only mention it, as it must be inaccessible to many of our readers.

Hiccup.—Though often but slight, disappearing in a few minutes by some simple device, such as holding the breath, when long continued this becomes most serious. Very often it is an added distress in trouble which is itself incurable; but while the patient's life cannot be saved, the hiccup may be relieved. In the common case of infant hiccup, a lessening of the over-supply of food may be all that is required. One or two teaspoonfuls of hot water given to the infant will usually give immediate relief. For a grown-up person with a slight attack, one or two teacupfuls of the same will also usually prove a remedy. For serious cases the treatment is a large BRAN POULTICE (see) placed on the back, opposite the stomach. Well oil the back before and after the poultice, and leave it on for an hour. If this fails, after a little, prepare a blanket as directed under Fomentation. Roll it up until it is the size of the patient's back, and let him lie down on it. (Read here article on Heat and Weakness.) Then a small cold towel may be passed gently over the stomach. This will generally relieve. It may be repeated if necessary.

Hip-Joint Disease.—Thorough heating, with moist heat is the best treatment for this trouble. This implies time, work, and patience; but all these are well spent. Let a strong fomentation be given twice a day to the hip joint, with oiling before and after, each application lasting at least an hour (see Cooling in Heating; Fomentation; Heat and Weakness). In all probability a gathering of matter will come to the surface and discharge itself. Treat this as recommended in article on Abscess, and persevere until the joint is thoroughly renovated. It may take a time, and the treatment should always be intermitted on Sabbath, and sometimes a few days' rest be given. The patient's comfort is the safe guide in this.

Hives.—See Rash.

Hoarseness.—This trouble we may consider in three ways:—First, as the effect of overstrain in using the voice; in this case rest must be taken from speaking or other such work. Remedies which restore the voice without rest are very likely to do permanent injury. For application to the throat, use vinegar or weak ACETIC ACID (see) of such strength as to cause just slight smarting of the throat when applied as a gargle, or with a proper brush, such as any chemist will supply. This may be done frequently, and, together with rest, will rarely fail to cure. Rubbing the throat externally with acetic acid of full strength until a rash appears is often very helpful. Those engaged in public speaking would do well, especially in youth, to cultivate the habit of correct breathing (see Breathing, Correct Method of). Articulation should be clear, and the words formed sonorously, and from the stomach, as it were. This, indeed, will apply to everyone. Such a method of producing the voice will not only be harmonious, but will exercise insensibly a beneficial influence on the nervous system and mental tone of the individual.

It is a fact that actors who study the method of voice production do not suffer from that form of sore throat known as clergymen's sore throat, simply because they have learned to produce their voice in this way.

Secondly, hoarseness may arise from exposure to cold, damp air. In this case it is best to apply mild heat to the roots of the nerves which supply the voice organs. This is best done by applying a bran poultice to the back of the neck, oiling before and after with olive oil. Carefully dry the skin, and wear a piece of new flannel, for a time, over the part poulticed. This may be supplemented by brushing as above with the vinegar.

Thirdly, failure of skin action, or of the proper action of other waste-removing organs, may be the cause of hoarseness. In addition to the treatment recommended above, we must in this case stimulate the skin: this is best done by rubbing with Cayenne "Tea" (see) all over the body at bedtime. Let this be done for four or five nights, and the throat treatment be given in the morning, when a cure may be looked for. See Underwear.

Hooping Cough.—See Whooping Cough.

Hope and Healing.—The mind has always an influence on the body. Life rises and falls under the influences of ideas, so as to prove that these are a matter of life and death to man. To give an invalid hope is, then, to help mightily in healing the disease, whereas to tell patients that they are incurable is the sure way to make them so. But there is, on the other hand, little good in falsehood and false hope: this has often been found to fail and leave the patient in complete despair. No one can tell the immense power for healing which is exerted when one who truly hopes for the patient looks brightly into his eyes, and speaks with a genuine ring of hope of the possibility of cure. So many cases found incurable by the usual treatment have yielded to that recommended in these papers, that in almost all cases we may see some ground for hope, if not of cure, at least of great alleviation. To give this impression to a patient is to half win the battle.

There are many who speak most carelessly, even wickedly, to those in trouble. They think it a duty to dash their hopes and predict gloomy things. Such should never enter a sick-room, and should, indeed, change entirely their manner of speech. To go about the world sowing doubt and gloom in men's hearts is a sorry occupation, and one that will have to be accounted for to Him who is emphatically the "God of hope."

Look, then, in treatment for every least sign of improvement. Discourage all doubts and encourage all hopes, and you will make what would be a really hopeless case, if the patient were left to despair, one that can be comparatively easily cured. "A word to the wise is enough."

Hot Flushings.—See Flushings.

Hot-water Bags.—The flat rubber bags of various shapes, to be had from all rubber shops, make excellent substitutes for poultice or fomentation; but care must be taken to have two or more ply of moist flannel between the bag and the skin of the patient. This ensures a supply of moist heat, which is in almost every case the best.

Housemaid's Knee.—To cure a swelling on the knee-joint is, as a rule, easy. Rest is a first and paramount necessity. Bathing with hot water, not too hot for comfort, for at least an hour each day is usually sufficient. If the knee has been blistered, or leeched, it is more difficult to cure; but a cure may be expected if the bathing be continued for a long enough time. It is best done by wrapping a cloth dipped in vinegar round the knee, and placing the foot in a bath, then pouring hot water on the bandaged knee, lifting it from the bath in a jug.

When pain in bending is felt in the very centre of the knee-joint, this hot pouring may be needed for a month, or even longer. During the intervals of pouring a large cold compress should be worn, first well oiling the knee. Cover the compress with oiled silk. This will soften even a very stiff knee, so as at least to bring about ability to bend without pain. Of course, if there is any disjointing, good surgical aid must be had, if possible, to replace the bones in their natural position.

Hydrocele.—See Dropsy.

Hysteria.—This is usually brought on by some excessive strain upon the brain nerves, and may show itself either in the violent or in the fainting form; it may even pass from the one to the other, fainting alternating with violent movements and cries. It may often be checked by plunging the patient's hands into cold water.

In the silent stage, where sometimes unconsciousness continues for hours, a dry blanket should be laid on a bed, and another blanket must be rolled up and prepared with hot water as directed in Fomentation. Fold this until it is the size and shape of the patient's back, and lay her down on it, so that the whole back is well fomented. Take care not to burn the patient: soothing heat, not irritation, is required. Consciousness will usually return almost immediately. All except attendants should be excluded from the room. Allow the patient to rest in this comfortable warmth until signs of discomfort appear, then gently rub the back with hot olive oil, dry, and leave to rest or sleep if possible. Do all with great steadiness of temper and kindness; such a condition in the nurse is especially essential in these cases. Where the fit is violent, apply every mental soothing influence available, and remove from the room all excited persons. Then apply cold cloths to the spine to soothe the irritated nerves and brain. Two may gently and kindly hold the patient, while a third presses on the cooling cloths. In about half-an-hour the fit should be overcome. A difficulty in treating such cases is the terrifying effect of the violent movements, or unconsciousness; but these should not create fear. As a rule, a little patience and treatment as above remove all distress. Where there is a hysterical tendency, give abundance of good food, and let the patient live as much in the open-air as possible.

The patient should be kept employed. God made us all to be workers, and this sad affliction is frequently the punishment of idleness. No one has any excuse for this, for the world is full of those who are overworked and whose burden could be lightened. The girl whose only task is to exchange her armful of novels at the library will never know what true happiness is, nor deserve to. See Imaginary Troubles.

Illness, The Root of.—In treating any trouble it is well to get to the root of it. On one occasion a patient complained that the doctor never struck at the root of his illness. The doctor lifted his walking-stick and smashed the brandy bottle which stood on the table, remarking that his patient would not have to say that again. This will illustrate what we mean. Liquor drinking must be given up: it is the root of multitudinous ills; so must excessive tea drinking. Tobacco is one of the most insidious of poisons in its effects on the nerves, and is to be absolutely given up if a cure is expected in nervous cases. Chloral, laudanum, and opium in other forms, may give temporary relief; but they are deadly poisons, paralysing the nerves and ultimately completely wrecking the system. The continued use of digitalis for heart disease is a dreadful danger. We mention these by name as most common, to illustrate the truth that it is vain to treat a patient while the cause of his illness is allowed to act. If any evil habit of indulgence has given rise to trouble, that habit must be given up; a hard fight may have to be fought, but the victory is sure to those who persevere. Often dangerous symptoms appear, but these must be faced: to relieve them by a return to drugs is to fasten the chains more surely on the patient. It is better to suffer a little than to be all one's life a slave.

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