Chapter III: Part 3

"O madness! to think use of strongest wines,
And strongest drink, our chief support of health,
When, God, with these forbidden, made choice to rear
His mighty champion, strong above compare,
Whose drink was only from _the limpid brook_."

About twelve ordinary size tumblers of water a day are generally drunk whilst under the treatment; instances occur where that number is increased to twenty, and even thirty glasses, but such are very rare.

At the beginning it is difficult to drink so much water; but by degrees we become accustomed to it. All the operations of the cure lead to the elimination of heat, which naturally causes thirst. Some persons on first drinking water feel sick, or have diarrhoea, which proves that the stomach is not in a healthy state. In this case, instead of discontinuing the drinking of water, the quantity is increased. When pain in the stomach comes from its being overcharged by food, water, in large quantities is recommended to be persevered in until relief is obtained.

We know that emetics produce this effect, but such remedies weaken the stomach--while water has the contrary tendency.

Cold water, as a beverage, fortifies the stomach and intestines, by clearing them of the bad juices they contain: favours the generation of new juices, and mixes with the blood by absorption. It spreads itself quickly through all the organs, attenuates, purifies, and dissolves the sharp or thick humours, and discharges them by means of perspiration and urine. Considered as a dietetic for slight indispositions, bad digestions, and generally in all cases of disease for which the faculty recommend aperients or mineral waters, it cannot be too highly appreciated. In the morning, after a cold ablution, whilst taking exercise, drink a few tumblers of water, and conclude every meal with a tumbler of water. It will have the same effect as a purgative or mineral water, without, like them, weakening the digestive organs. All persons may drink cold water at all times of the day with impunity, if they are not inconvenienced by it. That taken before breakfast, during exercise, produces doubtless the best effects. It is above all after sweating that drinking cold water produces an expectoration of phlegm. Water may be drunk after breakfast, but not so as to overcharge the stomach. During dinner the aliments should be moistened by some glasses of water, then the stomach must be left to repose; some hours afterwards again water may be drunk until supper-time. Drinking after supper is no less useful; but it may break the rest, by causing an invalid to rise often in the night. After drinking, exercise is indispensable, it stimulates the action of the water, and accelerates a cure. When in exercise, though in a perspiration, water may be drunk in any quantities. Water ought always to be drawn fresh from the spring, and drunk as cold as possible. The decanters which contain it ought to have stoppers, to preserve it cold and fresh. After every operation in the cure, a glass of water should be drunk; and it should be given in small quantities when in the sweating process. I know a gentleman who has all his life been a free-liver, and who, notwithstanding, is in good health, which he attributes entirely to drinking a couple of tumblers of water the last thing at night and first thing in the morning.

Under the denomination of injections, we principally understand clysters. When the patient is not in the habit of using them with cold water, they must not at first be applied for longer than two minutes; but by degrees the intestines become accustomed to the water, which is often absorbed like that introduced into the stomach. When necessary, a second injection is repeated immediately after the expulsion of the first.[4] Cold injections are used for constipation and diarrhoea, two diseases diametrically opposite, but which arise from the same cause, the weakness of the intestines. Thus the contradiction is only in appearance, the great object of injections being to establish the tone of these organs, and regulate their functions. Injections ought to be aided by the use of cold water in other ways.

[4] Two ounces of water is sufficient for an infant; four ounces for a
child of six years old; eight ounces for a youth of fifteen; and
fifteen or sixteen ounces for an adult.

There are also other injections in use at Gräfenberg, such as for the ears, nostrils, and genitals. Particular syringes are used for these purposes.

XI.--THE COLD BATH.

The cold plunge-bath should be sufficiently deep for a man of ordinary height to plunge into, up to his arm-pits. The water aught[sic] to be continually renewed by a spring.

We have quoted many authorities to shew the advantages resulting from exposing the body to the action of cold water.

When cold baths disagree with us, it is because we are not in a state to use them, or we stay in too long.

When the body is overcharged with drugs or alcohol, when the juices are dried up, or when there is an apoplectic tendency, and when in other diseased conditions, the circulation is languid, cold plunge-baths must be used with great caution. Many suppose that all the patients in a hydropathic establishment, are indiscriminately ordered this sort of bath. In this they err, because many are never allowed their use, and others only after a long application of the rubbing sheet and tepid baths. Strong robust constitutions may take the plunge-bath at once; but in the Water-cure this is not allowed until the body is prepared for it, and then only for a short time; generally for three or four minutes. Priessnitz objects to persons staying long in the water: of course the objection applies to invalids. For those who bathe in the sea, or other water, he does not pretend to prescribe.

Every day's experience proves that the immersion of the body, covered with perspiration into cold water, is exempt from danger, provided the internal organs are in state of repose.

The risk which is incurred of catching cold on stripping and bathing in a river, in this case cannot apply, as the body heated by artificial means is at once immersed, whilst the bather often, injudiciously, waits until chilled before he enters the water.

If we walk fast, or a long distance, to the bath, it is requisite to repose a little to tranquillise the lungs; then before perspiration ceases, we ought to undress quietly, and either plunge head foremost into the water, or wet the head and chest previously, to prevent the blood mounting to those regions.

Whilst bathing, the head ought to be immersed several times. After the sweating or packing process, great care is to be observed in not exposing any part of the body to the air previous to entering the bath. The patient should keep in movement, rubbing himself well the whole time. This stimulates the skin and abates the cold.

The time for remaining in the bath, is governed by the coldness of the water, and the vital heat of the bather; a second sensation of cold is to be avoided, or re-action may be difficult.

On leaving the bath, the patient is covered with a dry sheet, upon which the attendant rubs, until the body presents a warm healthy glow. The invalid should then dress quickly, drink a glass or two of water, and walk out in the air to get warm; to effect this by the heat of stoves or beds would be acting in direct opposition to Hydropathic rules.

When irritation is excited during the cure, the cold bath is sometimes suspended and tepid baths resorted to. Every house ought to be supplied with a cold bath, as its habitual use by the members of the family would secure them against colds, influenza, etc.

Priessnitz says, "that the effect of going into cold water without being previously heated, and doing so in a state of perspiration, is like a blacksmith hammering upon cold, rather than hot iron. Cramp frequently attends the former, whilst a healthy reaction is always the result of the latter."

XII.--IS GOING INTO THE COLD BATH IN A STATE OF PERSPIRATION ATTENDED WITH DANGER?

"The transition from a Vapour-bath to snow, or to a Cold-bath, has been practised by the Russians for time immemorial" with the most beneficial results,--"this," adds Dr. Johnson, "is conclusive, that there is no danger whatever in going into the Cold-bath while covered with perspiration; unless it can be proved that perspiration produced by hot vapour is a very different thing from perspiration produced by a blanket;" and, adds the learned doctor, in his valuable work on Hydropathy, which every one ought to read; "All physiological reasoning goes to prove, that it is safer to go into cold water when the temperature of the skin has been raised.

"If there be danger at all, it is going into cold water _without_ raising the temperature of the body. It must be the temperature that is the question; for it cannot be of consequence whether the body be covered with grease called perspiration or hog's-lard. Re-action will most certainly be produced, and congestion as certainly prevented by going into the water when the body is warm. Profuse perspiration does not make the body hotter, in proportion to its profuseness, on the contrary, it is cooler than before, for perspiration is a cooling process.

"When perspiration is present, the body is never extremely hot. Checking perspiration is a chimerical danger; the oozing of perspiration subsides of itself, almost at the moment the means that produced it are withdrawn, and the perspiration on the body is that which has been already produced, having now no connection with the body."

At Cork in Ireland, it was told me by one of the first brewers, that formerly his men, while in a state of perspiration, from pressing the grain out of the vats, frequently caught cold and died: at last they adopted the plan of going into cold water, whilst in that state; the result of which has been that they now never catch cold from their occupation, and are as healthy as other people.

XIII.--THE PACKING SHEET, AND SWEATING PROCESS.

Take all the coverings off the bed, arrange the pillows, cover over the bed and pillows with a large thick blanket, then put a small sheet into a pail of fresh cold water; if to reduce fever, let it be wrung out less; if there is no fever, more; the drier the sheet, the sooner the re-action; spread this sheet so wrung out, on the blanket.

The patient extends himself, divested of every thing, upon the sheet, which should be brought over him as soon as possible. The blanket is now brought over the sheet, and the attendant tucks it in, beginning with the neck, as tightly as possible, so that his patient can hardly move hand or foot. Other blankets are then added, separately tucked in, and turned up at the feet. Half-a-dozen blankets are not too many; and to produce immediate heat, a feather bed is superadded, leaving the head free. It is astonishing what an amount of covering one may support without inconvenience.

The great object is so to envelop the body as to exclude the air, and prevent evaporation, in order that its own heat may be concentrated upon itself.

In ordinary cases, the sheet is well wrung out, and covered up as before stated; but in cases of severe fever, the wet is only covered with a single dry one. In cases of very great delicacy, but not in fever, the sheet is put into tepid water instead of cold.

This has by some been called a general poultice, as it performs upon the whole body what a poultice or the bandages effect upon members of it. Dr. Alexander of Newcastle terms it a linen bath.

That wet linen should produce good and evil results appears paradoxical. Damp beds are said to lead to injurious consequences, whilst wet linen applied as a covering to the whole or parts of the body, produces the most happy effects.

Accustomed as Priessnitz is to witnessing none but the best results from the application of damp linen, he could not be persuaded that mischief arose even from lying in damp beds.

In the Hydropathic practice the body is so hermetically enclosed in the wet sheet, that not a particle of heat can escape or external air penetrate, by which means the exhalation is concentrated upon the body; this may be termed a linen bath or fomentation.

In the case of people being accidentally put into a damp bed, none of the above precautions are taken; there is no extra clothing, no binding about the neck to prevent the escape of caloric, and therefore to these causes must be attributed the mischief, if any ensue.

It is, however, a question, where mischief follows, whether one-twentieth part of the cases can be fairly attributed to the damp beds. It is highly probable that Priessnitz's surmise of its being the development of a disease lurking in the system which under the Water-cure might easily be met, is correct.

Wet sheets are resorted to in all fevers, and changed until the paroxysm is abated. In Typhus, the sheet is changed every ten minutes, and as often as forty or fifty times in a day.

As a general rule, Mr. Priessnitz told me, if unwell, without waiting to know the ailment--to take a packing-sheet, until warm, twice a day, followed by a tepid bath.

Packing-sheets may be persevered in for years in obstinate cases. The usual time employed in their application is until the body is warm, which will be from twenty-five to forty minutes. It is a great mistake to suppose the application of the sheet is to produce perspiration. If a genial heat pervades the body, it is all that is required, unless under peculiar circumstances, previous to immersion in either tepid or cold water.

The following anecdote, told me by Major Beavan, is adduced as corroborative evidence in favour of the use of wet linen to lower the temperature of the body. In 1821, the Major having to pass through extensive jungles to join his regiment in the East Indies, a distance of nearly 300 miles, caught a fever. When at the highest stage of the hot fit, it occurred to him that he might cool himself as they did wine and other liquids in that climate. He accordingly had himself wrapped up in a wet sheet for a quarter of an hour, when, finding himself relieved, he added a number of coverings, and fell into a most refreshing sleep of some hours. On awaking, he found mind, body, and appetite restored, all of which had been prostrated to an extreme degree for several days.

The packing-sheet is the greatest sedative known. It generally occurs that persons who, from pain or nervous excitement, have not slept for nights, doze off immediately on being enveloped in the wet sheet.

The packing-sheet brings morbific matter to the surface, and thereby relieves the capillaries. The ablution which follows acts as a tonic.

The relief afforded to the overcharged system through the pores, by the application of the packing-sheet, may be compared to the emptying of a bason with a sponge; each sheet absorbing a certain amount of morbific matter and superfluous animal heat, until the body is relieved.

In fevers generally, the fœtid odour of the sheet when withdrawn, is hardly to be endured; and in eruptive fevers, the inclination to scratch the body is allayed, and very little inconvenient sensation is felt either night or day.

In the morning, when fever is most felt, wet sheets and tepid baths allay it; and in the afternoon, any return of it is again subdued as before. The discovery of the wet sheet alone is sufficient to render the name of Priessnitz immortal.

But when, by these means, it would be difficult to produce perspiration, recourse is previously had to a dripping or rubbing-sheet, and then the patient is packed up; or the blanket is warmed before a fire, before the body is enveloped in it.

The sweating process, when used, is always succeeded by a tepid or cold bath, or a dripping-sheet: if a tepid bath, cold water is afterwards poured over the head and shoulders; but if a dripping-sheet, it is repeated until the body is cooled.

Every day's practice at Gräfenberg, and elsewhere, shews that no danger attends going into cold water in a heated state.

But Mr. Priessnitz, whether from having a different class of patients, or from the difficulty of getting servants to understand when the patient had perspired enough, or the conviction that the same or better results attend the packing sheet, we know not, has changed his practice, and no longer resorts so frequently to the sweating process. The following extract is from a letter received by the author from a gentleman who has been a long time at Gräfenberg.

"The object of all Hydropathic appliances may be shortly and intelligibly defined, as assisting Nature to regain that ascendancy by which she of her own accord will throw off what is offensive to her. The practitioner ought therefore to strengthen her in every possible way; and we have the latest discoveries of science as a guarantee that the present (the packing or wet-sheet process) method of carrying out the cure effectuates this end more completely than any other; what therefore is opposed to that, is so much drawn from the strength which it is the object to promote, and inasmuch as sweating, however it may tend to alleviate, undoubtedly weakens, it is a counteracting agency.

"Priessnitz is reaping the benefit of twenty years' experience. He follows still as he always followed (as far as it was possible for him to read and understand) the mysteries of his great mistress, Nature. Chance, I imagine, has in no way guided his choice; it may have assisted him in interpreting some of the revelations of this great spirit, but he has always had the same unerring basis on which to establish his system. Through imperfect light he may have sweated for a time, but the still small voice of truth has never ceased to whisper in his ear, and it is highly conducive to his honour that he should now have the courage to say that in this point he erred. He does this at the risk of reputation and fortune; he subjects himself to the abuse of high and low; but he acts up to his conviction, which is that the packing sheet, if to be persevered in, is better than the sweating process."

Though, however, the sweating process is not now so general, it is not entirely abandoned. A lady, a friend of mine, had a cold--she was ordered to sweat lightly twice a day, for two or three days. A gentleman had a swelling in his mouth; he was ordered the same. Others are ordered to sweat once or twice a-week, but the greater part of Priessnitz' patients never sweat at all.

Priessnitz guards people against the use of hot-air and vapour baths; they weaken and relax the skin. The difference between bringing a great amount of heat to act upon the surface, and causing the body to develop its own heat, must be obvious to every one.

XIV.--SWEATING PROCESS.

This process is precisely the same as that which has been already described, with the omission of the wet sheet. To produce perspiration, the body is enveloped in dry blankets. This tedious process in moderately strong people is seldom effected in less than three hours.

In the wet sheet, _no_ water is given--but in the blankets, as soon as perspiration appears, it should be administered in small quantities; for this purpose a tea-pot is desirable.

In the Sweating process it is necessary to place a urinal in the bed of the patient. On proceeding to the bath after either of the operations, the attendant must take especial care to keep the body well covered, or his patient may take cold. On throwing off the covering, let the body be wetted all over instantly. This is an infallible precaution.

When there is a difficulty in procuring a bath, the dripping sheet full of water is used. If the first sheet does not cool, it must be repeated.

XV.--THE RUBBING SHEET, OR ABREIBUNG.

This, by some, is called "the dripping sheet"; by others, "the wrung out" or "rubbing sheet." The term "rubbing" is used, because when the sheet is thrown on the body, great rubbing is used outside of it. It is a quick and simple mode of taking a general ablution; and, when frequently repeated, proves most effectual in restoring or increasing the circulation.

The value of friction to the human body is too well known to require observation. Hair gloves, hard brushes, or coarse towels cause a glow and an elastic feeling, though if long persevered in, they irritate and weaken the skin.

For the daily purposes of life, cold ablutions, and friction with dry cloths are sufficient; but to rouse the dormant energies, to give vitality to the system or combat illness, something more powerful is required.

The rubbing-sheet is a small sheet, soaked in cold water, and afterwards wrung out. This the attendant throws over the patient naked, who, standing up, receives it over his head and shoulders. When thus completely enveloped, the attendant rubs (outside the sheet) the back, loins, legs, and feet of the patient, whilst he himself rubs his abdomen and chest. The operation lasts about three minutes; the wet sheet is then replaced by a dry one, and friction again renewed until the body becomes quite dry; after which, if one rubbing-sheet only is prescribed, a waist-bandage is put on, a glass of water drank, and the invalid proceeds to take the air. If two or three rubbing sheets are prescribed, after the first operation as just described is over, the patient walks about the room in the dry sheet, with no other covering, for four or five minutes, occasionally approaching the window, which should be opened, throwing open the slight covering, in order to expose his skin to the air. The second and third rubbing-sheets are applied as the first.

Rubbing-sheets being used to effect several objects, are accordingly well wrung out, or not much wrung out, or scarcely wrung out at all. The first are used where there is a great want of vital energy, slow and languid circulation; the second is the ordinary mode of using the rubbing-sheet; the third is adopted where parties have lain in the packing-sheet or blankets and have no bath to cool them afterwards. Where there is a superabundance of heat, the rubbings are repeated perfectly wet, until the body is cooled.

The Rubbing Sheet is one of the safest and most efficacious appliances in the Water-cure. Every human body has in it 100-1/2 degrees of heat; this is not diminished by the rubbing; by extracting we increase. Whenever persons are unwell, no matter the cause (except there may be eruptions on the body), a Rubbing Sheet is advisable. Where patients have been too exhausted to endure any other treatment, these sheets will resuscitate them in an extraordinary way.

Priessnitz perceived that merely rubbing the body with a damp and afterwards with a dry cloth was beneficial; but he found that whilst one part was under the operation, the other was exposed to catching cold; this gave him the idea of the Rubbing-Sheet, with which the whole body is covered at once.

As a general rule it is safe to begin the treatment of any illness with these sheets; they refresh the invalid, often ward off the complaint or develop the malady. In the cold stage of intermittent fever these rubbings down are persevered in until heat is produced; when the hot stage ensues, recourse is had to packing sheets, tepid baths, etc.

Where there is an excess of caloric, and fever is not declared, rubbing-sheets have a cooling effect, and often put an end to the illness at once. Where there is a want of caloric, as in ague, the Rubbing Sheets cause a determination of heat from the interior to the surface, in the same way that friction, or striking, brings heat out of matter. This may be elucidated by rubbing any part of the body with snow--re-action instantly ensues.

After great fatigue or a chill, or where persons have reason to think they have caught cold, two or three of these rubbings-down have an extraordinarily restorative effect.

They may be used by old or young, strong or weak, with perfect impunity.

In lumbago or rheumatism, or where it is necessary to rouse the vital energies, rubbing-sheets, four consecutively repeated, four times a-day, are frequently prescribed. A friend of mine, after getting wet whilst hunting, sat in his wet clothes, caught cold, and died. I am fully persuaded, if he had applied the Rubbing-sheets on getting home, the fatal result would have been avoided.

In some cases where a patient exhibits great weakness, languid circulation, and doubtful reaction, the sheet is wetted in tepid water, and sometimes the body is subjected to the action of cold by degrees, instead of being covered up at once, as is the case with the dripping sheet. There are invalids who cannot suffer anything cold to touch certain parts of their bodies; in such cases the tender part may be covered with a dry cloth, whilst the dripping sheet is applied, and the sensitive portion approached by degrees.

XVI.--THE DOUCHE BATH.

The douche, of all means employed, is the most powerful in stirring up, and removing humours from the position they may have occupied for years. What is understood by a "douche," is a spring of water, conveyed by pipes through the tops of small huts, from whence it falls in a stream about the thickness of one's wrist.

At Gräfenberg, there are six douches in the forest, with the falls of twenty feet, eighteen feet, and fifteen feet, respectively: the douches for women have a fall of only twelve feet, but no difference is made in the dimensions of the stream.

Patients are generally some time under the treatment before being permitted to take the douche. The douche is a most powerful stimulant.

As the sun by repulsion, brings heat out of matter, so the douche, by repelling, brings heat out of the body, and from the interior to the surface. It sets up a powerful action in the system, and is an active and useful agent for the cure of old-standing complaints. The douche should only be used in conjunction with other treatment.

The douche is never had recourse to in acute attacks; it is useful principally in chronic diseases. By its agency the body is hardened, and caused to develop its own force; it strengthens the skin, determines morbific matters to the surface by the pores, and exercises a powerful action upon the muscles and nervous system, by the action it provokes. In arthritic cases and rheumatism, the relief thus afforded is marvellous. It is so powerful a stimulant, that persons are frequently known, on coming out of the douche, to declare that they feel as much elation and buoyancy of spirits, as if they had been drinking freely of champagne.

A douche should be at some distance from the abode of the patient, because the necessary walk to it produces a glow of heat, and renders the body in a better state to produce re-action: no person should douche if cold or chilly.

The afflicted parts should be most exposed to the action of the douche, though it must be received successively upon all parts of the frame, except the head and face, unless otherwise prescribed. It should be avoided on the abdomen and chest when the latter is weak.

The douche ought to be discontinued when it produces feverish symptoms, and commenced again when they cease. The duration of it, in a general way, varies from two to five minutes, but is extended as the case may require, from fifteen minutes to half an hour; the latter being ordered in very especial cases.

An attendant waiting in the anti-chamber, throws a dry sheet on the patient on his coming out from the douche, rubs him dry, and puts on the waist bandage.

The time allotted for douching is two hours after breakfast, or dinner, but this rule is not without an exception; some patients, after their morning treatment, walk an hour, and then proceed to the Douche before breaking their fast.

Patients ought to be most particular in observing their doctor's orders in the use of the douche.

XVII.--THE SHOWER BATHS.

These baths so much recommended by the faculty are not used at Gräfenberg. Many persons in the habit of using them complain of giddiness and head-ache. This arises from the re-action upwards, which naturally results from their application. As an ablution, a bath, or washing with wet towels is preferable.

Mr. Priessnitz objects to the use of them, as parties take them without previous preparation, or other adjuncts. Falling on the head, they frequently cause congestion in that region.

XVIII.--THE SITZ OR SITTING BATH.

By this is to be understood a hip bath: that used at Gräfenberg is a small flat tub about seventeen inches in diameter and twelve or thirteen inches deep; a common washing tub placed against the wall will answer the purpose. The water in this bath is seldom more than four to six inches deep, in which the patient sits with his feet resting on the ground. No rule can be laid down for the duration of this bath, as it is ordered from ten minutes to an hour, and longer, depending upon the effect it is intended to produce. It is sometimes prescribed three or four times a day.

The sitting bath is of so much importance that where not prescribed the case is considered an exception to the ordinary rule of treatment. The sitting-bath cools and strengthens the viscera of the body, and by revulsion or derivation, draws the humours from the head, chest, and abdomen; relieves pain in the gums or face, and dissipates flatulency and cholic; and is of the utmost value to those who lead sedentary lives.

The object of using so little water in this bath, the foot and a half bath, is, that reaction may be the sooner effected. The water is only changed in peculiar cases. The abdomen should be well rubbed whilst taking the bath, and exercise taken immediately after it, to bring on a reaction. Where there is any tendency of heat or blood to the head, a wet bandage in the shape of a turban should be put on the head immediately before sitting in the bath, and continued the whole time. In commencing the hydropathic treatment, or where the patient is low spirited or unwell, or in cases where reaction is slow, a tepid sitting bath of 62 deg. to 64 deg. is usually prescribed. If a patient takes this bath immediately after the rubbing-sheet, or the room in which he takes it is cold, he should be covered with a cloak or dry blanket. Sitting baths must not be taken just before going to bed, excepting under peculiar circumstances.

In a case of asthma when the patient could hardly breathe, a tepid sitting bath relieved him effectually in fifteen minutes. In all cases of accidents to the head, evil consequences are averted by repeated sitting baths. Head-aches are also generally relieved by these baths, which shows to demonstration that the theory of cold water when applied to the extremities driving the blood to the head, is completely devoid of foundation.

XIX.--EYE BATH.

As a preservative to the eyes, they should be kept open in a basin of water for two or three minutes every morning, or oftener. Glasses may also be used of the form of the eye, with water in them. For weak eyes, they are applied two or three times a day for five minutes each time. Where great inflammation exists, water should be thrown with the hand into the eyes several times a day.

XX.--HEAD BATH.

This bath can be taken in a common baking-dish, or any shallow vessel that can be kept flat on the ground. To take this bath, place a rug or blanket on the ground, and at the end of it, the vessel, containing water about two inches deep. The patient should extend himself on the rug so that his head may reach the dish or bason; then place the back of the head in the water, and keep it there three or four minutes; then each side of the head for the same time, and finish the operation by again subjecting the back of the head to the bath for two minutes. This process relieves headache. In cases of brain fever, and other diseases which cause great heat or pain in the head, these baths are frequently resorted to whilst the patient is in bed,--the back part of the head of the patient being placed in water, which is renewed when hot. In inflammation of the eyes, deafness, or loss of smell and taste, these baths are of great utility.

XXI.--FINGER AND ELBOW BATHS.

The wounded finger is placed in a glass of water; and there are cases where a glass is affixed by a string to the wrist, and the patient keeps the finger constantly in the bath. The elbow bath is used whenever the hand is wounded: it draws off the heat, and lowers the inflammation.

XXII.--LEG BATH.

The thighs and legs, when afflicted with ulcers, ringworms, etc., ought to be put into a bath, so as to cover the parts afflicted, for an hour or longer. This bath acts as a stimulant.

Other members of the body may likewise be subjected to baths; but their necessity must, be determined by circumstances.

XXIII.--FOOT BATH.

This bath acts derivatively, and is employed as a counteracting agent against pains of the head, inflammation in the face, congestion to the upper regions of the body, fainting fits, bleeding of the nose, or spitting of blood.

Priessnitz prescribes cold foot-baths to effect the same object that the faculty endeavour to promote by warm ones.

The difference between a cold foot-bath and a warm one is, that after the cold one, a warm glow succeeds and remains; whilst cold feet are the necessary consequence of a warm bath. After the feet have been in cold water for some time, the water becomes tepid from the heat extracted. If the feet are put into hot water, heat, instead of being eliminated from the system, is brought to it--the very opposite to what is intended.

Sometimes, water at a temperature of 62 degrees is prescribed.

Cold foot-baths are accused of driving the blood to the head, for which notion there is not the slightest foundation, as the very opposite effect always attends their application. In the case of bleeding at the nose, I have seen them used several times; two cases, in fact, are worthy of notice:--A man was nearly exhausted from loss of blood from the nose; he put his feet into cold water, and the bleeding stopped in two minutes. A young lady, similarly attacked, put a key down the back and a wet towel upon the nape of the neck, without effect; her feet were put into cold water, and the bleeding ceased immediately. These two cases ought to satisfy the inquirer that cold foot-baths, far from causing congestion in the head, relieve the head.

Care must, however, be taken that the feet are warm when put into cold water, and exercise should be taken after the bath, in order to bring about re-action.

To prove that re-action always attends the use of these baths, when followed by proper exercise, we have but to observe our feet an hour or two after using one. After great fatigue a foot-bath is most refreshing. Mr. Priessnitz recommends the frequent use of these baths, as calculated to ward off complaints--many of which originate in the feet.

Friction and cold foot-baths are the best remedy for habitually cold feet.

Poor people who wear neither shoes or stockings, and whose feet are constantly exposed to a sort of foot-bath, avoid many complaints with which the rich are visited. It would be a misfortune to such people to be furnished with covering for the feet, as will be seen by two cases supplied me by friends on whom I can rely:--

An Irish gentleman, who removed a game-keeper from a low marshy estate to one high and dry, asked him one day how he liked the change. The man replied, "Not at all; he had never been well a day since he had been there, for there was not a drop of water to wet his feet."

A game-keeper, sent to prison to wait his trial for killing a man, being unwell, thought he would adopt his old habits as far as his confinement admitted of. He frequently immersed his feet in cold water, and kept them in motion. Soon after he began this, he recovered.

As a general foot-bath, the water should only come up to the instep; the feet and legs ought to be rubbed by an attendant, or one foot rubbed against the other the whole time. For cold feet ten minutes is sufficient, and the water need only cover the soles of the feet; but for other objects these baths are taken from fifteen minutes to half an hour, often much longer.

XXIV.--THE TEPID, OR ABGESCHRECTE BATH.

This bath is precisely the same as the half-bath, and applied in the same way; the only difference being the water, which in this bath is tepid; _i. e._ ordinarily 62 or 63 deg. of Fahrenheit, sometimes as high as 76 deg. In ordinary cases eight or ten minutes are sufficient, though in gout I have known it continued for hours. Great friction, except in eruptive cases, is applied the whole time.

The temperature during the use of this bath must be gradually diminished by the addition of cold water. After rubbing the body for a short time, the attendant throws a can of cold water on the head and shoulders and then renews the friction, a process repeated until inflammation and pain has subsided. If the patient feels weak or tired under the operation, he is allowed to come out for a few minutes and then begin again. It is customary with Priessnitz to put all new-comers into a tepid bath for one or two minutes, then into the cold plunge bath and back to the tepid. By these means he judges of their powers of re-action, and prescribes accordingly.

Tepid baths are always used in eruptive cases. All practitioners would do well to begin with these baths and proceed by degrees to colder ones. Every day's experience teaches Priessnitz the value of tepid baths.

Whenever these baths are ordered--for instance for fifteen minutes--instead of taking the whole at once, the dose is administered _à trois reprises_. After the first five minutes, the patient gets out of the bath and walks about the room, covered with a dry sheet, until he gains a little life and activity in the joints, which will be effected in two or three minutes. He then returns to the bath, and after the next five minutes the same process is repeated. After the third process, the patient is dried and walks about the room in the dry sheet for a short time, by way of taking an air bath. This is an important modification in the use of this bath. When patients are feeble and not able to support a bath so long as is often necessary to remove the attack, of whatever nature it may be, by dividing it in the way described, nature recovers herself a little during each rest, and the sufferer is thus enabled to take the whole; whereas, without any such pauses, the demand made on his strength might be too great. With children this mode of treatment is particularly observed.

XXV.--BANDAGES, OR UMSCHLAGS.

Bandages fulfil two objects diametrically opposed to each other, viz., to calm and to stimulate. One object is effected by leaving a good deal of water in the bandage, not covering it with a dry one, and changing it as soon as hot. The other by wringing the bandage well out, covering it with a dry one and only changing it when dry.

1st. The more heat there is in the intestines the quicker the body
bandages act.

2nd. Outward cold applications cause a fresh generation of heat.

3rd. By keeping the skin moist, these bandages cause the exudation of
peccant humours and eliminate the excess of caloric.

4th. They equalise the temperature of the intestines, and keep up a
healthy action in them.

5th. Wherever there is inflammation, their application and renewal
lowers the temperature, and their moisture causes the healing of
sores or wounds.

Those most in use, may be termed heating bandages. That for the waist, is worn day and night. It is 8-1/2 feet long; eight or nine inches wide, with a double tape at the end to tie it with. To be put on with facility, it ought to be rolled up like a surgeon's bandage, beginning at the tape end. Then as much should be wetted and wrung out as will go once round the body, which the remaining part will cover. The chest bandages are made of coarse linen, _doubled_, in the shape of a breast-plate, to fit the chest and the throat, tied with three pair of tapes, one round the neck, under the arms, and round the waist. There must be two breast-plates, one to button into the other: the smaller to be wetted, the larger to be dry.

In the water-cure the waist bandage is changed in the morning, at noon, in the afternoon, and on going to bed.

A clammy heat almost immediately succeeds the application of this bandage: a sensation which one soon becomes accustomed to. Large or small bandages of this nature are applied in an infinity of cases. Those afflicted with complaints of the throat or chest, wear the chest bandage at night. Bandages are also applied to the feet and legs as derivatives; and to all wounds, bruises, diseased parts, or wherever pain is felt.

The humid heat of these bandages has a stimulating and absorbent property; they relieve the body of superfluous heat, and extract vitiated matters from the parts to which they are applied, as is frequently seen by the water in which they are washed. Moreover, they regulate the bowels, kidnies[sic], &c.

Mercury is constantly drawn from the pores in these bandages.--Prince Leichtenstein, who had rubbed a light green ointment into his leg twelve months previously to going to Gräfenberg, found that for a fortnight it came out of the flesh by means of these bandages. Some medical men are sceptical on this subject: to be convinced of the truth let such go to Gräfenberg, where they may have constant evidence of the fact.

These bandages assuage pain, and aid in curing--better than ointments and plaisters[sic]. It is in vain that we seek to cure malignant ulcers retained in the system by impure blood with ointments. At Gräfenberg this is effected by the general cure, in which these bandages occupy so prominent a part.

These bandages are used by every patient, and must be renewed after every application of the treatment. If not mentioned in any of the following cases, the omission is unintentional, and those for the waist and diseased parts must be applied notwithstanding.

To any one who has never been in a Water-cure establishment, the application of these bandages will doubtless appear fraught with danger; but so little is this the case, that they are applied to age and decrepitude, to infants as soon as born, and to persons of weak, nervous, and delicate constitutions.

So far from colds being produced by these bandages, when covered with dry ones, we find invalids almost entirely encased in them nightly for months together. Let any one in pain, or who has a sore throat, try them, and he will soon be a convert to our opinion.

In inflammation, congestion of the blood, head-aches, burns, scalds, and wounds, until inflammation subsides, bandages without dry ones over them are used.

For this purpose, linen several times doubled, is wetted in cold water and placed upon the parts affected, where it remains until hot, and then is renewed until the disease ceases for which it was applied.

Sometimes these bandages are changed every ten minutes. In cases of wounds or fractures, sitz-baths accompany these bandages, as together they keep down inflammation.

In inflammation and fever, and in all cases of sickness, discomfort, pain or cramps, a larger bandage than usual is required: this is a sheet folded up and applied from the arm-pits to the thighs, and changed frequently. This large bandage is frequently ordered at night to sleep in, instead of the smaller one.

A gentleman, greatly afflicted, was packed up at night in a wet sheet, with a blanket loosely bound round him, his arms and feet being left free. This afforded him relief from pain. Of course, care was taken that perspiration did not ensue. In the morning the patient took his usual treatment.

The following interesting fact, confirming the advantage of bandages, is related in Baron Larry's "Memoir of the Russian Campaign." "An officer underwent amputation of an arm, after which the surgeon lost sight of him for some time. Two years subsequently, he met the officer in the saloons of Paris, who stated, that his wound had been completely cured by the constant application of cold wet bandages, which he wetted at the different rivulets he met with in his retreat, without any other application whatever."

In a Water-cure Establishment bandages are applied wherever pain or inconvenience is felt. Sometimes a patient has his legs, thighs, loins, and perhaps an arm or his head encased in them at one time, and so sleeps without any precautions as to increasing the amount of his covering.

A well-known English Gentleman caught leprosy in the East. Whilst under treatment at Gräfenberg, he slept in a pair of wet pantaloons, and a wet waistcoat covered with dry ones every night. The dry covering soon became wet, as did the blanket, when the patient felt chilly and uncomfortable, yet no cold resulted. The blanket which was used as a covering attracted the humidity. Priessnitz ordered a second blanket to be put over the first, which absorbed the damp from the first. After a couple of hours this was taken off and the under blanket was found dry: thus the patient was relieved of his discomfort.

A Gentleman afflicted with Lumbago was advised to bathe in the Serpentine in winter. After having done so, he dipped his shirt in the water, wrung it out, and put it on, then buttoning up well and putting on a great-coat and a large neckcloth, he proceeded briskly to Hampstead and back; this produced great heat, and cured the lumbago. These circumstances lead to the conviction that dangers attending the application of wet linen to our bodies, are less real than is represented. Thus, the airing of linen before a fire previous to wearing it, is of no advantage; the slight damp in it, on the contrary, excites the skin, and is more beneficial than otherwise.

One thing the reader's attention must be called to as an incontrovertible fact. No person ever caught a cold or suffered inconvenience from the application of wet sheets or bandages in the Water-cure.

XXVI.--DIET.

"It is not the plenty of meat," says Dr. Scott, "that nourishes, but a good digestion; neither is it the abundance of wealth that makes us happy, but the discreet using of it."

Whilst under treatment, patients partake of three meals, breakfast, dinner, and supper. The breakfast and supper consist of bread, butter, milk and fruit. Dinner ought to consist of plain food, that is to say, roast and boiled meat, poultry and vegetables, puddings and fruits; fish and soup are not recommended.

Priessnitz is not an advocate for what is considered highly nourishing food; he contends that quantity is more essential than quality. The act of feeding causes the stomach, like other members of the body, to perform its office.

A written case was presented to him of a person treating himself. Priessnitz approved of what was doing, until he came to where it was stated the patient ate roast beef and mutton daily--through this he struck his pen. This opinion of Priessnitz's seems confirmed by Dr. Beaumont of the United States, who made some useful experiments upon a young man named ---- Martin, who was desperately, though not mortally, wounded, by the discharge of a gun, the contents of which entered the chest, and passed through the integuments of the stomach, so that the whole process of digestion was laid open to observation. The most important inferences arrived at by the doctor, from his observations, were--

1st.--_That all stimulating condiments are injurious to the healthy stomach._

2ndly.--_That the use of ardent spirits if preserved in, produces disease in the stomach._

3rdly.--_That bulk as well as nutriment is necessary to the articles of diet._

4thly.--_That the digestibility of aliment does not depend upon the quantity of nutritient principles it contains._

Dr. Beaumont further adds, "Here we have incontestable proof, that disease of the stomach was induced, and going on from bad to worse, in consequence of indulgence in ardent spirits, _although no prominent symptom made its appearance_, and ---- Martin was, in his general habits, a healthy and sober man."

I put the following questions to Mr. Priessnitz:--"Is it requisite to eat meat every day?" "Yes, whilst under the treatment, because of the waste which the operations and consequent exertions occasion." "In cases of obstinate constipation, animal food must be partaken of sparingly?" "When not under Hydropathic treatment, meat should not be indulged in every day, except where parties are subjected to great exertion or hard labour, and even then it is better to avoid it occasionally. In fact, people would be more healthy if they only eat meat on alternate days, and if all their food were cold instead of hot."

From the habitual use of hot aliments the lining coat of the throat and stomach becomes distended and weak--hence bronchitis and weak digestion.

To the question as to drinking water. Priessnitz said, "Drink plentifully at every meal, finish by a tumbler or two, and don't fail drinking five or six glasses daily."

Experience which is better than a thousand theories, proves that after partaking of indigestible food, or eating too much, a few glasses of water relieve the stomach. One is at a loss to conceive why people should avoid drinking water at their meals, since none suffer from its use, and Nature seems to require it. Those who feel indisposed, by abstaining from food altogether for a day and drinking water, may frequently avoid a serious illness.

Butter is fat food and bad for delicate digestions. The leaner the food the better, to restore tone to the stomach and bowels. To people of strong digestions this does not apply.

If we look around us, we find that three-fourths of the human family live and labour, and digest, without tasting animal food; that the remaining fourth, who indulge in it, do more homage to Apothecaries' Hall than all the rest. But it is argued, much depends upon climate: then how shall we reconcile the rice of the East, the potato of Ireland, the oatmeal of Scotland, and the rye-bread of Poland? We can easily understand people in hot countries living upon rice, maccaroni[sic], etc.; but if what we understand by the term, nutritious food, is absolutely indispensable, how reconcile ourselves to the potato as the only food for the largest portion of the inhabitants of Ireland? Rye, which is the staff of life to the Poles, is a grain next in degree to wheat; then follow barley and oats. Potatoes are the very worst and lowest description of food. Rye-bread is as manna sent from heaven, in comparison with oatmeal, the chief food of the highlands of Scotland; yet we see strong healthy people in Ireland and Scotland, living solely upon these to a fine old age, without the assistance of the Pharmacopœia.

Does not this prove Mr. Priessnitz is right, when he says quantity is more essential than quality?

The great mass of mankind live on vegetable diet, which comprehends all the products of the earth. An author tells us, "Recent discoveries have shewn that vegetables contain the same elements as flesh: the same gluten, albumen, fibrin, and oily matters that exist in a beefsteak, are also found in our esculent vegetables."

Experience proves that vegetable diet is lighter and less liable to bring on disease, than one in which animal food largely prevails.