Chapter II: Part 2

Take two or three handfuls of "pot" barley; boil this in water for two hours at least, thoroughly to burst the grain; then water and grain together are turned into a suitable dish, and placed, covered over, in the oven, where it may simmer for another two hours. When turned out, it may be salted to taste. After the four hours' cooking, the grain and water are a kind of barley pudding. A dessertspoonful of this every half-hour, from eight in the morning till eight at night, will help wonderfully a weak stomach, if taken as the _only diet_. This is what is meant when "barley pudding" is prescribed in these articles.

Bathing.--Cold baths, while greatly to be recommended to those who are strong, should not be taken by any one who does not feel invigorated by them. As every one should, if possible, bathe daily, the following method is worth knowing, as it combines all the advantages of hot and cold bathing. The principle is the same as explained in Cooling in Heating. Sponge all over with hot water and wash with M'Clinton's soap; then sponge all over with cold water. No chilliness will then be felt. Very weak persons may use tepid instead of cold water. These baths taken every morning will greatly tend to prevent the person catching cold.

Cold bathing in water which is _hard_ is a mistake, especially in bathing of infants. The skin under its influence becomes hard and dry. Warm bathing and M'Clinton's soap will remedy this.

Bathing the Feet.--This apparently simple treatment, if the best results are desired, must be gone about most carefully. A foot-bath for ten or twenty minutes, though a considerable help in many cases, is not at all sufficient. It must be given, in most cases, for forty minutes to give sensible relief. Some patients faint long before this time if the feet are placed in very hot water from the beginning. To avoid this faintness, proceed as follows: Get a vessel that will hold the feet easily, and be deep enough to reach nearly up to the knees. Put water in this one inch deep, and at blood heat--that is, just to feel warm to an ordinary hand. Set the feet to be bathed in this, and have plenty of hot water at hand. Let the patient be comfortably covered and seated, and wait two minutes or so. Add then a little hotter water, and every two minutes add a little more water, hotter every time, gradually increasing the quantity and temperature of the water. In half an hour a good strong heat and large deep bath will be reached, and in only a very few cases will there be any faintness. If the heat is raised too fast, give a little cold water to drink, and proceed more slowly. This is in cases where simple stimulus to vital action is required.

If the bathing be for sores, or disease of joints, the sores should be dressed first with cold cream or vaseline, or covered with a cloth dipped in olive oil. If the skin becomes irritated from prolonged bathing, cover before bathing with a cloth dipped in weak vinegar or very weak ACETIC ACID (_see_). If the patient is too weak for bathing, a fomentation may be applied as described in article on Angina Pectoris, only extending, however, over the knees. Such fomentation may also be used whenever cold cloths applied to a diseased or inflamed part tend to cause a chill. It will quite prevent this.

Baths for Head.--In many cases of indigestion and brain exhaustion head-baths are of great value. School teachers, business men, and many others suffering from these, will find a daily head-bath half an hour before dinner of the greatest value. This treatment should be given, however, only to those who are vigorous enough to bear it. Some are too exhausted, and for these other methods must be employed. The head-bath is given by rubbing the whole head well with soap lather (_see_ Lather; Soap); then wash off and treat with cold water poured over the head for a short time--a few seconds only; then rub vigorously with a dry, warm towel till the head glows with friction. In the case of ladies, the hair may be thrown over the front of the head while the back of the head is treated thus, and then thrown back while the front of the head is treated also, the bulk of the hair being thus kept dry.

Bedsores.--There are cases in which the outer skin has been taken off by long lying, or wearing wet compresses for a long time. A large part of the body is reduced, as some would say, to "red flesh"--in reality it is reduced to inner skin deprived of its outer layer. We have taken a few handfuls of finely wrought soap lather (_see_ Lather; Soap), and spread them as lightly as possible over this fiery surface. There was an instant change from severe distress to perfect comfort, and healing began at once. This treatment may be applied to any simple abrasions of the skin. Bedsores are not likely to occur if the skin is sponged daily with water and this mild soap, and rubbed with Rectified Spirit of Wine, to which a small piece of camphor has been added.

Beef Tea.--It is well to bear in mind that there is scarcely any nourishment even in home-made beef juice (the best form of any extract of meat).

Home-made beef juice is prepared by scraping the meat into shreds, placing in a jar, and leaving the water to soak into the meat for about half-an-hour. Then place in a saucepan on the fire for an hour, during which time it must not boil. After being then brought to the boil, it should be removed immediately, and the lump of meat removed.

Some idea may be obtained of the relatively small amount of nourishment even in this form of extract when it is remembered that the thin flaky matter which sinks to the bottom in the bowl is practically the only nutritive portion in the dish.

All extracts and such-like preparations are inferior to home-made beef tea in value. We do not deny, then, the value of beef extracts as stimulants in certain diseased conditions, but we do not recognise them as a useful food. Further, the stimulating effect upon the heart is largely due to the hot water they are made with (_see_ Bone Diseased).

Bile, Black.--For this take two tablespoonfuls of hot water every five minutes for six hours per day. A good many cases, some even given up by the doctors, have been cured by this simple, yet efficient means.

Bile on the Stomach.--Take half a teacupful of hot water every ten minutes for ten hours. Next day take the same every twenty minutes for a like period. The third day the same every hour. For ten days after take the same before each meal. We have seen a case of liver complaint of more than twenty years' standing cured thus. See also that the feet and legs are rendered healthful, and kept so. If cold and clammy, they should be bathed in hot water for five minutes or so, dried, and rubbed with warm olive oil.

Care must be taken also to give a simple diet. Oatmeal jelly, wheaten meal porridge, barley pudding (_see_ Barley), and such foods, should form the staple nourishment. Avoid eggs, butter, cream, and beef. _See also_ Sea-Sickness.

Biscuits and Water.--The biscuits referred to are manufactured in Saltcoats.[A] They are made from the purest whole wheaten flour. The late Mr. Bryden, of the Saltcoats Home, used them along with hot water as sole diet in many serious digestive troubles, with marvellous success. Where no food will lie on the stomach, one small, or half a large, biscuit is to be taken three times a day, as a meal, and at meal-times. This will prove amply sufficient to maintain the system in such a case, until the stomach gains power for more. In the case of SORES and ABSCESSES (_see_), such a diet of biscuits and water provides pure blood, and makes healing by other treatment very much easier. We have known limbs saved from amputation largely by such diet. It will suit equally well the delicate young lady and the strong labourer. Too much of ordinary food goes to increase ulceration and nourish disease. The Saltcoats biscuit provides nothing for these ends, and is of immense value as an aid to cure. One great advantage of this diet is that it is a _dry_ one, and the biscuits _must_ be thoroughly chewed to enable them to be swallowed at all. The saliva is thereby thoroughly mixed with the food, which is all-important to make it digestible. These biscuits are also so plain as not to tempt the patient to eat more than he can digest, which is the great danger in sickness. The slops of gruel and cornflour so often given are never chewed at all, and often do nothing but harm. Such starchy foods really require to be more thoroughly mixed with saliva than any other food, as unless, by action of the saliva, the starch is converted into sugar it cannot be assimilated in the stomach.

[Footnote A: By Mr. R. Black, baker.]

Bleeding.--In any case of this pack the feet and legs as directed in Lungs, Bleeding from, and press cold cloths to the place the blood comes from, stomach, womb (_see_ Miscarriage), or lungs. If it comes from the nose, apply the cold cloths to the head and back of the neck.

Blisters.--The destruction of the skin over any painful part, by means of blisters, is to be always avoided if possible (_see_ Burns, Knee, Pleurisy, etc.)

Blood.--A most common trouble is anæmia, a lack of good red blood, showing itself in a waxy paleness and whiteness of lips, often accompanied by exhaustion and great fatigue. To remedy this, first secure a supply of pure water, of which 80 per cent. of the blood is made up. Give this warm in dessertspoonfuls every five minutes. Give two tablespoonfuls, or perhaps only one, of very light food, or milk and boiling water half and half, every half-hour. This may be done in smaller portions every fifteen minutes, or in larger quantities every hour or two hours, according to the state of the digestion. Fruit is a valuable means of quenching the anæmia thirst, besides being very beneficial for the blood. Green vegetables and salads are also most valuable (_see_ Vegetables; Assimilation; Diet; Digestion). As much fresh air as possible is also to be breathed by the patient. Either much time must be spent in the open air, or, if strength forbid this, the room must be thoroughly ventilated. Close air is the enemy of good blood. We know of many cases cured by this simple regimen. Care must also be taken to increase the patient's vitality by various means. If _thoroughly good_ medical advice can be obtained, it should be taken (_see_ Air and Appetite; Balance, Loss of, etc.)

Blood Poisoning.--(_See_ Blood, Purifying; Sores).

Blood, Purifying.--Fever arising from bad state of the blood may be treated by careful cooling of the spine and head, with towels _well wrung_ out of cold water, frequently changed (_see_ Fever). The pulse in one case so treated was reduced from 130 to 96 by a few applications. If a sore exists, treat it as in article Sores. If an eruption in the skin breaks out, cover the surface at night with soap lather (_see_ Lather; Soap). Wipe that off with weak acetic acid (_see_) in the morning, and the skin will come right. Let the diet be simple and cooling (_see_ Abscess; Assimilation; Skin; Sores; Appendix, etc.).

Blood, Supply of.--To supply good blood in cases where it is lacking, either from indigestion or low vitality, nothing is better than milk, diluted with an equal quantity of _boiling water_. It may be less or more diluted, as the patient's power of digestion is greater or less, but in all cases half and half can be tried first. This forms a natural blood supply. Claret, switched egg and brandy, are to be carefully avoided. _Boiling_ water amalgamates with the milk, and care therefore must be taken to see that it is really boiling. Give a teacupful of this every two hours. If the patient is very weak, this may be the only diet. But often he will be going about work or business, and yet needing fresh, good blood supply. Then the cupful may be taken every two hours, in addition to the usual meals. Experience will soon show how this may be done. But two hours after a meal, the milk and water may be given.

Boils.--The following treatment will be found effective to heal less severe forms of boils, by soothing the whole fevered system of nerves, and stimulating the skin in its getting rid of waste material.

Begin, then, by thoroughly soaping the head (_see_ Head, Soaping). Go to the back next, and soap similarly. The same process may, if desired, be carried over the whole body to the very tips of the fingers and toes. In a delicate case, do this in portions so as not to run any risk of exposing the patient too much.

Lay on the boil, after the soaping, and while the patient is under its soothing influence, a large piece of thickly folded flannel, or a small sponge, squeezed out of water as hot as the patient can bear. Continue this, with frequent re-heating of the application for a quarter-of-an-hour, then allow the patient to rest.

When you have soaped a patient as we have described, say twice, it is necessary to wash off the particles that may remain on the skin with white vinegar or weak acetic acid. Then, if you have overcooled with the soap and acid, it will be well to rub over with warm oil. By these simple methods of treatment you will banish all tendency to boils. You will change great suffering into comparative comfort, not only without expenditure of strength, but in a way in which you add vigour to the whole frame. One very great advantage of this treatment is that you do not need to move the patient in any distressing way. If you have only tact and gentleness of touch, you can do all that we have described without causing one moment's distress. The severe form of boil known as _Carbuncle_ is very dangerous, and in such cases good surgical aid is necessary, in addition to above treatment (_see_ Diet).

Bone, Diseased.--Diseased bone is not incurable. Bone is indeed constantly being replaced as it disappears in the ordinary waste of the body. Defective vitality in any part may cause an accumulation of bad material, which forms the basis of bone disease.

To cut off a diseased foot or ankle is easy, and soon done. To cure it, may take a long time and much patience, but is worth a great deal. We know large numbers of limbs that are sound and good now, that were doomed once to be amputated, but which we were able to rescue in time.

Moreover, a very short time of well-regulated fomentation improves the general health, and prevents the diseased material spreading from the foot or ankle through the body.

Take, then, a case in which the ankle bone has first become painful, perhaps without any perceptible cause, or it may be as the result of an injury to the part. It then swells and becomes inflamed. At this stage two or three fomentations (_see_) well applied may very likely cure it entirely. But if neglected, or leeched, blistered, and the skin spoiled with iodine, what is called disease of the bone may set in, accompanied with discharge of matter at one or more places on the ankle. This discharge, where it is evidently lodging in the limb, may be assisted to escape by careful lancing by a good surgeon. For such a case, fomentation of as much of the limb as possible is the treatment. Let a bath be procured, in which the limb may be immersed in hot water as deeply as possible, even up to the very thigh. Let the water at first be comfortably warm. Increase its temperature gradually until as hot as can be borne without pain. Keep the limb in this bath for an hour, or for such shorter period as the patient may be able to bear it. Gently dry, and rub all over with warm olive oil. Wipe this gently off, and cover the limb with clothing. Then syringe any sores with weak acid (_see_ Acetic Acid; Wounds), and dress with bandage (_see_ Ankle, Twisted). Do this twice each day, and persevere.

If it cannot well be bathed, let it be fomented by a large piece of flannel soaked with boiling water, and placed round the diseased part. We have seen a wasting bone healed entirely in a few weeks by this means. We have seen a man with the bones of both his legs splintering off and coming through the skin perfectly healed in a few months. It stands to reason that it should be so. The bathing in his case, like the fomenting in others, were so effectually done that the bones themselves were heated, and strong healing action set in at once. We saw lately a piece of dead bone above four inches long come out of a young man's arm as the result of nothing else but fomentation. The arm was soon as whole and as useful as could be desired, though it had been to all appearance only fit to be taken off at the elbow. The steady supply of moist heat does wonders in this way.

We have seen some most remarkable specimens of what was erroneously thought sufficient fomentation. One was a case of diseased thigh-bone. A bit of old flannel, about a quarter of a yard square, had been wrung out of water slightly tepid and laid on the skin, covered by a little cloth scarcely equal in size. The application would not have conveyed activity to the skin on which it was laid, though it required to convey it to the heart of a large mass of bone. The helpless complaint of the operator was that it did no good. How in the world could it do good? Not less than six or seven or even eight yards of a blanket are required. That is to be folded and rolled up so that a good quantity of boiling water may be poured first into one end of it and then into the other. It has to be squeezed and kneaded till the heated water and steam are fairly soaking the inside of the blanket. When this is opened up, it is far too hot to put to the skin, but a double flannel or strong towel may be put on first, so that the heat shall go gradually through to the body, and by-and-by into the bone. This may be done at least once a day--if agreeable, it may be done twice. But it must be so well done that the heat shall effect the bone, or you cannot look for any result of importance.

If under the bathing the skin becomes irritated, as it will often do, cover it with cloths soaked in _weak_ vinegar till the bathing is over. If the skin suffers from the fomentation, do the same thing, and if this does not cure, dress it, before putting on the fomentation flannels, with SOAP (_see_) lather as if for shaving, spread like butter on a cloth, and made to shelter the skin from irritation till the fomenting is done. This is of great importance in many cases; the skin is often so sensitive that it cannot well be bathed without being protected.

In the case of hip-joint disease, the ARMCHAIR FOMENTATION (_see_) is the best form of fomenting. For other parts, common sense will guide how to produce an extensive and thorough heating of the diseased part and its neighbourhood by some similar means (_see_ Bathing the Feet; Pains, etc.). It is only heating the failed tissues, only keeping on such heating, and all the elements of perfect cure are supplied. Even limbs which have shrunk and become shorter, grow out to their natural size under this patient heating.

Get "steel drops" and all such-like sent down the sewer. The rats may have them if they are disposed. Give wheaten or oatmeal porridge, bread or Saltcoats biscuits, with good buttermilk, and the poor creature, half dead with poisonous "drops," begins ere long to have red on his lips and on his cheeks, some fresh vigour in his muscles, and healthy bone in the course of formation, where bone was only wasting before. How is this explained? On the simple principle that the bodily system can turn wheaten meal into all the elements wanted for good bodily health. Beef tea, soups, "fine things" of all descriptions, never on earth gave human beings solid strength, but in myriads of cases they have been successfully employed to take it away. Above all, they fail to give healthy bone.

Get the patient to take wheaten or oaten meal porridge twice a day at least. We are not so stern as some in forbidding all else, though in this we may fall short; but by all means let eating and drinking be considered in the light of what we have been writing (_see_ Food in Health).

Good air is important in this, as in all cases of ill-health.

Much depends, in this treatment, on cheerfulness of mind. Let the patient feel that he is going to be cured. Avoid opium, tobacco, alcoholic drinks, and all worry. This will actually increase the vital exchange in the body and very much help the cure.

Bone, Soft.--Often, in the young, the bones are so soft that they bend more or less, and the beginning of a distressing deformity appears.

In such a case plaster jackets and steel bands are of little use, and often very painful. It is better to use bandages, applied so as to support where that is necessary. Also avoid all long sitting, such as is found at school. It is best sometimes not to permit the child to walk at all. Better far to lose two years of schooling than to be deformed for life. Parents should see to it, with all weakly children, that school does not become a means of trouble. Continuous education is not nearly so important as is sometimes supposed.

For positive treatment, let the parts be well and carefully rubbed (_see_ Massage) every day with olive oil, in such a way as to direct a flow of blood to the feeble bone. It must largely be left to the healer's common sense how this is to be done, but a little thought will show how. At many Hydropathic Establishments it may be learned.

This careful rubbing, with good diet and proper bandaging, will gradually effect a cure in most cases. But here, as elsewhere, patience must rule. Plenty of good porridge and milk, with abundance of fresh air, work wonders in this disease.

Bowels, Glands of.--Symptoms of glandular trouble in the bowels are--weariness and pallor, lack of appetite, softness and shrinking of limbs, with swelling of the belly. In its earlier stages, before consumption sets in, this trouble may be perfectly cured. We have seen even apparently hopeless cases recover under proper treatment. In its essence the trouble is a failure of power in the nervous centres upon which health of the bowels depends. To supply this needed power, take a small bag of cotton cloth, like a little pillow-slip, of just the size to cover the patient's whole back. Fill this with bran, prepared as for poultice (_see_ Bran Poultice). Oil the back before applying this, and place, if needed, four ply or so of cloth on the back to moderate the heat to the skin. After half-an-hour, if the patient feels desirous, renew for another hour; do this each day at bedtime for a week at least. Rub the body all over with warm olive oil when this is taken off; then place a bandage with only a gentle tightness in such a way as just to help the relaxed bowels, but only just so much--not by any means to try and force them into what might be thought proper dimensions. Give a teaspoonful of liquorice mixture (_see_ Constipation) thrice a day before meals in a little hot water. Feed on wheaten porridge and generally light diet, being careful to regulate it so as to make the bowels work easily and naturally. If not too bad a case, this treatment will soon tell favourably. Enemas (_see_) of either cold or warm water, as required, will also greatly help.

Bowels, Inflammation of.--This (called medically Peritonitis) is an inflammation of the membrane covering the bowels. It results from chill or strain, and sometimes, in the case of child-birth, from dirt introduced into the parts by handling with unwashed hands. In such cases, the utmost care must be taken to ensure cleanliness, which will secure against one fertile cause of the disease. The hands should be always fresh and clean, and all cloths, etc., should be either most carefully washed or burnt. Where the trouble arises from strain, or chill, these lower the vitality, and the membrane becomes gorged with blood at fever heat. To regulate this heat, then, and free the membrane from the blood which over-fills it, is to lead to a cure. Rub the back with warm olive oil, place on it a large BRAN POULTICE (_see_), or an india-rubber bag of hot water covered with _moist_ flannel; this must in either case be large enough to cover the entire lower back. Anything may be used, if these cannot be had, which will powerfully stimulate the back with moist heat. Wring a small thin towel out of cold water, and place it over the bowels. At first this must be _very gently_ laid on. After a little, and when several times freshly applied, this cold cloth may be very gently pressed all over the bowels. Relief will almost certainly come ere this has been done for an hour. Then a rest may be given for two hours, and after that a large fomentation applied to feet and legs (_see_ Fomentation). While this is on, the cold cloths may be changed over the bowels again, and over the chest as well. After an hour of this, great relief should be felt. If there is great thirst a small bit of ice may be sucked, or a few drops of vinegar in water may be taken; but the outside cooling will probably render this unnecessary. Avoid all alcoholic drinks.

Shivering and a feeling of cold is often the earliest symptom, and as it is of immense importance that warming measures should be promptly applied. Hot bricks, or bottles, placed merely to the soles of the feet, are but poor helps: it would be vastly better to pack the feet and legs in a hot blanket fomentation at once, and, if pain at all shows itself, to apply a large fomentation to the lower part of the back. The sooner this is done the better; besides, there is the consolation that the treatment can never do any harm even if applied in a case in which there has occurred a harmless chill. The dread which some medical men have of cold applications is wonderful, but we know that the front-rank men have no such fear. When care is taken to have the hot application on first, there is, and can be, no possible danger in any case in cooling down the burning circulation. One or two applications have sufficed in many cases we have seen.

Bowels, Lax.--A teaspoonful of lemon juice (freshly expressed), along with hot water and sugar, will often relieve where the bowels are acting excessively. For infants in diarrhoea a mixture of honey and lemon juice is an excellent cure, and has been most successful in our experience. Avoid brandy and alcohol generally.

Bowels, Locking of.--Sometimes when one part of the bowels is much more active than another, it passes into that other, and they become _locked_, like a stocking half turned inside out. This causes dreadful pain, and if not soon relieved is fatal. Purgatives are of no use, and usually make matters worse. A surgical operation in very skilful hands will relieve, and must be quickly performed when necessary.

In cases in which the one part of the bowels has not yet gone far into the other, nothing more is required than a cold cloth gently pressed over the parts. We have seen relief set in on the fifth or sixth change of such a cloth, when nothing else was used whatever. When a hot bag, or bran poultice, has been put on the back, and cold cloths persistently changed over the bowels, the whole matter has been put to rights, and natural motion of the bowels has been had within an hour after the applications have been begun.

There is, however, a stronger measure than merely heating the back and cooling the front in this way. The patient may be put at once into a sitting bath or small tub, and a panful of cold water poured or dashed on to the bowels; they then contract so powerfully, and shorten themselves so much, that all invagination, as it is called, is made to cease instantly. We should be disposed to try the mildest method in the first instance, unless the case is one in which the lock in the bowels had just taken place. Then it might be well to dash the pailful of water on so as to put all right at once, and afterwards simply to apply such remedies as would tend to prevent a recurrence of the evil.

It is, however, usually the case that the distress has lasted some time before an opportunity of doing anything occurs, inflammation, more or less, has set in, weeks may have passed, and blundering treatment may have done great mischief. Then it is safe to use the heat at the back, and frequently changed cold cloths in front, so as to reduce the inflammation, and contract the bowels more slowly, so as to remove the obstruction. When these have been used for some time, if the obstruction is not removed it will be well to resort to the stronger measures. Nothing is more beautifully simple than the ordinary action of the bowels. The healthful movement is like that by which an earth-worm moves along the ground: so long as the tube is thus moving its contents onward, by contraction and expansion, no part can pass inside or outside that which is before it; but when one part loses nervous tension, and expands without contracting quickly enough, the part behind it tends to worm itself into it, and a "knot," as it is sometimes called, is formed. No possible instrument can reach it except by cutting the body outright, but the action of cold is so powerful in contracting the tube that the "loop," as it is also called, is drawn out, and the right state of things is produced. It is important to remark that there are glands near the lower bowel that swell and form tumours. The cold applications reduce these very speedily to their usual size, and if their swelling is an obstruction, it is soon removed. But it is the lock in the tube itself that is the real malady of which so many die, and with which so many more narrowly escape.

The trouble is best avoided by attention to the regular action of the bowels. It arises from great irregularity in that action.

Bowels, Reversed.--_See_ Bowels, Locking of, above.

Brain Exercise.--Proper exercise for the brain is most important. But this is not to be found in that kind of severe mental labour which is sometimes mistaken for it. Children at play have genuine brain exercise. So has a man at what is called a "hobby," such as photography, golf, or cycling. The child at school, the man in his office, are not at exercise, but at wearing work. This distinction is most important. Exercise, again, is not found in careless dreaming, but in some form of "play" which calls for steady, but almost unconscious, and altogether enjoyable thinking. Books sometimes furnish this, when they lift the mind as far as possible out of its usual track, and produce only pleasant thoughts. Tragedies, novels which end miserably, or which are pessimistic, should all be avoided. Perhaps some easy science or art is the best exercise of all, when the brain is suffering from overstrain. But taste will guide in this. The great matter is to have pleasurable, easy, and natural employment for the brain. This and not work is strengthening "exercise," whether in child or man. So far as we can we should see that the weary get it. For he who procures this for his fellow works immense good.

We have seen, for instance, a student attacked with dysentery while in the hardest part of the session at the university. His whole system became prostrate, and muscular activity to a very small degree would have killed him; so would the continued mental toil necessary to go on with his studies. Yet his brain was in need of exercise almost from the first appearance of his disease. He must have this or be miserable, and not likely soon to recover. An intensely interesting book fell into his hands, altogether away from his track of toil. He read day after day at this book. This was his "exercise"--that is, it was the activity of that one only part of his physical system which needed such exercise for the time. That exercise allowed all the other organs to recuperate.

Brain, Inflammation of.--This arises often from over-schooling of young boys and girls. Care should ever be taken to avoid this. Obstinate constipation in the bowels, chills and exposure, are also fruitful sources. Much worry and anxiety also bring on this serious illness. All sometimes combine to produce a bad case. Pain in the head sets in, followed by convulsive attacks; yet the trouble may be cured in many cases with comparative ease. Leeches, opium, and blistering are to be avoided as most injurious. For treatment it is well to begin at the feet; if these are clammy and cold, wrap in hot fomentation up over the knees (_see_ Fomentation). Proceed to give a pretty warm injection of water into the lower bowel (_see_ Enemas). This should be repeated several times, allowing it to pass off each time. If this increases the pain, try an injection of cold water. This treatment of feet and bowels is most important, and should never be neglected; it renders the treatment of the head tenfold more effective. Cold cloths may now be gently pressed for some time over the head. If the pulse is violent and feverish, let several towels be well wrung out of cold or even iced water, fold one so as to cover the entire head and back of the neck, and have the others ready, similarly folded. Press the first on gently, especially at the back of the head, so that the cooling cloth covers the head all over and soothes the violently heated brain. As soon as one towel grows warm, take a fresh cold one. Relief should come in an hour at least, but longer may be required. During the cooling see that the heat of the fomentation on the legs is well kept up; change if necessary. When the more painful symptoms abate, oil the lower part of the back, and place on it a bran poultice (as recommended in Bowels, Inflammation of). This will go far to prevent any relapse. If the symptoms recur, use the treatment again. _See_ Brow, Weary; Eyes, Failing Sight. _See also_, for other brain troubles: Restlessness; Sleeplessness.

Brain Rest.--The need for this is often indicated by irritability of temper. This coming on is generally a warning that a period of rest must be taken. An overheated brow is also another indication. If this shows itself in a child during or after school, together with listlessness and excitability, all idea of lessons should at once be laid aside for a time. It is nothing less than cruelty to work an overheated brain in such a case. Let the child go free from school till all the head trouble is removed. Also let the head be soaped (_see_ Head, Soaping).

Sometimes pain in the head sets in from overwork. Even in the young, fainting may show itself. Rest is essential, and will prove a perfect cure, together with a little brain exercise of the kind described in article Brain Exercise, always avoiding fatigue. Let all readers remember that it is better to lose six months in rest than become permanently incapable, therefore let old and young take rest in time.

Bran Poultice.--Get a sufficient quantity of good bran in an ordinary washhand basin. _Heat_ the basin before beginning operations. Have also a boiling kettle at hand. Pour the boiling water by little and little into the bran, and mix and stir it up until it is all a moist mass, but not _wet_. The thing is to avoid putting in more water than the bran can easily absorb and hold. Then have ready a flannel bag of the size and shape required for the poultice. Fill this with the bran, and it is ready. The skin to which it is applied should first be oiled with olive oil. The poultice may be fastened on with flannel bands. In any case it must lie tightly on the skin. The patient must lie on it, if it be applied to the back. One or two tablespoonfuls of mustard may be added if great power is required, not otherwise.

Instead of this poultice, an india-rubber bag full of hot water may be used, with two or three ply of moist flannel between it and the skin. Our only reason for recommending bran is that many could not afford the india-rubber bag.

Bread, Wheaten.--In some cases the bran in whole wheaten bread and Saltcoats biscuits is found to irritate the stomach and bowels. As diet for those able to digest the bran, nothing is better. Where it cannot be digested, ordinary bakers' bread boiled in water to soft pap is found to make a good substitute. This must not be boiled with milk unless where there is diarrhoea to be cured, as milk tends to produce bile and costiveness. Oatmeal jelly (_see_ Food in Illness) is also a good substitute for biscuits and wheaten bread.

Often the water with which bread is baked causes it to be difficult of digestion. Hard water is bad for this. For an invalid, bread baked with distilled water, or pure rain water, is often a means of great comfort and help. A slight admixture of pure CANE SYRUP (_see_) or liquorice juice in the water will tend to prevent bile and costiveness. A sufficient action of the bowels is of great importance for where good nutrition is desired.

Bread, especially when fresh, is made much more digestible by slowly toasting it in the oven till it is a golden brown throughout. It is then known as "zweibach" (twice baked). When eaten dry, it requires considerable mastication, and for that reason is much better than soft bread. It can be also broken up and eaten with hot milk and sugar.

Breast with Corded Muscles.--Often a slight hardness shows itself in a woman's breast, when the muscular tissue becomes what is called "corded." It is well, first of all, in all cases of breast trouble to avoid alarming the patient. Great anxiety is often endured through fear of cancer when there is no need. A "corded" breast may usually quite easily be cured, and the patient should be made perfectly easy in mind about it.

Take a good lather of soap (_see_ Lather; Soap). Apply this night and morning, gently lathering the breast for some time. After this, each time, rub the back well with hot olive oil, so as to produce a thorough glow of heat all over it. Sometimes the swelling will disperse under this treatment. It may, however, grow larger and show a tendency to break. In this case treat as in next article.

We shall also probably find, on examining, that the skin was failing to do its part well. If rubbed with Cayenne lotion the clean, healthy skin will send off much more waste than was allowed to pass through it before.

Breast, Swelling in.--A blow on the breast, or the drain of nursing a child, along with a chill, often produces swelling, sometimes hard and painful. This, if left uncured, may even develop into an ABSCESS (_see_). As it sometimes arises from dirt being left on the nipples, all nursing mothers should be particular about cleanliness, which itself prevents many ills.

For cure, bathe the feet in hot water (_see_ Bathing Feet), rub them over with warm olive oil, and wear good cotton stockings if in bed. If going about, put a pair of woollen stockings over the cotton ones. Rub the back as recommended above, using first a little hot vinegar, then the oil. The feet bathing may be every three days, and rubbing the same. If the swelling does not yield to this, place the patient comfortably in bed. Put a good-sized basin of hot water, which has been boiled and allowed to cool so far, tightly under the breast, so that it may be bathed with a sponge. Do not use too hot water, but just comfortably hot. Keep up fresh supplies, and bathe for an hour if patient can bear it. If she becomes fatigued, lay her down to rest for fifteen minutes or so, and then continue treatment. No poulticing is needed when this is well done. A thorough heating of the whole breast is what is wanted; rub gently with olive oil, and cover warmly after bathing (_see_ Cancer).

Breast, Sore Nipples on.--Take a little warm vinegar or weak acid (_see_ Acetic Acid). Bathe the sore nipple with this, _avoiding pain_, for about ten minutes. Every two minutes dry, and anoint gently with warm olive oil. We have seen _one application_ cure a bad nipple; but apply twice daily as long as needed.

Breath and Blood.--Often difficulty of breathing, especially in close air, mistaken even for asthma, is due simply to the quality of blood supplied to the lungs. Sometimes giving up the use of sugar effects a cure, for sugar produces an excess of carbon in the blood, which requires an excess of oxygen in the lungs to purify it. Thus breathing is difficult, especially where oxygen is deficient in the air breathed. Sometimes the lungs are not strong enough to stand the necessary fresh air required in such cases, or other troubles may prevent a delicate person from exposing themselves. Then it is of importance so to regulate the diet that less oxygen will do all that is needed in the lungs. "Rich" food, much fatty matter, sugar, and all sweets and sweetened things, are to be avoided. If this be done, the need for much oxygen disappears, and the patient will have no difficulty of breathing in suitably ventilated places.

But the best treatment is hot oil rubbing along the spine, over the stomach, and even down the limbs to the ankles. An hour of this every day will work wonders. Or a large BRAN POULTICE (_see_) may be laid across the back for an hour twice a day. Cultivate also all cheerful thoughts, and banish sad ones as far as possible. Sad thoughts greatly diminish nerve power.

Breath, and the Heart.--Stout people are usually more or less "scant of breath." Accumulations of fatty material, or changing of muscle into fat, cause this, especially if about the chest and heart. To reduce the fat, and grow healthy muscle instead, will perfectly cure the difficulty of breath. Moderate open-air exercise and simple food, such as Saltcoats biscuits, oatmeal jelly, and barley puddings will largely help this. Avoid also all alcoholic liquors, the use of which is often _the sole cause_ of the trouble. Keep the skin active (_see_ Skin).

The hot FOMENTATION (_see_) to feet and legs is a truly powerful remedy for all lack of force in the system, especially if followed by the massage treatment described in MASSAGE (_see_).

Breath, Hot.--This may be felt either because the breath is actually hot, or because the membranes of the tongue and mouth are unusually tender, and _feel_ the breath hot in consequence when it is not really so. This latter case is usually accompanied by a sore tongue. To heal the tongue, it must be soaked freely with vinegar or weak ACETIC ACID (_see_), so diluted as to give only a very slight feeling of smarting after even prolonged application. Apply it with a good camel's hair brush, and brush with a little fine almond or olive oil after the acid. The mouth may be rinsed with the acid, but brushing is best.

But where real heat is found in the breath, it arises from an overheated state of the body internally. This frequently arises from failure in the stomach to digest properly. If the hot breath arises from this, small drinks of hot water, frequently taken, will usually cure it. A warm bran poultice, placed on the back at bedtime opposite the stomach, will prove a more powerful remedy in addition to the hot water. More powerful effect still will be found in such stimulus to the skin as washing it all over twice a week with vinegar or weak acetic acid. On other days let the patient be rubbed over with good olive oil, mixed with enough CAYENNE "TEA" (_see_) to cause a slight burning sensation. Let this also be done twice a week, and twice a week also wash all over with M'Clinton's soap and hot water. A plain diet of course, should be observed (_see_ Digestion; Dyspepsia; Food; Teeth, etc.).

Breath, and Muscles.--Sometimes difficulty of breathing is due, not to anything wrong with lungs or windpipe, but to failure in the diaphragm (or large muscular "floor" of the chest), and the other chest muscles, which work the lungs. A feeling of sinking and weakness round the waist indicates in such a case diaphragm failure. Gentle heat at the small of the back, and olive oil rubbing, form treatment for this. For other chest muscles, give a warm washing each night with SOAP (_see_) over the body, and rub, especially the back and chest, with hot olive oil. You soon bring the muscles into good trim.

Breath, and Nerve.--Difficult breathing, especially in ascending a hill, is often due simply to the lack of the nerve power by which the breathing muscles work. A teacupful of hot water half-an-hour before each meal, by helping digestion, will often remove the difficulty. Rub each evening along the spinal cord with hot olive oil.

Breath, and the Skin.--The organs of breathing remove much waste from the system, but the skin also removes a very large part. If either fails, the other has more work thrown upon it, as we see in the severe "night sweats" which accompany chest and lung failure. In such cases, rub with CAYENNE LOTION (_see_ and Night Sweats). Avoid the use of hard water in washing and bathing, especially with infants.

Cold baths for the weakly, chills, damp beds, and such things, cause rheumatism and colds by stopping the proper discharge of waste by the skin. After such chill, or cold in damp bed, a hot wash and good hot oil rubbing will avert all evil. This may not always be available; but, if it can be got at all, should be given as soon as possible. The use of the soapy blanket is of the utmost value in severe cases (_see_ Soapy Blanket). Strict cleanliness of person and underwear should be observed. The AIR BATH (_see_) will also give tone to the skin (_see_ Skin and Underwear).

Breathing, and Bronchia.--The _bronchia_ are the branching small tubes which lead from the windpipe to all parts of the lungs. Two different states of these often pass as bronchitis. In one of these the tubes are swelled, congested, and full of fiery heat. The whole body is also fevered, and breathing is difficult, with cough. This is true BRONCHITIS (_see_). But often, with difficult breathing and irritating cough, there is no heat and fever. In this case bronchitis treatment gives no relief. This is, indeed, only an irritated state of the lining of the tubes, and far from dangerous. A change of climate to a drier atmosphere will often entirely cure it. Often also a time spent in a room, where the air is kept dry but fresh, and at one steady temperature of about 60 deg., will cure. Our chief purpose in mentioning it, however, is that this comparatively slight trouble may not be mistaken for true bronchitis.

Breathing, Correct Method of.--The capacity of an ordinary pair of lungs is about 250 cubic inches. In ordinary breathing, however, we only take in from 20 to 30 cubic inches. Hence the necessity for practising correct deep breathing.

Correct breathing requires cultivation and effort at first, afterwards it will become unconscious. The head should be thrown back, the shoulders squared, and a slow deep breath gradually inspired through the nose till the lungs are filled throughout with air. The expiration should be just as gradual with relaxation of every muscle. It is most important that the _lower_ part of the chest should first be filled by depressing the diaphragm (the muscular floor of the lungs). Some practise is needed before this habit is acquired, but it is well worth cultivating. Place the hands on the sides of the abdomen while inspiring, to feel that _this_ is expanding. Teachers of singing insist on diaphragmatic breathing, which is also of great benefit to the stomach, liver, and other organs. By the movement it gives to the intestines their action is also assisted, and constipation is prevented.

This deep breathing may be practised several times each day (say ten breaths at a time) till the habit of correct breathing is acquired. It will be found to have a wonderfully soothing and calming effect (_see_ Worry). Such exercise should always be taken in the open-air, or in a room with a widely open window. A good plan is to take them in bed before rising, with little or no clothes on, while lying flat on the back.

Paleness, langour, irritability, and general ill-health result from insufficient breathing. Furthermore, the system becomes unable to resist disease. We know no aid to beauty more effective than the practice of deep breathing.

Breathing, in Going Uphill.--_See_ Breath, and Nerve.

British Cholera is to a certain extent epidemic--that is, it affects a large number of people in a particular place, being, it is believed, conveyed mainly by the common house flies. War should be waged against these, and great care taken to guard food, especially that of children, against them, by using covers, etc. If this were done the appalling death-rate in summer from this disease among the young would be largely reduced. Typhoid fever and other diseases are probably also spread by flies. Care should be taken to remove promptly all refuse from about the house, and so prevent flies breeding on it.

In ordinary diarrhoea, injections of cold water by the enema will usually cure, especially if a little vinegar or a few drops of acetic acid be added to the water. But in British Cholera this proves insufficient.

This is not an affection of merely one part of the system, but of the whole. If, then, you brace with the cold enema one part, no doubt so far you do good and not harm, but you cannot by this, cure an affection of the whole system. British Cholera is a sweating from the surfaces of the whole alimentary organs. This internal sweat flows into the stomach and causes vomiting, and into the bowels causing purging that cannot be stayed by any application to the lower part merely.

The problem to be solved is how to give more life force. Whenever the injection of cold water fails, and especially when it rather increases the complaint, and vomiting or sickness shows that the attack is of the nature of British Cholera, you will do well to pack feet and legs in a good blanket fomentation. Put a little olive oil on before and after such a packing. One application may be sufficient; but it may be necessary to repeat the packing. Give frequent sips of hot water. It will be well also to use the cold injection, as it will be found to take good effect whenever the vital force has been increased by the hot packing. If cramp has shown itself, it will be needful to cool the spinal nerves (_see_ Angina Pectoris), but this only when you are effectually heating the limbs.

The first injection may be followed by even an excessive motion, but if that is followed up with another injection still of cold water, there will be nothing experienced after but perfect comfort, and no more trouble with the bowels.