Chapter II (1)

We shall now take up a practical list of subjects, arranged in alphabetical order. Without any attempt at egotism, we claim that there are few nontechnical books extant that contain a superior selection of preventatives and remedies. Read carefully and judge for yourself. There are very few common or occasional afflictions which are not considered to some extent. Why always seek a doctor when you seem to be somewhat off your physical equilibrium? You will generally at each visit spend more money than this book will cost. Learn to provide against constant medical attention.

=Accidents.=--In sudden emergencies, either of accident or sickness, the first great requisite is presence of mind. Be calm. Endeavor, if possible, to grasp the situation, and do what is to be done promptly and quietly, until the arrival of the physician. All hurried and distracted motions, and all exciting noises, confuse the attendants and needlessly alarm the sufferer. In many cases, the course of immediate action is suggested by the circumstances; but where you do not know what aid to render, it is best to do nothing, except to make the patient as comfortable, for the time being, as possible. For all ordinary emergencies, ample directions are:--

"1. Always look in the direction in which you are moving.

"2. Never leave a car, or other public vehicle, when it is in motion.

"3. Never put your head or arms out of a vehicle when it is in motion.

"4. If a horse runs away with you, remain in the vehicle rather than risk the danger of jumping from it.

"5. In thunder-storms keep away from trees, metallic substances, doors, and windows. The lower part of a house is the safer.

"6. Never play with fire-arms. Always keep them beyond the reach of children.

"7. Avoid charcoal fumes; they are deadly when confined in a close room.

"8. Illuminating gas; be sure to turn it off. _Never blow it out._

"9. When gas can be smelt in an apartment always air the room well before striking a match or bringing a light.

"10. When very cold, move quickly. If any part of the body is frozen, rub it with snow, and keep from the fire.

"11. Change wet clothing as soon as possible.

"12. Carefully avoid exposure to night air, in malarial districts.

"13. If necessary to go into an old vault or well, first introduce a burning candle. If the light burns low and finally goes out, carbonic acid gas is present and the place is unsafe to enter. Unslaked lime will absorb the gas and purify the air.

"14. Avoid walking on railroad tracks and icy sidewalks.

"15. When awake, very young children should never be left alone.

"16. Do not go, with loose hair or flowing garments, near dangerous machinery.

"17. Never touch gunpowder after dark.

"18. Never fondle a strange dog.

"19. Never light a fire with kerosene.

"20. Fill and trim your lamps in the day-time. Never trim or fill a lighted lamp.

"21. Keep matches in a closed metallic box.

"22. Have your horses rough-shod as soon as the ground freezes.

"23. When feeling dizzy or seasick, lie down.

"24. Do not close the damper of your stove too early. Better waste coal than run the risk of suffocation by gas.

"25. When climbing a ladder, look up and not down.

"26. In railroad traveling take the center of the car, and the middle car of the train, for safety.

"27. Eat only pure food, drink only pure liquids, think only pure thoughts, and keep your blood pure.

"28. In going through dry woods or over prairies do not smoke or cast matches about carelessly. There should be laws against this often wanton destruction of property.

"29. Look out for spontaneous ignition of oily rags, oil-painted canvas rolled up, wet iron filings.

"30. In entering mines not used, always try for gas before venturing into them.

"31. Do not be careless in any way whatever in connection with fire. The losses in the United States, in 1889, by fires as a result of carelessness amounted to nearly $100,000,000, while in San Francisco for the same year we find that fully 80% of the losses can be attributed to the same source."

=Alcohol.=--Felix L. Oswald, M.D., gives some very good ideas in _Good Health_ on the alcoholic habit. "'Reform,' says an able political writer, 'is ever unpopular. All wrongs lie in the consent of the wronged, and what with the fierce support of those who thrive on the abuse, and the dull, heavy, ignorant conservatism of the masses, * * * it is a sad delusion to suppose that the cause is won when the argument is made.' An unquestionable preponderance of power, they argue, favors the side of the liquor venders, and in this world, at least, always finds a way to assert itself as right. The last link of that syllogism, however, is a rule with occasional exceptions. No unqualified evil has ever succeeded in maintaining its supremacy, and the evils of the alcohol vice are offset by no benefits. Alcohol has been called 'negative food,' because its physiological influence torpifies the functional energy of the digestive organs, and thus, for a time, renders the toper insensible to the cravings of hunger. The same effect, however, can be produced by a stunning blow, and we might as well claim that the interests of political economy could be promoted by a fierce war, because a knock-down stroke with the butt-end of a musket is apt to lessen the appetite of the afflicted soldier. No real benefit can result from the lethargizing effect of a poison dose, the retardation of the digestive functions being in every case a morbid and abnormal process, avenging its repetition by the fatty degeneration of the tissues and the impoverished condition of the blood. * * * During the horrible flood which a few months ago devastated the two richest provinces of the Chinese Empire, a number of vile marauders eked out an existence by fishing out wreckage and plundering floating corpses. The idea of mentioning the profits of these wretches as a compensating offset to the horrors of a public calamity would justly consign its propounder to the custody of a lunatic commission. Yet, by an exactly analogous line of argument, many of our political economists continue to defend the legal sanction of the liquor traffic. Nay, it might be seriously questioned if the total loss (by fire or water) of a billion bushels of grain would not be financially and morally preferable to their conversion into a life-blighting poison. According to the statistics of the Treasury Department, the alcohol drinkers of the United States (representing hardly one-fifth of the alcoholized nations of Christendom) spent during the last ten years a yearly average of $370,000,000 for whisky, $58,000,000 for other distilled liquors, $56,000,000 for wine, and $140,000,000 for ale and beer; together, $624,000,000 a year. That enormous sum has been far worse than wasted. It has been invested in the purchase of disease. It has been devoted to the development of idiocy, crime, and pauperism. It has turned blessings into a concentration of curses. The general recognition of these facts will seal the doom of the liquor traffic."

Dr. C. E. Spitka expresses some results of science investigating strong drinks:--

"Alcoholism among the ancients was therefore mainly or exclusively known in its acute phases, the drunken frenzy in which Alexander the Great killed Clitus being a familiar example. With the introduction of tobacco and playing cards, the saloon, the cellar-dive, and the bar-room usurped the place formerly held by the inn. The enlargement of cities deprived their inhabitants of rustic sports, and led to their seeking in other and more dangerous channels an escape from mental and physical strain, and a variation of routine monotony. It is generally conceded by those medical writers who are unshackled by prejudice that a certain amount of alcohol can be ingested with perfect impunity. That amount has been accurately determined by Dujardin-Beaumetz in the course of experiments made in the abattoirs of Paris. Transferring the result of his experiments to the human species, he concluded that a man weighing 120 pounds could take the equivalent of two ounces of alcohol a day for years without injury to any organ of the body. But when the amount taken daily exceeds the toleration-point, prolonged abuse is followed by results which are as sinister as they are insidious. In the dead-house of the Philadelphia Hospital, Formad found that, of 250 chronic alcoholists, nearly 99 per cent had fatty degeneration of the liver, 60 per cent had congestion or a dropsical state of the brain, the same proportion an inflamed or degenerated stomach, while not quite 1 per cent had normal kidneys. Of 17 children of drunken fathers observed by Voisin, 3 were idiots, 2 confirmed epileptics, 1 suffered from a congenital spinal disease, and the remainder died in early life with convulsions. Of 11 children similarly descended, cited by Dagonet, 9 died in the same way. Of 117 such births recorded in Alsace-Lorraine, 13 were still-born and 39 died of convulsive disorders shortly after birth. One drunken father had 7 still-born children in succession; another lost 8 of 12 by convulsions. It is not alone as a direct result of inebriety that a defective nervous system is thus transmitted. Even in his sober intervals, he whose nervous system has been shattered by alcohol is liable to have a degenerate or diseased offspring. Of 18 children recorded as born under these circumstances, Voisin found 8 epileptic and 10 idiotic. As if to prove beyond the possibility of a doubt that such degeneracy is due to the alcoholism of the parent, and to that alone, two French investigators, Mairet and Combemale, performed a series of experiments on dogs, by which they showed that the same result which the chronic inebriate is accused of producing in his offspring, through selfish indulgence, can be produced at will in the offspring of lower animals by compulsory induction of the same vice in them."

An English investigation, just completed, puts in tangible form the effect of the use of alcohol, from observations covering 4,234 cases in all walks of life. This report shows that, with men over twenty-five, the intemperate use of alcohol cuts off ten years from life, those who never drink to excess, or use no liquor, living, on the average, ten years longer than those who do. Indulgence, if carried to excess, doubles diseases of the liver, quadruples those of the kidneys, and greatly increases the number of deaths from pneumonia, pleurisy, and epilepsy.

It is not often appreciated how many people die annually from the effects of strong drink. Dr. Norman Kerr, an eminent physician of England, believing the statement of temperance people to be extravagant, that 60,000 people die annually from the effects of strong drink, began as early as 1870 a personal inquiry, in connection with several medical men and experts, expecting to quickly disprove the same. According to their deductions, the latest estimates of deaths of adults annually caused through intemperance is, in Great Britain, 120,000; in France, 142,000; in the United States, 80,000--or nearly a half million each year in three countries aggregating a population of 112,000,000.

_Excessive Beer Drinking._--In the earlier part of our work we endeavored to impress on our readers the necessity of regularity and the avoidance of excesses. The last week of 1889 in New York City saw two prominent brewers buried, and two others of the guild were near death. None of them were, or are, over forty-seven years old. Kidney and heart disease were the causes of death in the case of the first two. Similar ailments have marked the other two gentlemen for the grave. The question arises, Was it beer or champagne that caused these diseases? In this connection the statement a physician of Bellevue Hospital once made is not amiss. These are his words: "The worst cases of alcoholic ailments coming under our observation are those resulting from excessive beer drinking."

In appearance the beer drinker may be the picture of health; but in reality he is most incapable of resisting disease. A slight injury, a severe cold, or a shock to the body or mind, will commonly provoke acute disease, ending fatally. Compared with other inebriates who use different kinds of alcohol, he is more incurable and more generally diseased. It is our observation that beer drinking in this country produces the very lowest kind of inebriety, closely allied to criminal insanity. The most dangerous class of ruffians in our large cities are beer drinkers. Intellectually, a stupor amounting almost to paralysis arrests the reason, changing all the higher faculties into a mere animalism, sensual, selfish, sluggish, varied only with paroxysms of anger, senseless and brutal.

That men are the sex most addicted to stimulating but injurious habits is sadly growing less true, and women are finding recourse too often to poisonous invigorators. If one-half of what the doctors are saying all over the country is true, there may soon be a greater need of a temperance reform among the women than there ever has been among the men. Strong drink, however, is not the monster by which the women may be enslaved, but a strong and poisonous drug equally baneful in its effect.

This drug is antipyrine. It is a white powder, slightly bitter, and soluble in water. Until about a year ago it was prescribed for fevers only, but a French medical college recommended it for headaches and other pains and disorders, and in this way it has gained its grasp on so many thoughtless and nervous women.

In Chicago and many other places it is said that the habit is gaining with alarming rapidity, for the women take it for every ill, and cannot believe that its soothing effect can have any evil result until the habit is thoroughly fixed upon them. It produces different results under different circumstances, and, like many other preparations, varies according to the size of the dose. In large doses it has been known to produce complete relaxation, and at the same time a loss of reflex action, and death. In moderate or tonic doses it often produces convulsions. Its effect as a stimulant seems to be very much like that of quinine, and the physicians say that they do not understand why it should get the hold on women that it does.

The latest female vice is intoxication by naphtha. It is not drank. The fumes of it are simply inhaled, inducing, so the inebriates say, a particularly agreeable exhilaration.

_Remedies of Alcoholism._--Without much doubt, the best way to affect a cure is to regularly reduce one's amount of liquor each day until the system can do without it. A systematic decrease can always be carried through if the will power will back it. We add also some ideas that have been advanced by good judges: "To dispel as quickly as possible the effects of intoxicants, one of the most effectual remedies is a small dose of sal volatile, or volatile salts, in a wine-glass of water--repeating the dose in half an hour. A dish of cold broth may answer the same purpose. The most speedy way, however, of effecting a cure, is by taking an emetic, following it with the sal volatile and water half an hour after."

The Russian physician and publicist Portugaloff declares that strychnine in subcutaneous injections is an immediate and infallible remedy for drunkenness. The craving of the inebriate for drink is changed into positive aversion in a day, and after a treatment of eight or ten days the patient may be discharged. Even should the appetite return months afterward, the first attempt to resume drinking will produce such painful and nauseating sensations that the person will turn away from the liquor in disgust. The strychnine is administered by dissolving one grain in two hundred drops of water, and injecting five drops of the solution every twenty-four hours. Dr. Portugaloff recommends the establishment of inebriate dispensaries in connection with police stations.

=Appetite=.--Happy is the man who always possesses a good appetite; unhappy is he who does not have this precious boon. The lack of it results largely from failure of exercise and the excessive use of condiments. In the first place, try to take an invigorating bath with a wet towel and rub hard. If you cannot endure even that, use a dry towel on the body until the friction brings the blood to the surface of the skin. Then give the mouth a careful cleansing by rinsing and tooth-brush. When you sit at the table, do so with a cheerful mood, eat slowly, partake sparingly of condiments, using salt mostly, and vinegar for an acid. Preface your meals with a walk long enough to get up a circulation, if it is dinner or supper hour, but do not tire yourself, and be sure to rest the last fifteen minutes before eating.

=Asphyxiation.=--A practical man, conversant with cases in which asphyxiation resulted from inhaling carbonic acid gas, gives some valuable hints for their recovery by simple remedies always at hand. Fresh air to restore consciousness is the first important step. Then he gave apples, apple juice, or vinegar, to neutralize the gas and remove it from the stomach by eructations. Eggs broken into vinegar mixed and swallowed made a very effective drink. After removing the gas from the stomach, the patient was further relieved by a cup of strong, hot coffee, which speedily restored him to normal vigor. On two similar occasions, where a physician was called, he administered injections of carbonate of ammonia, and the man was ill for eight or ten days from the effects of the medicine. A little common sense is often better than physic.

=Bathing.=--We have already treated this subject to some extent, but we recommend the careful reading of Dr. C. H. Steele's ideas, part of which we embody here; also some other worthy opinions on this matter, of great importance to health.

"The use of water in the treatment of diseases dates back to remote antiquity. Savages resort to the surf and sweat-bath, and Hindoos and Mohammedans bathe because their religion commands them to do so. References to the bath may be found scattered throughout the literature of Greece, and in Rome the magnificent buildings and lavish expenditure devoted to the public bath show it in the highest stage of perfection it has ever attained."

"It is only within a few years past that the domestic bath has been accepted as a necessity. No home in England is complete without a bath-room, and no Englishman deems himself well unless he bathes daily. The speaker said that a thermometer, whose use should be understood, should be permanently attached to every bath-tub.

"_Physiological Action of the Bath._--In considering the physiological action of the bath, it is first to be accepted that water of a temperature below that of the body abstracts heat from the skin, which abstraction continues indefinitely, only for a time checked by the renewed activity of the heat centers. In a bath the temperature of which is from 92 degrees to 95 degrees, the body may remain indefinitely without any loss or gain of temperature, but after the bath a cooling takes place, owing to increased perspirations. If the water is between 77 degrees and 86 degrees, there is, after the first shock, a positive rise in the temperature of the body. Sixty-five degrees, and lower, may be borne for a long time."

"Nature adapts herself to the cold bath by a rapid stimulation of heat production. All the muscles, nerves, and organs of the body are brought into heightened activity, and thus it is that to the healthy individual the cold bath is invigorating. But nature has her limits, and the bath must be discontinued while this tonic effect is felt, for the heat centers become fatigued and give rise to a chill which may continue for days afterward.

"The greatest agency in bathing is the stimulation of perspiration, and this depends upon the relative dryness of the surrounding air. Thus, in the dry vapor, or Turkish bath, a person will easily endure 264 degrees, and lose four pounds per hour by perspiration. It is this rapid evaporation from the skin that keeps the body cool. A person may stand for some time in an oven, beside a roasting rib of beef. But in the steam or Russian bath the perspiration is retarded, and a temperature of 120 degrees is hardly bearable. A temperature of 124 degrees may induce a rise in the temperature of the mouth to 104 degrees or even 107 degrees, which is seldom reached in a raging fever. Hence, there is an element of danger in the Russian bath--a danger to sudden death similar to sunstroke. This danger is much more pronounced in the hot-water bath when perspiration ceases altogether, and the supply of heat from the interior to the skin is excessive. The temperature of bathing water should not exceed 104 degrees, and this hot bath should not be endured more than fifteen minutes. Even then it is likely to be followed by depression and weakness." "The circulation being quickened, the cold bath acts as a good blood purifier, washing away the poisons of the body through the channels of the veins. In case of persons troubled with an excess of fat, the bath must be accompanied by massage, banting, and a liberal indulgence in outdoor exercise. In the hot bath there is this same waste of tissue, but no tonic effects, and it is invariably accompanied with loss of energy and vitality. But the action of the bath upon the skin is no less beneficial than upon the interior of the body. It favors the excretory action of the skin, thus purifying it. The millions of dead scales, kept to the skin by the clothing, and the cementing effect of the oil, are washed away, thus relieving the skin, which is the great sewerage system of the body. The work of the lungs and kidneys is thus lessened, and the danger of consumption and Bright's disease, which may be caused by uncleanness, reduced."

"_Effects of Sea Bathing._--Sea bathing is much more tonic than all other kinds, and the reason is simple. The salt has a slightly irritating effect on the skin, which is very beneficial. Besides, sea bathing is always accompanied by the best of exercise, by relaxation and freedom from the ordinary cares of life, by a change of climate and scene. The beating of the waves against the body also has an exhilarating effect. The bath in the sea should be taken about three hours after breakfast. There are three stages experienced in the cold bath--first, that of depression; second, the tonic stage; and third, the giving out of the heat-producing powers. This is the same as the one stage of the hot bath, and is always to be avoided as highly injurious.

"Nevertheless, the hot bath has its value. Its power to cool the body is admitted, and it is used with effect in cases inflammation induced by cold. The cold foot-bath is recommended as a positive cure for cold feet."

"The practice among modern women of taking hot baths is endangering the health of the race. In a hot bath there is at first a feeling of oppression and violent throbbing of the head, followed by prostration, a highly feverish condition, and a relaxation of the entire system. In case of any organic disease of the heart or consumption, this bath must be carefully shunned. The hot bath belongs alone to the province of the physician. The cold bath, on the other hand, aside from its tonic effects, renders the body less sensitive to changes of temperature, and in this climate is, hence, especially valuable as a protection against catching cold. This bath is from 68 degrees to 75 degrees, and should be taken in the morning before breakfast."

"=Bleeding.=--A sudden and profuse flow of blood is cause for alarm. First, decide whether the blood comes from an artery or a vein. If from a vein, the blood is dark, and oozes or flows evenly; if from an artery, it is bright red, and spurts in jets. In the former case, the bleeding may generally be stopped by binding on a hard pad. In case of a ruptured artery, the flow of blood may be checked by tying a twisted handkerchief, a cord, or strap, _between the wound and the heart_. If the hand is cut, raise the arm above the head and bind it tightly. In _wounds of the throat_, _arm-pit_, or _groin_, caused by cuts, and in case of any deep wound, thrust the thumb and finger into the bottom of the wound and pinch up the part from which the blood comes, directing the pressure against the flow. _In cuts of the lips_, compress the lips between the thumb and finger nearer the angle of the mouth than the cut itself. In _scalp wounds_, make direct pressure against the bones of the skull with the fingers, or, better, by means of a compress or bandage."

"_Nosebleed._--Full-blooded persons who are afflicted with headache and dizziness are most subject to nosebleed. In such cases, the bleeding should be regarded as a relief to an overcharged system, and should not be too suddenly stopped. To stop the bleeding, keep the patient's arms elevated, apply cold water or ice to the base of the brain, or inject vinegar or alum water up the nostrils with a syringe. A thick piece of wrapping paper, placed between the upper lip and gum, and firmly pressed, will usually arrest the flow. It acts by compressing the arteries which supply the Sneiderian membrane. Try plugging with cotton, or a strip of soft muslin, gently pushed up the nostrils, thus causing the blood to clot about the plug. If these remedies fail, the case should have the attention of a physician."

=Brain Worry.=--"After a good spell of hard work, the brain worker is often tormented by finding it difficult, all at once, to turn off the steam. His work-day thoughts will intrude themselves in spite of every effort to keep them out. Thackeray generally succeeded in exorcising the creatures he had been calling into existence, by the simple expedient of turning over the leaves of a dictionary. A great lawyer was in the habit, in similar circumstances, of plunging into a cold bath, and averred that a person never took out of cold water the same ideas that he took into it. Perhaps the best mental corrective of this condition is to employ the mind for a short time in a direction most contrasted to that in which it has been overworked. During excessive labor of the brain, there is an increased flow of blood to the working organ. If this condition of distention is long continued, the vessels are apt to lose the power of contracting when mental activity is diminished. Hence arises the impossibility of fulfilling the physical conditions of sleep, the most important of which is the diminution of the flow of blood to the brain. It is certain enough that the continued deprivation of any considerable part of the normal amount of sleep will be seriously detrimental to health. Dr. Hammond, in his work on sleep, mentions the case of a literary man in America who for nearly a year restricted his rest to four hours a day, and frequently less. At the end of that time, the overtasking of his mental powers was manifested in a curious way. He told the physician that, though still able to maintain a connected line of reasoning, he found that as soon as he attempted to record his ideas on paper, the composition turned out to be simply a tissue of arrant nonsense. When in the act of writing, his thoughts flowed so rapidly that he was not conscious of the disconnected nature of what he was writing, but as soon as he stopped to read it over, he was aware how completely he had misrepresented his conceptions."

=Breathing.=--In each respiration an adult inhales one pint of air.

A man respires 16 to 20 times a minute, or 20,000 times a day; a child, 25 to 35 times a minute.

While standing, the adult respiration is 22; while lying, 13.

The superficial surface of the lungs, _i. e._,of their alveolar spaces, is 200 square yards. The amount of air inspired in 24 hours is about 2,500 gallons.

Two-thirds of the oxygen absorbed in 24 hours is absorbed during the night hours, from 6 P.M. to 6 A.M.

Three-fifths of the total carbonic acid is thrown off in the day-time.

The pulmonary surface gives off about 5 fluidounces of water daily in the state of vapor.

The heart sends through the lungs 192 gallons of blood hourly, or 4,608 gallons daily. The duration of inspiration is five-twelfths, of expiration seven-twelfths, of the whole respiratory act; but during sleep, inspiration occupies ten-twelfths of the respiratory period.

There are two good rules to follow given by William Blaikie:--

"1. To hold the body erect, whether standing, sitting, or walking, and breathe deeply. This habit gives the lungs and digestive organs free play. More oxygen is taken into the blood, and the food is more readily digested and assimilated. 2. To fill the lungs full at frequent intervals, holding the air in the chest as long as is comfortable. This practice will soon improve a disturbed circulation."

=Bright's Disease.=--Bright's disease is a disorder of the kidneys which causes those organs to secrete albumen in the urine, while they fail to extract from the blood the urea, or effete matter, which they should take up from that fluid. Urea in the blood operates as a poison, and when accumulated in large quantities, produces drowsiness, convulsions, and apoplexy. Intemperance is a fruitful source of Bright's disease, because excessive drinking tends peculiarly to the degeneration of the kidneys. The best remedy we know, or have ever seen tested, is Bethesda water, from Waukesha Springs, Wis. It should be natural, without gas; a quart per day will not be too much for an adult.

=Bruises.=--If the skin is not broken, the best thing for a bruise, or black and blue spot, as they are often termed, is a piece of pure copper. It should be thin enough to shape with the fingers just the curvature or angle of the portion of the body bruised. In applying it, be very gentle at first, for if it be a finger nail you desire to preserve, on first application it will give you quite a severe shock, but by relieving it every second or two, inside of 5 minutes the pain will cease, and no black spot will follow. If the skin be broken, and the blood has ceased to flow, and you desire to use this remedy, first paste a piece of unprinted newspaper over the broken part, and then proceed as above; but in no case ever place a piece of copper on a broken part of the skin without the above precaution.

=Burns=.--A correspondent of the Philadelphia _Record_ vouches for the wonderful efficacy of the common cat-tail as a remedy for burns. He says: "Take the down, and with just enough lard to hold it together, make a plaster and lay upon any burn, and it soothes and heals so soon that it seems a miracle. Put upon a fresh burn, and in less than half an hour the smart is gone; if it is an old burn, the healing will commence in twenty-four hours. 'Cat-tail' is also the Indian remedy for scrofulous sores or ulcers. Age does not destroy its healing virtues. It can be laid away and kept for years without losing any of its remedial properties." Burns should be bathed with alcohol or turpentine and afterwards with lime-water and sweet-oil, but never with cold water. Soft soap or apple butter are equally excellent for burns.

=Cancer.=--It is well proved that cancer cannot be successfully removed by use of the knife. Surgeon John McFarlane, of Glasgow, mentions the cutting out of _eighty-six_ cancers without effecting a _single cure_. For those who are troubled we would say that there have been and there are remedies with permanent effects. The writer knows of a female physician in this city who has been very successful in achieving lasting cures in numerous authenticated instances.

=Chewing Gum and Other Substances.=--Regular chewing outside of meal hours of any substance is injurious. It unnecessarily excites the salivary glands, the strength of which should be reserved for eating. Do not chew the ends of your finger nails. Little pieces of the nails may be swallowed, which at some time--possibly quite remote--may cause you great pain, and even death. This has occurred. It has also been found by opticians and doctors that hardly anything will affect the eyes harmfully quicker than gum-chewing.

=Cholera.=--Dr. Gamaleia, of Odessa, claims to have discovered a prophylactic against cholera, and hopes to win the prize of $20,000 offered for such a cure. He calls his specific Chemical Vaccine, and has tried it efficaciously on apes, guinea-pigs, and pigeons. This is obtained by the successive passages of cholera virus through the blood of animals. After each of these passages, the virus becomes stronger, and is finally injected into the patient.

A cure which was very effective when the cholera struck America is called the "Sun Cholera Medicine." It is also an excellent remedy for colic, and diarrhea, etc. Take equal parts of tincture of cayenne pepper, tincture of opium, tincture of rhubarb, essence of peppermint, and spirits of camphor. Mix well. Dose: 15 to 30 drops in a little cold water, according to age and violence of symptoms, repeated every fifteen minutes or twenty, until relief is obtained. Our own _infallible_ remedy for cholera, cholera morbus, cramps, colic, and diarrhea, is:--

Tincture of opium, 3 drachms.
" " cayenne pepper, 5 drachms.
" " ginger, 5 drachms.
" " camphor, 3 drachms.

Dose: 1 teaspoonful in a gill of cool water for an adult; repeat with half a teaspoonful in 15 minutes if not relieved. For a child 2 years old 1/4 the above dose, and in proportion up to an adult.

=Cleanliness.=--The English upper classes are clean, but cleanliness of any high degree is a modern virtue among them. It is an invention of the nineteenth century. Men and women born at the close of the eighteenth century did as French people do to-day; they took a warm bath occasionally for cleanliness, and they took shower-baths when they were prescribed by the physician for health, and they bathed in summer seas for pleasure, but they did not wash themselves all over every morning. However, the new custom took deep root in England, because it became one of the signs of class. It was adopted as one of the habits of a gentleman.

Don't take your pocket-handkerchief to dust off your shoes and the next moment wipe your face and eyes with it; don't carry your _own sheets_ with you on a trip and then sit in the smoking-car for 200 miles for enjoyment; anything added to white castile soap as scenting matter is no improvement and in most cases is detrimental.

We have taken this subject up so carefully in "bathing" and in the first part that we will say no more here.

=Cold Feet.=--The best prescription for cold or tired feet is to carefully envelop each toe and foot with blank newspaper before encasing the same with sock. First have the feet perfectly dry and warm, then they will remain so all day, if properly protected with easy-fitting, strong boots or shoes. Barbers do this to prevent their feet scalding and heating; stage drivers use this method, and hundreds attest its efficacy.

Many people, especially women and children, suffer the whole winter through with cold feet. This is mainly due to the fact that they wear their shoes too tight. Unless the toes have perfect freedom, the blood cannot circulate properly. People who wear rubbers the whole winter through, generally suffer with their feet. Rubbers make them very tender by overheating and causing them to perspire. They should be removed as soon as one enters the house. They draw the feet, keep them hot and wet with perspiration--then as soon as one goes again into the air the feet are chilled.

=Colds.=--Don't have any fear of night air. That is an unfounded superstition. Keep your windows open. You will sleep better and the next day you will not catch cold.

Take a good hot lemonade just before retiring; in the morning, immediately on getting out of bed, take a cold bath and rub hard until you are in a perfect glow.

Too much coddling is unquestionably one of the most common causes of catarrh. One who is inured to hardships is able to endure exposure without injury, while one unaccustomed to like experience quickly succumbs. Air-tight houses, close and unventilated, overheated rooms, even the quantity of clothing required, are active causes, preventing development of hardihood. As a result, colds and catarrh are universal maladies among civilized people.

Says a writer in _Woman's Work_: "Without dwelling on the nature and causes of colds, or on what physicians call the pathology of these disorders, I will say that a low or even starvation diet for a few days, with the free drinking of warm, mildly stimulating teas, is better for a cold than any drug or combination of drugs. If with this a warm bath or a hot foot-bath is taken, little more will be needed. Nine cases in ten of colds can be broken up in this early stage by a hot foot or rather leg-bath, keeping the bath as hot as it can be borne, until perspiration arises. After the bath drink a half pint of hot lemonade and go to bed."

_A Good Cough Remedy._--The following is from a doctor connected with an institution with many children: "There is nothing more irritable to a cough than a cough. For some time I had been so fully assured of this that I determined, for one minute at least, to lessen the number of coughs heard in a certain ward in a hospital of the institution. By the promise of rewards and punishments, I succeeded in inducing them to simply hold their breath when tempted to cough, and in a little while I was myself surprised to see how some of the children entirely recovered from their disease. Constant coughing is precisely like scratching a wound on the outside of the body. So long as it is done the wound will not heal. Let a person when tempted to cough draw a long breath and hold it until it warms and soothes every air-cell, and some benefit will soon be received from this process. The nitrogen which is thus refined acts as an anodyne to the mucous membrane, allaying the desire to cough and giving the throat and lungs a chance to heal. At the same time a suitable medicine will aid nature in her effort to recuperate."

=Constipation.=--Regularity in the hour of going to stool and the avoidance of highly-seasoned food are preventatives. See "constipation," first part, per index, for a cure.

=Consumption.=--"What Changes has the Acceptance of the Germ Theory made in Measures for the Prevention and Treatment of Consumption?" is the title of an essay by Dr. Charles V. Chapin, of Providence, to whom was awarded a premium of $200 by the trustees of the Fisk Fund. In this essay Dr. Chapin has given an admirable _r'esum'e_ of all that has been written about consumption from the time of Hippocrates to the present day. After a careful examination of the literature of the subject, he thinks that we are justified in the conclusion that the acceptance of the germ theory has made no direct or important addition either to the hygiene or medicinal treatment of consumption. He thinks, however, that it should have great influence. It tells us plainly what we ought to do. We simply do not obey its behests. The germ theory--now no longer a theory in the case of tubercular consumption--tells us that we have to do with a contagious disease. Now there is no theoretical reason why a purely contagious disease like tuberculosis cannot be exterminated. If we can prevent the spread of contagion at all, we can prevent it entirely. The enormous value of preventive measures, isolation, disinfection, and quarantine, is well illustrated in history of cholera, typhus fever, and yellow fever in the United States.

By keeping out the virus of these diseases, or destroying it when it had gained access to our shores, we have for a number of years been remarkably free from these diseases, and it is certain that if these precautions had not been taken we should have suffered severely. For obvious reasons, the suppression of tuberculosis is not so easy a matter as the suppression of cholera or yellow fever. Neither is the suppression of scarlet fever or small-pox as easy. Yet whenever the public has been educated to a correct appreciation of the contagious nature of scarlet fever, the number of cases has diminished very much. Even in small-pox, with its virulent contagion, it is possible, by means of isolation and disinfection, to check its spread even among an unvaccinated population, as has been illustrated many times of late in the anti-vaccination city of Leicester, England. We must now put tuberculosis among these diseases, and, though its theoretical suppression is simple its actual extermination is a very difficult problem. It lies largely with the medical profession how long tubercular disease shall decimate the human race. The physicians are the educators of the people in these matters. When the doctor shall teach that tuberculosis is contagious, the people will believe, and will govern themselves accordingly. In combating contagious diseases the preventive measures taken often give discouraging results. This will be particularly so in tubercular disease. Half-way measures secure less than half-way results, and these alienate the support of those who only indifferently believe in contagion and the importance of precautionary measures. Efficient means of suppression are radical, and bear hard on the individual; they are not complied with, and they produce violent opposition. Yet, difficult as it may be, the medical profession should take aggressive action against this disease. We have no right to wait for the discovery of a specific, or the gradual evolution of a phthisis-proof race. We must take the world as we find it, full of men and women predisposed to tubercular phthisis, and with no idea of its contagious nature. What can we do about it? 1. Teach the people the true nature of the tuberculosis, that no one ever has tubercular consumption unless the tubercle bacilli find their way into their lungs. 2. Teach them, also, that, even if it finds its way there, it will not grow unless the conditions are right. Teach fathers and mothers how to rear healthy boys and girls. Tell them what to eat and what to wear, to exercise, to breathe fresh air. This alone would exterminate phthisis. 3. The contagion must be destroyed. Fortunately, in this disease there is no need of isolation. Disinfection is enough. The consumptive patient gives off the poison only in the sputum, or perchance the other excreta, if the disease extend beyond the lungs. The virus is not given off from these while moist. We must therefore disinfect all sputum at once with mercuric bi-chloride. Cloths must be used instead of handkerchiefs, and then burned, or, if the latter are used, they should be often changed, and immediately put in a bi-chloride solution and boiled. Bed-linen should be treated in the same way. Frequent disinfection of the entire person, and fumigation of the apartment, would be safe additions to the preventive measures. 4. Persons who have a marked predisposition to the disease had best not come in close contact with the phthisical. Children should never have tuberculous nurses, wet or dry. In the case of consumptives very great attention should be paid to ventilation, and to the alimentation both of the patient and the attendants. Such measures, if rigidly carried out, would be of enormous service in preventing this disease. But with the increasing prevalence of tuberculosis among domestic animals, something more is imperatively demanded. Active measures should be taken to free the country from animal tuberculosis.

There are some ideas which it is well to observe:--

1. Flies may carry the virus if they are allowed to frequent cuspidors into which consumptives have expectorated. Clean these out often. Do not permit the patient to spit into a handkerchief and then let it lie around to dry. The dust arising may inoculate some person prone to consumption.

2. Be careful about the meat you eat. It can and does convey tuberculosis. Investigations have been made showing that as high as 50% of a herd to be slaughtered in New York City had tuberculosis. Milk may be also infected and often is.

3. Have an abundance of flowers around. They invariably are helpful.

4. Constant and regular singing with proper care and not tiring is excellent for consumptive lungs, which should be done in well-ventilated rooms.

5. Be out in the open air as much as possible, and breathe through the nose entirely. Continually exercise the lungs by drawing in long breaths.

6. If possible try fumes of hydrofluoric acid. In glass factories if workmen are rendered consumptive by stooping over the grinding machinery, they usually find great benefit by being allowed to work in the room with the glass etchers, where so much hydrofluoric acid is employed.

7. Buttermilk is well recommended.

8. Consumptive and bronchial troubles in women are often due to irregularity of dress about the throat and lungs. There is danger from wearing _d'ecoll'ete_ costumes. So regular have we been in our habits that the throwing off of a 1-oz. neck-tie for half an hour in the open air will give us a cold with the thermometer at 70% Fahr.

The ocean cure is well set forth in the following, which represents the advantages of a long sea voyage:--

1. Perfect rest and quiet, and complete removal from and change of ordinary occupation and way of life; a very thorough change of scene, and perfect and enforced rest from both mental and physical labor.

2. The life in the open air and the great amount of sunshine to be enjoyed; it is quite possible, under favorable circumstances, to pass fifteen hours daily in the open air; and whenever it is possible the traveler by sea is certain to endeavor to escape from the close and sometimes unpleasant atmosphere of a small cabin, into the pure air to be found on deck.

3. The great purity of the air at sea, and its entire freedom from organic dust and other impurities. In this respect it has an advantage over the air of an open country, for the latter is apt to contain the pollen of grasses and other plants, which, in some persons, excites hay fever and asthma. The air of the cabins may, of course, be contaminated, but the air of the open sea is probably the purest to be found anywhere.

4. The presence in the sea air of a large amount of ozone, as well as particles of saline matter, more particularly in stormy weather, from the sea spray, and these may exercise a beneficial effect in certain throat and pulmonary affections on the respiratory mucous membrane.

5. The great equability of the temperature at sea. This refers chiefly to the daily variations, which rarely exceed four or five degrees Fahr. It must be noted that in a long sea voyage very considerable variations of temperature are encountered, and in a swift steamer the transitions are somewhat sudden.

6. The great humidity of the atmosphere and the high barometric pressure, which are considered to exercise a useful sedative influence on certain constitutions. It is said that the temperature of the body averages one degree Fahr. less on account of this sedative effect. The exhilarating and tonic effect of rapid motion through the air; for by the continuous progress of the ship the sea breezes are constantly blowing over it, and the passengers are borne through the rapidly-moving air without any exertion of their own. The influence of these currents of air on the surface of the body is, no doubt, important, acting as a stimulant and a tonic, increasing evaporation from the skin, and imparting tone to the superficial blood-vessels.

We now give our own cure, which we claim is of great value, at least it is worth trying, for it cured the author of consumption of twenty years' standing in one year. This disease can be cured by "cold packing" the lungs and throat, and following the rules in general for health stated in the first part of this work. You must understand a cold compress or pack, otherwise you are likely to increase the malady and hasten your death. Some persons cannot warm one ounce of cold water in twenty-four hours. Such we advise to go very slowly. First adopt the formulae for cleanliness and regularity already given. Then when a little more blood is infused through the system and hence more heat exists, commence the cold pack. Use simply a moistened cambric handkerchief, placed upon the lungs; envelop with at least two thicknesses of linen and one of flannel; wrap up warm and go to bed. Do not attempt to cold pack any part of your body and then expose it to a moving atmosphere. After one week you can increase the moisture of the pack at least 50%. Then add to the thickness and moisture 10% each week, as long as you can succeed in warming it and causing it to sweat that portion of the body packed. If you should wake up in the night and find the pack dry, remove the portion previously moistened and retain only the dry covering, viz., the linen and flannel. In the morning, before arising, thoroughly rub the lungs with a dry linen towel. This, then, is all that is necessary to get rid of this incurable (?) disease, if you will only follow the rules already given for health, happiness, and longevity.

=Convulsions, Fits.=--When a child has a convulsion, or what is commonly called "a fit," attention should be given to the urinary secretion at once. If there is suppression of urine, the child should be put into a warm bath and made to sweat as speedily as possible. In many cases in which children die from a succession of convulsions, the real cause of death is suppression of urine (a fact which is probably not so generally known as it should be), so that the child really dies of poisoning through the retention of the urinary secretion. When a child is subject to attacks of this character, care should be taken to dress it warmly in flannels, so as to keep up a degree of perspiration most of the time, and hot baths should be administered frequently. Give a glass of Bethesda water from three to four times a day, and the disease will disappear.

=Corns and Bunions= are caused by tight, ill-fitting boots and shoes. The way of preventing them is, therefore, manifest. Thrusting the toe into a lemon, to be kept on over night, will make the removal of a corn easy. Two or three applications will suffice for the worst cases. Soft corns may be relieved by dissolving a piece of ammonia, the size of three peas, in an ounce of water, and applying the solution as hot as can be borne. It is beneficial to place blank newspaper between the toes. That will keep them from scalding, and hence softening, so that corns will easily form. We have already referred to this paper method for cold feet. Paper is a non-conductor and thus has the proper effect.

=Croup=.--The following prescription, to be used as a gargle, is not only excellent for croup, but will _absolutely_ keep anyone from choking to death from phlegm in the throat, no matter what the cause, so long as they have any portion of a lung left. It consists of the yolks of two eggs thoroughly beaten, in half a pint of good cider vinegar, adding two tablespoonfuls of honey. I have known two different patients, given up by their physicians, to rally in thirty minutes under the above treatment, and finally get well.

=Diabetes.=--A prominent French physician advocates a coffee remedy. After having continued to use the remedy for upward of a third of a century in many hundreds of cases, he again appeals to the profession to give it a trial in those cases of liver and kidney troubles which have resisted all other treatment. His habit is to place twenty-five grammes, or about three drachms, of the green berries (he prefers a mixture of three parts of Mocha with one part each of Martinique and Isle de Bourbon coffee) in a tumbler of cold water, and let them infuse over night. The infusion, after straining or filtering, is to be taken on an empty stomach the first thing after getting up in the morning. He cites many cases of renal and hepatic colics, diabetes, migraine, etc., which, although rebellious to all other treatments for years, soon yielded to the green coffee infusion. It is worth a trial at any rate.