Chapter X: Part 10

There is nothing better than tying it up with rag in its blood, as nothing is more healing than blood. Do not wash the blood away, but apply the rag at once, taking care that no foreign substance be left in the wound. If there be either glass or dirt in it, it will, of course, be necessary to bathe the cut in warm water, to get rid of it before the rag be applied. Some mothers use either salt, or Fryar’s Balsam, or turpentine to a fresh wound; these plans are cruel and unnecessary, and frequently make the cut difficult to heal. If it bleed immoderately, sponge the wound freely with cold water. If it be a severe cut, surgical aid, of course, will be required.

279. _If a child receive a blow, causing a bruise, what had better be done?_

Immediately smear a small lump of _fresh_ butter on the part affected, and renew it every few minutes for two or three hours; this is an old-fashioned, but a very good remedy. Olive oil may—if _fresh_ butter be not at hand—be used, or soak a piece of brown paper in one-third of French brandy, and two-thirds of water, and immediately apply it to the part; when dry renew it. Either of these simple plans—the butter plan is the best—will generally prevent both swelling and disfiguration.

_A “Black Eye.”_—If a child, or indeed any one else, receive a blow over the eye, which is likely to cause a “black eye,” there is no remedy superior to, nor more likely to prevent one, than well buttering the parts for two or three inches around the eye with fresh butter, renewing it every few minutes for the space of an hour or two; if such be well and perseveringly done, the disagreeable appearance of a “black eye” will in all probability be prevented. A capital remedy for a “black eye” is the arnica lotion:

Take of—Tincture of Arnica, one ounce;
Water, seven ounces:

To make a Lotion. The eye to be bathed, by means of a soft piece of
linen rag, with this lotion frequently; and, between times, let a
piece of linen rag, wetted in the lotion, be applied to the eye, and
be fastened in its place by means of a bandage.

The white lily leaf, soaked in brandy, is another excellent remedy for the bruises of a child. Gather the white lily blossoms when in full bloom, and put them in a wide-mouthed bottle of brandy, cork the bottle, and it will then always be ready for use. Apply a leaf to the part affected, and bind it on either with a bandage or with a handkerchief. The white lily root sliced is another valuable external application for bruises.

280. _If a child fall upon his head and be stunned, what ought to be done?_

If he fall upon his head and be stunned, he will look deadly pale, very much as if he had fainted. He will in a few minutes, in all probability, regain his consciousness. Sickness frequently supervenes, which makes the case more serious, it being a proof that injury, more or less severe, has been done to the brain; send, therefore, instantly for a medical man.

In the mean time, loosen both his collar and neckerchief, lay him flat on his back, sprinkle cold water upon his face, open the windows so as to admit plenty of fresh air, and do not let people crowd around him, nor shout at him, as some do, to make him speak.

While he is in an unconscious state, do not on any account whatever allow a drop of blood to be taken from him, either by leeches or by bleeding; if you do, he will probably never rally, but will most likely sleep “the sleep that knows no waking.”

281. _A nurse sometimes drops an infant and injures his back; what ought to be done?_

Instantly send for a surgeon; omitting to have proper advice in such a case has frequently made a child a cripple for life. A nurse frequently, when she has dropped her little charge, is afraid to tell her mistress; the consequences might then be deplorable. If ever a child scream violently without any assignable cause, and the mother is not able for some time to pacify him, the safer plan is that she send for a doctor, in order that he might strip and carefully examine him; much after-misery might often be averted if this plan were more frequently followed.

282. _Have you any remarks to make and directions to give on accidental poisoning by lotions, by liniments, etc.?_

It is a culpable practice of either a mother or nurse to leave _external_ applications within the reach of a child. It is also highly improper to put a mixture and an _external_ application (such as a lotion or a liniment) on the same tray or on the same mantel-piece. Many liniments contain large quantities of opium, a teaspoonful of which would be likely to cause the death of a child. “Hartshorn and oil,” too, has frequently been swallowed by children, and in several instances has caused death. Many lotions contain sugar of lead, which is also poisonous. There is not, fortunately, generally sufficient lead in the lotion to cause death; but if there be not enough to cause death, there may be more than enough to make the child very poorly. All these accidents occur from disgraceful carelessness.

A mother or a nurse ought _always_, before administering a dose of medicine to a child, to read the label on the bottle; by adopting this simple plan many serious accidents and much after-misery might be averted. Again, I say let every lotion, every liniment, and indeed everything for _external_ use, be either locked up or be put out of the way, and far away from all medicine that is given by the mouth. _This advice admits of no exception._

If your child has swallowed a portion of a liniment containing opium, instantly send for a medical man. In the mean time, force a strong mustard emetic (composed of two teaspoonfuls of flour of mustard, mixed in half a teacupful of warm water) down his throat. Encourage the vomiting by afterward forcing him to swallow warm water. Tickle the throat either with your finger or with a feather. Souse him alternately in a hot and then in a cold bath. Dash cold water on his head and face. Throw open the windows. Walk him about in the open air. Rouse him by slapping him, by pinching him, and by shouting to him; rouse him, indeed, by every means in your power, for if you allow him to go to sleep, it will, in all probability, be the sleep that knows no waking!

If a child has swallowed “hartshorn and oil,” force him to drink vinegar and water, lemon-juice and water, barley-water, and thin gruel.

If he have swallowed a lead lotion, give him a mustard emetic, and then vinegar and water, sweetened either with honey or with sugar, to drink.

283. _Are not Lucifer Matches poisonous?_

Certainly, they are very poisonous; it is therefore desirable that they should be put out of the reach of children. A mother ought to be very strict with servants on this head. Moreover, lucifer matches are not only poisonous but dangerous, as a child might set himself on fire with them. A case bearing on the subject has just come under my own observation. A little boy, three years old, was left alone for two or three minutes, during which time he obtained possession of a lucifer match, and struck a light by striking the match against the wall. Instantly there was a blaze. Fortunately for him, in his fright, he threw the match on the floor. His mother, at this moment, entered the room. If his clothes had taken fire, which they might have done, had he not thrown the match away, or if his mother had not been so near at hand, he would, in all probability, have either been severely burned, or have been burned to death.

284. _If a child’s clothes take fire, what ought to be done to extinguish them?_

Lay him on the floor, then roll him either in the rug or in the carpet, or in the door-mat, or in any thick article of dress you may either have on, or have at hand—if it be woolen, so much the better; or throw him down, and roll him over and over on the floor, as by excluding the atmospheric air, the flame will go out; hence, the importance of a mother cultivating presence of mind. If parents were better prepared for such emergencies, such horrid disfigurations and frightful deaths would be less frequent.

You ought to have a proper fire-guard before the nursery grate, and should be strict in not allowing your child to play with fire. If he still persevere in playing with it when he has been repeatedly cautioned not to do so, he should be punished for his temerity. If anything would justify corporal chastisement, it would surely be such an act of disobedience. There are only two acts of disobedience that I would flog a child for—namely, the playing with fire and the telling of a lie! If after various warnings and wholesome corrections he still persists, it would be well to let him slightly taste the pain of his doing so, either by holding his hand for a moment very near the fire, or by allowing him to slightly touch either the hot bar of the grate or the flame of the candle. Take my word for it, the above plan will effectually cure him—he will never do it again! It would be well for the children of the poor to have pinafores made either of woolen or of stuff materials. The dreadful deaths from burning, which so often occur in winter, too frequently arise from _cotton_ pinafores first taking fire. “It has been computed that upwards of 1000 children are annually burned to death by accident in England.”

If all dresses, after being washed, and just before being dried, were, for a short time, soaked in a solution of tungstate of soda, such clothes, when dried, would be perfectly fire-proof.

Tungstate of soda may be used either with or without starch; but full directions for the using of it will, at the time of purchase, be given by the chemist.

285. _Is a burn more dangerous than a scald?_

A burn is generally more serious than a scald. Burns and scalds are more dangerous on the body, especially on the chest, than either on the face or on the extremities. The younger the child, of course, the greater is the danger.

Scalds, both of the mouth and of the throat, from a child drinking boiling water from the spout of a tea-kettle, are most dangerous. A poor person’s child is, from the unavoidable absence of the mother, sometimes shut up in the kitchen by himself, and being very thirsty, and no other water being at hand, he is tempted in his ignorance to drink from the tea-kettle: if the water be unfortunately boiling, it will most likely prove to him to be a fatal draught!

286. _What are the best immediate applications to a scald or to a burn?_

There is nothing more efficacious than flour. It ought to be thickly applied over the part affected, and should be kept in its place either with a rag and a bandage, or with strips of old linen. If this be done, almost instantaneous relief will be experienced, and the burn or the scald, if superficial, will soon be well. The advantage of flour as a remedy is this, that it is always at hand. I have seen some extensive burns and scalds cured by the above simple plan. Another excellent remedy is cotton-wool. The burn or the scald ought to be enveloped in it; layer after layer should be applied until it be several inches thick. The cotton-wool must not be removed for several days. The cotton-wool here recommended is that purposely made for surgeons, and is of a superior quality to that in general use. These two remedies, flour and cotton-wool, may be used in conjunction; that is to say, the flour may be thickly applied to the scald or to the burn, and the cotton-wool over all.

Prepared lard—that is to say, lard without salt—is an admirable remedy for burns and for scalds. If there be no other lard in the house but lard _with_ salt, the salt may be readily removed by washing the lard in cold water. Prepared lard—that is to say, lard _without_ salt—can, at any moment, be procured from the nearest druggist in the neighborhood. The advantages of lard are: (1) It is almost always at hand; (2) It is very cooling, soothing, and unirritating to the part, and it gives almost immediate freedom from pain; (3) It effectually protects and sheathes the burn or the scald from the air; (4) It is readily and easily applied: all that has to be done is to spread the lard either on pieces of old linen rag, or on lint, and then to apply them smoothly to the parts affected, keeping them in their places by means of bandages—which bandages may be readily made from either old linen or calico shirts. Dr. John Packard, of Philadelphia, was the first to bring this remedy for burns and scalds before the public—he having tried it in numerous instances, and with the happiest results. I myself have, for many years, been in the habit of prescribing lard as a dressing for blisters, and with the best effects. I generally advise equal parts of prepared lard and of spermaceti cerate to be blended together to make an ointment. The spermaceti cerate gives a little more consistence to the lard, which, in warm weather, especially, is a great advantage.

Another valuable remedy for burns is, “carron oil;” which is made by mixing equal parts of linseed oil and lime-water together in a bottle, and shaking it up before using it.

Cold applications, such as cold water, cold vinegar and water, and cold lotions, are most injurious, and, in many cases, even dangerous.

Scraped potatoes, sliced cucumber, salt, and spirits of turpentine, have all been recommended; but, in my practice, nothing has been so efficacious as the remedies above enumerated.

Do not wash the wound, and do not dress it more frequently than every _other_ day. If there be much discharge, let it be gently sopped up with soft old linen rag; but do not, _on any_ account, let the burn be rubbed or roughly handled. I am convinced that, in the majority of cases, wounds are too frequently dressed, and that the washing of wounds prevents the healing of them. “It is a great mistake,” said Ambrose Parè, “to dress ulcers too often, and to wipe their surfaces clean, for thereby we not only remove the useless excrement, which is the mud or sanies of ulcers, but also the matter which forms the flesh. Consequently, for these reasons, ulcers should not be dressed too often.”

The burn or the scald may, after the first two days, if severe, require different dressings; but, if it be severe, the child ought of course to be immediately placed under the care of a surgeon.

If the scald be either on the leg or on the foot, a common practice is to take the shoe and the stocking off; in this operation, the skin is also at the same time very apt to be removed. Now, both the shoe and the stocking ought to be slit up, and thus to be taken off, so that neither unnecessary pain nor mischief may be caused.

287. _If a bit of quicklime should accidentally enter the eye of my child, what ought to be done?_

Instantly, but tenderly remove, either by means of a camel’s-hair brush or by a small spill of paper, any bit of lime that may adhere to the ball of the eye, or that may be within the eye or on the eyelashes; then well bathe the eye (allowing a portion to enter it) with vinegar and water—one part of vinegar to three parts of water, that is to say, a quarter fill a clean half-pint medicine bottle with vinegar and then fill it up with spring water, and it will be ready for use. Let the eye be bathed for at least a quarter of an hour with it. The vinegar will neutralize the lime, and will rob it of its burning properties.

Having bathed the eye with the vinegar and water for a quarter of an hour, bathe it for another quarter of an hour simply with a little warm water after which, drop into the eye two or three drops of the best sweet oil, put on an eye-shade made of three thicknesses of linen rag, covered with green silk, and then do nothing more until the doctor arrives.

If the above rules be not _promptly_ and _properly_ followed out, the child may irreparably lose his eyesight; hence the necessity of a _popular_ work of this kind, to tell a mother, provided _immediate_ assistance cannot be obtained, what ought _instantly_ to be done; for moments, in such a case, are precious.

While doing all that I have just recommended, let a surgeon be sent for, as a smart attack of inflammation of the eye is very apt to follow the burn of lime; but which inflammation will, provided the _previous_ directions have been _promptly_ and _efficiently_ followed out, with appropriate treatment, soon subside.

The above accident is apt to occur to a child who is standing near a building when the slacking of quicklime is going on, and where portions of lime, in the form of powder, are flying about the air. It would be well not to allow a child to stand about such places, as prevention is always better than cure. _Quicklime_ is sometimes called _caustic lime_: it well deserves its name, for it is a _burning lime_, and if proper means be not promptly used, will soon burn away the sight.

288. “_What is to be done in the case of Choking?_”

Instantly put your finger into the throat and feel if the substance be within reach; if it be food, force it down, and thus liberate the breathing; should it be a hard substance, endeavor to hook it out; if you cannot reach it, give a good smart blow or two with the flat of the hand on the back; or, as recommended by a contributor to the _Lancet_, on the chest, taking care to “seize the little patient, and place him between your knees side ways, and in this or some other manner to _compress the abdomen_ [the belly], otherwise the power of the blow will be lost by the yielding of the abdominal parietes [walls of the belly], and the respiratory effort will not be produced.” If that does not have the desired effect, tickle the throat with your finger, so as to insure immediate vomiting, and the consequent ejection of the offending substance.

289. _Should my child be bitten by a dog supposed to be mad, what ought to be done?_

Instantly well rub for the space of five or ten _seconds_—seconds, _not_ minutes—a stick of nitrate of silver (lunar caustic) into the wound. The stick of lunar caustic should be pointed, like a cedar-pencil for writing, in order the more thoroughly to enter the wound. This, if properly done directly after the bite, will effectually prevent hydrophobia. A stick of _pointed_ nitrate of silver, in a case, ready for use, may be procured of any respectable chemist. The nitrate of silver acts not only as a caustic to the part, but it appears effectually to neutralize the poison, and thus by making the virus perfectly innocuous is a complete antidote. If it be either the lip, or the parts near the eye, or the wrist, that have been bitten, it is far preferable to apply the caustic than to cut the part out; as the former is neither so formidable, nor so dangerous, nor so disfiguring as the latter, and yet it is equally as efficacious. I am indebted to the late Mr. Youatt, the celebrated veterinary surgeon, for this valuable antidote or remedy for the _prevention_ of the most horrible, heart-rending, and incurable disease known. Mr. Youatt had an immense practice among dogs as well as among horses. He was a keen observer of disease, and a dear lover of his profession, and he had paid great attention to rabies—dog madness. He and his assistants had been repeatedly bitten by rabid dogs; but knowing that he was in possession of an infallible preventive remedy, he never dreaded the wounds inflicted either upon himself or upon his assistants. Mr. Youatt never knew lunar caustic, if properly and _immediately_ applied, to fail. It is, of course, only a preventive. If hydrophobia be once developed in the human system, no antidote has ever yet, for this fell and intractable disease, been found.

While walking the London Hospitals, upwards of thirty-five years ago, I received an invitation from Mr. Youatt to attend a lecture on rabies—dog madness. He had, during the lecture, a dog present laboring under _incipient_ madness. In a day or two after the lecture, he requested me and other students to call at his infirmary and see the dog, as the disease was at that time fully developed. We did so, and found the poor animal raving mad—frothing at the mouth, and snapping at the iron bars of his prison. I was particularly struck with a peculiar brilliancy and wildness of the dog’s eyes. He seemed as though, with affright and consternation, he beheld objects unseen by all around. It was pitiful to witness his frightened and anxious countenance. Death soon closed the scene!

I have thought it my duty to bring the value of lunar caustic as a preventive of hydrophobia prominently before your notice, and to pay a tribute of respect to the memory of Mr. Youatt—a man of talent and genius.

Never kill a dog supposed to be mad who has bitten either a child, or any one else, until it has, past all doubt, been ascertained whether he be really mad or not. He ought, of course, to be tied up, and be carefully watched, and be prevented the while from biting any one else. The dog, by all means, should be allowed to live at least for some weeks, as the fact of his remaining will be the best guarantee that there is no fear of the bitten child having caught hydrophobia.

There is a foolish prejudice abroad, that a dog, be he mad or not, who has bitten a person ought to be _immediately_ destroyed; that although the dog be not at the time mad, but should at a future period become so, the person who had been bitten when the dog was _not_ mad, would, when the dog became mad, have hydrophobia! It seems almost absurd to bring the subject forward; but the opinion is so very general and deep rooted, that I think it well to declare that there is not the slightest foundation of truth in it, but that it is a ridiculous fallacy!

A cat sometimes goes mad, and its bite may cause hydrophobia, indeed, the bite of a mad cat is more dangerous than the bite of a mad dog. A bite from a mad cat ought to be treated precisely in the same manner—namely, with the lunar caustic—as for a mad dog.

A bite either from a dog or from a cat _who is not mad_, from a cat especially, is often venomous and difficult to heal. The best application is _immediately_ to apply a large hot white-bread poultice to the part, and to renew it every four hours; and, if there be much pain in the wound, to well foment the part, every time before applying the poultice, with a hot chamomile and poppy-head fomentation.

Scratches of a cat are best treated by smearing, and that freely and continuously for an hour, and then afterward at longer intervals, fresh butter on the part affected. If fresh butter be not at hand, fresh lard—that is to say, lard _without_ salt—will answer the purpose. If the pain of the scratch be very intense, foment the part affected with hot water, and then apply a hot white-bread poultice, which should be frequently renewed.

290. _What is the best application in case of a sting either from a bee or from a wasp?_

Extract the sting, if it have been left behind, either by means of a pair of dressing forceps, or by the pressure of the hollow of a small key—a watch-key will answer the purpose; then, a little blue (which is used in washing) moistened with water, should be immediately applied to the part; or, apply a few drops of solution of potash, which may be instantly procured of a druggist, as he always keeps it ready prepared, or “apply moist snuff or tobacco, rubbing it well in,” and renew from time to time either of them if either of these be not at hand, either honey, or treacle, or fresh butter, will answer the purpose. Should there be much swelling or inflammation, apply a hot white-bread poultice, and renew it frequently. In eating apricots, or peaches, or other fruit, they ought to, beforehand, be carefully examined, in order to ascertain that no wasp is lurking in them; otherwise, it may sting the throat, and serious consequences will ensue.

291. _If a child receive a fall, causing the skin to be grazed, can you tell me of a good application?_

You will find gummed paper an excellent remedy; the way of preparing it is as follows: Apply evenly, by means of a small brush, thick mucilage of gum arabic to cap paper; hang it up to dry, and keep it ready for use. When wanted, cut a portion as large as may be requisite, then moisten it with your tongue, in the same manner you would a postage stamp, and apply it to the grazed part. It may be removed when necessary by simply wetting it with water. The part in two or three days will be well. There is usually a margin of gummed paper sold with postage stamps; this will answer the purpose equally well. If the gummed paper be not at hand, then frequently, for the space of an hour or two, smear the part affected with fresh butter.

292. _In case of a child swallowing by mistake either laudanum, or paregoric, or Godfrey’s Cordial, or any other preparation of opium, what ought to be done?_

Give, _as quickly as possible_, a strong mustard emetic; that is to say, mix two teaspoonfuls of flour of mustard in half a teacupful of water, and force it down his throat. If free vomiting be not induced, tickle the upper part of the swallow with a feather; drench the little patient’s stomach with large quantities of warm water. As soon as it can be obtained from a druggist, give him the following emetic draught:

Take of—Sulphate of Zinc, one scruple;
Simple Syrup, one drachm;
Distilled Water, seven drachms:

To make a Draught.

Smack his buttocks and his back; walk him, or lead him, or carry him about in the fresh air; shake him by the shoulders; pull his hair; tickle his nostrils; shout and holla in his ears; plunge him into a warm bath and then into a cold bath alternately; well sponge his head and face with cold water; dash cold water on his head, face, and neck; and do not, on any account, until the effects of the opiate are gone off, allow him to go to sleep; if you do, he will never wake again! While doing all these things, of course, you ought to lose no time in sending for a medical man.

293. _Have you any observations to make on parents allowing the Deadly Nightshade—the Atropa Belladonna—to grow in their gardens?_

I wish to caution you _not_ on any account to allow the Belladonna—the Deadly Nightshade—to grow in your garden. The whole plant—root, leaves, and berries—is poisonous; and the berries, being attractive to the eye, are very alluring to children.

294. _What is the treatment of poisoning by Belladonna?_

Instantly send for a medical man; but, in the mean time, give an emetic—a mustard emetic;—mix two teaspoonfuls of flour of mustard in half a teacupful of warm water, and force it down the child’s throat; then drench him with warm water, and tickle the upper part of his swallow either with a feather or with the finger, to make him sick; as the grand remedy is an emetic to bring up the offending cause. If the emetic have not acted sufficiently, the medical man when he arrives may deem it necessary to use the stomach-pump; but remember not a moment must be lost, for moments are precious in a case of belladonna poisoning, in giving a mustard emetic, and repeating it again and again until the enemy be dislodged. Dash cold water upon his head and face; the best way of doing which is by means of a large sponge, holding his head and his face over a wash-hand basin, half filled with cold water, and filling the sponge from the basin, and squeezing it over his head and face, allowing the water to continuously stream over them for an hour or two, or until the effects of the poison have passed away. This sponging of the head and face is very useful in poisoning by opium, as well as in poisoning by belladonna; indeed, the treatment of poisoning by the one is very similar to the treatment of poisoning by the other. I, therefore, for the further treatment of poisoning by belladonna, beg to refer you to a previous Conversation on the treatment of poisoning by opium.

295. _Should a child put either a pea or a bead, or any other foreign substance, up the nose, what ought to be done?_

Do not attempt to extract it yourself, or you might push it farther in, but send instantly for a surgeon, who will readily remove it, either with a pair of forceps, or by means of a bent probe, or with a director. If it be a pea, and it be allowed for any length of time to remain in, it will swell, and will thus become difficult to extract, and may produce great irritation and inflammation. A child ought not to be allowed to play with peas or with beads (unless the beads are on a string), as he is apt, for amusement, to push them up his nose.

296. _If a child have put either a pea, a bean, a bead, a cherry-stone, or any other smooth substance, into his ear, what ought to be done to remove it?_

Turn his head on one side, in order to let the ear with the pea or bead in it be undermost, then give with the flat of your hand two or three sharp, sudden slaps or boxes on the other, or _upper_most ear, and most likely the offending substance will drop out. Poking at the ear will, in the majority of cases, only send the substance farther in, and will make it more difficult (if the above simple plan does not succeed) for the medical man to remove. The surgeon will, in all probability, syringe the ear; therefore, have a supply of warm water in readiness for him, in order that no time may be lost.

297. _If an earwig, or any other living thing, should get into the ear of a child, what ought to be done?_

Lay the child on his side, the affected ear being uppermost, and fill the ear, from a teaspoon, with either water or sweet oil. The water or oil will carry the living thing, whatever it be, out of the ear, and the child is at once relieved.

298. _If a child swallow a piece of broken glass, what ought to be done?_

Avoid purgatives, as the free action on the bowels would be likely to force the spiculæ of glass into the mucous membrane of the bowels, and thus would wound them, and might cause ulceration, and even death. “The object of treatment will be to allow them to pass through the intestines well enveloped by the other contents of the tube; and for this purpose a solid farinaceous diet should be ordered, and purgatives scrupulously avoided.”

299. _If a child swallow a pin, what should be done?_

Treat him as for broken glass. Give him no aperients, or it might, in action, force the pin into the bowel. I have known more than one instance where a child, after swallowing a pin, to have voided it in his motion.

300. _If a child swallow a coin of any kind, is danger likely to ensue, and what ought to be done?_

There is, as a rule, no danger. A dose or two of castor oil will be all that is usually necessary. The evacuations ought to be carefully examined until the coin be discovered. I once knew a child swallow a penny-piece, and pass it in his motions.

301. _If a child, while playing with a small coin (such as either a threepenny or a fourpenny piece), or any other substance, should toss it into his mouth, and inadvertently allow it to enter the windpipe, what ought to be done?_

Take hold of him by the legs, allowing his head to hang downward; then give him, with the palm of your hand, several sharp blows on his back, and you may have the good fortune to see the coin coughed out of his mouth. Of course, if this plan does not succeed, send instantly for a medical man.

BOYHOOD AND GIRLHOOD.

_’Tis with him e’en standing water,
Between boy and man._
SHAKSPEARE.

_Standing with reluctant feet
Where the brook and river meet,
Womanhood and childhood fleet!_
LONGFELLOW.

ABLUTION, ETC.

302. _Have you any remarks to make on the Ablution of boys and girls?_

How is it that a mother thinks it absolutely necessary (which it really is) that her babe’s _whole_ body should every morning be washed; and yet who does not deem it needful that her girl or boy of twelve years old, should go through the process of daily and _thorough_ ablution? If the one case be necessary, sure I am that the other is equally if not more needful.

Thorough ablution of the body every morning at least is essential to health. I maintain that no one can be in the enjoyment of perfect health who does not keep his skin—the whole of his skin—clean. In the absence of cleanliness, a pellicle forms on the skin which engenders disease. Moreover, a person who does not keep his skin clean is more susceptible of contracting contagious disease, such as small-pox, typhus fever, cholera, diphtheria, scarlet fever, etc.

Thorough ablution of the body is a grand requisite of health. I maintain that no one can be perfectly healthy unless he thoroughly wash his body—the whole of his body; if filth accumulate, which, if not washed off, it is sure to do, disease must, as a matter of course, follow. Besides, ablution is a delightful process; it makes one feel fresh and sweet, and young and healthy; it makes the young look handsome and the old look young! Thorough ablution might truly be said both to renovate and to rejuvenize! A scrupulously clean skin is one of the grand distinctive characteristics both of a lady and of a gentleman.

Dirty people are not only a nuisance to themselves, but to all around; they are not only a nuisance, but a danger, as their dirty bodies are apt to carry from place to place contagious diseases.

It is important that parts that are covered should be kept cleaner than parts exposed to the air, as dirt is more apt to fester in dark places; besides, parts exposed to the air have the advantage of the air’s sweetening properties; air acts as a bath, and purifies the skin amazingly.

It is desirable to commence a complete system of washing early in life, as then it becomes a second nature, and cannot afterward be dispensed with. One accustomed to the luxury of his morning ablution would feel most uncomfortable if anything prevented him from taking it; he would as soon think of dispensing with his breakfast as with his bath.

Every boy, every girl, and every adult ought each to have either a room or a dressing-room to himself or to herself, in order that he or she might strip to the skin and thoroughly wash themselves; no one can wash properly and effectually without doing so.

Now, for the paraphernalia required for the process: (1) A large nursery-basin, one that will hold six or eight quarts of water (Wedgwood’s make being considered the best); (2) A piece of coarse flannel, a yard long and half a yard wide; (3) A large sponge; (4) A tablet either of the best yellow or of curd soap; (5) Two towels, one being a diaper and the other a Turkish rubber.

Now, as to the manner of performing ablution. You ought to fill the basin three parts full with _rain_ water; then, having well soaped and cleansed your hands, re-soap them, dip your head and face into the water, then with the soaped hands well rub and wash your head, face, neck, chest, and armpits; having done which, take the wetted sponge, and go over all the parts previously traveled over by the soaped hands; then fold the flannel as you would a neckerchief, and dip it in the water, then throw it, as you would a skipping-rope, over your shoulders, and move it a few times from right to left and from left to right, and up and down, and then across the back and loins; having done which, dip the sponge in the water, and holding your head under the water, let the water stream from the sponge a time or two over your head, neck, and face. Dip your head and face in the water, then put your hands and arms (as far as they will go) into the water, holding them there while you can count thirty. Having reduced the quantity of water to a third of a basinful, place the basin on the floor, and sit (while you can count fifty) _in_ the water; then put one foot at a time in the water, and quickly rub, with soaped hands, up and down your leg, over the foot, and pass your thumb between each toe (this latter procedure tends to keep away soft corns); then take the sponge, filled with water, and squeeze it over your leg and foot, from the knee downward,—then serve your other leg and foot in the same way. By adopting the above plan, the whole of the body will, every morning, be thoroughly washed.

A little warm water might at first, and during the winter time, be added, to take off the chill; but the sooner quite cold water is used the better. The body ought to be quickly dried (taking care to wipe between each toe), first with the diaper, and then with the Turkish rubber. In drying your back and loins, you ought to throw, as you would a skipping-rope, the Turkish rubber over your shoulders, and move it a few times from side to side, until the parts be dry.

Although the above description is necessarily prolix, the washing itself ought to be very expeditiously performed; there should be no dawdling over it, otherwise the body will become chilled, and harm instead of good will be the result. If due dispatch be used, the whole of the body might, according to the above method, be thoroughly washed and dried in the space of ten minutes.

A boy ought to wash his head, as above directed, every morning, a girl, who has much hair, once a week, with soap and water, with flannel and sponge. The hair, if not frequently washed, is very dirty, and nothing is more repulsive than a dirty head!

It might be said, “Why do you go into particulars? why dwell so much upon minutiæ? Every one, without being told, knows how to wash himself!” I reply, “That very few people do know how to wash themselves properly; it is a misfortune they do not—they would be both much healthier and happier if they did!”

303. _Have you any remarks to make on boys and girls learning to swim?_

Let me strongly urge you to let your sons and daughters be _early_ taught to swim. Swimming is a glorious exercise—one of the best that can be taken; it expands the chest; it promotes digestion; it develops the muscles, and brings into action some muscles that in any other form of exercise are but seldom brought into play; it strengthens and braces the whole frame, and thus makes the swimmer resist the liability of catching colds; it gives both boys and girls courage, energy, and self-reliance,—splendid qualities in this rough world of ours. Swimming is oftentimes the means of saving human life; this of itself would be a great recommendation of its value. It is a delightful amusement; to breast the waves is as exhilarating to the spirits as clearing on horseback a five-barred gate.

The art of learning to swim is quite as necessary to be learned by a girl as by a boy; the former has similar muscles, lungs, and other organs to develop as the latter. It is very desirable that in large towns swimming-baths for ladies should be instituted.

Swimming ought, then, to be a part and parcel of the education of every boy and of every girl.

Swimming does not always agree. This sometimes arises from a person being quite cold before he plunges into the water. Many people have an idea that they ought to go into the water while their bodies are in a cool state. Now this is a mistaken notion, and is likely to produce dangerous consequences. The skin ought to be comfortably warm, neither very hot nor very cold, and then the bather will receive every advantage that cold bathing can produce. If he go into the bath while the body is cold, the blood becomes chilled, and is driven to internal parts, and thus mischief is frequently produced.

A boy, after using cold bathing, ought, if it _agree_ with him, to experience a pleasing glow over the whole surface of his body, his spirits and appetite should be increased, and he ought to feel stronger; but if it _disagree_ with him, a chilliness and coldness, a lassitude and a depression of spirits, will be the result; the face will be pale and the features will be pinched, and, in some instances, the lips and the nails will become blue; all these are signs that _cold_ bathing is injurious, and, therefore, that it ought on no account to be persevered in, unless these symptoms have hitherto proceeded from his going into the bath while he was quite cold. He may, previously to entering the bath, warm himself by walking briskly for a few minutes. Where _cold_ sea-water bathing does not agree, _warm_ sea bathing should be substituted.

304. _Which do you prefer—sea bathing or fresh-water bathing?_

Sea bathing. Sea bathing is incomparably superior to fresh-water bathing; the salt water is far more refreshing and invigorating; the battling with the waves is more exciting; the sea breezes, blowing on the nude body, breathes (for the skin is a breathing apparatus) health and strength into the frame, and comeliness into the face; the sea water and the sea breezes are splendid cosmetics; the salt water is one of the finest applications, both for strengthening the roots and brightening the color of the hair, provided grease and pomatum have not been previously used.

305. _Have you any directions to give as to the time and the seasons, and the best mode of sea bathing?_

Summer and autumn are the best seasons of the year for cold sea bathing—August and September being the best months. To prepare the skin for the cold sea bathing, it would be well, before taking a dip in the sea, to have on the previous day a warm salt-water bath. It is injurious, and even dangerous, to bathe _immediately_ after a _full_ meal; the best time to bathe is about two hours after breakfast—that is to say, at about eleven or twelve o’clock in the forenoon. The bather, as soon as he enters the water, _ought instantly_ to wet his head; this may be done either by his jumping at once from the machine into the water, or, if he have not the courage to do so, by plunging his head without loss of time _completely_ under the water. He should remain in the water about a quarter of an hour, but never longer than half an hour.

Many bathers by remaining a long time in the water do themselves great injury. If sea bathing be found to be invigorating—and how often to the delicate it has proved to be truly magical—a patient may bathe once every day, but on no account oftener. If he be not strong, he had better, at first, bathe only every other day, or even only twice a week.

The bather, after leaving the machine, ought, for half an hour, to take a brisk walk in order to promote a reaction, and thus to cause a free circulation of the blood.

306. _Do you think a tepid bath may be more safely used?_

A tepid bath may be taken at almost any time; and a bather may remain longer in one, with safety, than in a cold bath. A tepid bath from 62 to 96 degrees of Fahrenheit.

307. _Do you approve of warm bathing?_

A warm bath may, with advantage, be occasionally used—say once a week. A warm bath from 97 to 100 degrees of Fahrenheit. A warm bath cleanses the skin more effectually than either a cold or a tepid bath; but, as it is more relaxing, ought not to be employed so often as either of them. A person should not continue longer than ten minutes in a warm bath. Once a week, as a rule, is quite often enough for a warm bath; and it would be an excellent plan if every boy and girl and adult would make a practice of having one _regularly_ every week, unless any special reason should arise to forbid its use.

308. _But does not warm bathing, by relaxing the pores of the skin, cause a person to catch cold if he expose himself to the air immediately afterward?_

There is, on this point, a great deal of misconception and unnecessary fear. A person, _immediately_ after using a warm bath, should take proper precautions—that is to say, he must not expose himself to draughts, neither ought he to wash himself in _cold_ water, nor should he, _immediately_ after taking one, drink _cold_ water. But he may follow his usual exercise or employment, provided the weather be fine, and the wind be neither in the east nor the northeast.

Every house of any pretension ought to have a bath-room. Nothing would be more conducive to health than regular systematic bathing. A hot and cold bath, a sitz bath and a shower bath—each and all in their turn—are grand requisites to preserve and procure health. If the house cannot boast of a bath-room, then the Corporation baths (which nearly every large town possesses) ought to be liberally patronized.

309. _What is the best application for the hair?_

A sponge and _cold_ water, and two good hair-brushes. Avoid grease, pomatum, bandaline, and all abominations of that kind. There is a natural oil of the hair, which is far superior to either Rowland’s Macassar oil or any other oil! The best scent for the hair is an occasional dressing of soap and water; the best beautifier of the hair is a downright thorough good brushing with two good hair-brushes! Again, I say, _avoid grease of all kinds to the hair_. “And as for women’s hair, don’t plaster it with scented and sour grease, or with any grease; it has an oil of its own. And don’t tie up your hair tight, and make it like a cap of iron over your scull. And why are your ears covered? You hear all the worse, and they are not the clearer. Besides, the ear is beautiful in itself, and plays its own part in the concert of the features.”

If the hair cannot, without some application, be kept tidy, then a little of the best sweet oil might, by means of an old tooth-brush, be used to smoothe it; sweet oil is, for the purpose, one of the most simple and harmless of dressings; but, as I said before, the hair’s own natural oil cannot be equaled, far less surpassed!

If the hair fall off, castor oil, scented with a few drops of essence of bergamot and oil of lavender, is a good remedy to prevent its doing so; a little of it ought, night and morning, to be well rubbed into the roots of the hair. Cocoanut oil is another excellent application for the falling off of the hair.

CLOTHING.

310. _Do you approve of a boy wearing flannel next the skin?_

England is so variable a climate, and the changes from heat to cold, and from dryness to moisture of the atmosphere, are so sudden, that some means are required to guard against their effects. Flannel, as it is a bad conductor of heat, prevents the sudden changes from effecting the body, and thus is a great preservative against cold.

Flannel is as necessary in the summer as in the winter time; indeed, we are more likely both to sit and to stand in draughts in the summer than in the winter; and thus we are more liable to become chilled and to catch cold.

Woolen shirts are now much worn; they are very comfortable and beneficial to health. Moreover, they simplify the dress, as they supersede the necessity of wearing either both flannel and linen, or flannel and calico shirts.

311. _Flannel sometimes produces great irritation of the skin; what ought to be done to prevent it?_

Have a moderately fine flannel, and persevere in its use; the skin in a few days will bear it comfortably. The Angola and wove-silk waistcoats have been recommended as substitutes, but there is nothing equal to the old-fashioned Welsh flannel.

312. _If a boy have delicate lungs, do you approve of his wearing a prepared hare-skin over the chest?_

I do not. The chest may be kept too warm as well as too cold. The hare-skin heats the chest too much, and thereby promotes a violent perspiration; which, by his going into the cold air, may become suddenly checked, and may thus produce mischief. If the chest be delicate, there is nothing like flannel to ward off colds.

313. _After an attack of Rheumatic Fever, what extra clothing do you advise?_

In the case of a boy, or a girl, just recovering from a severe attack of rheumatic fever, flannel next the skin ought always to be worn—flannel drawers as well as a flannel vest.

314. _Have you any remarks to make on boys’ waistcoats?_

Fashion in this, as in most other instances, is at direct variance with common sense. It would seem that fashion was intended to make work for the doctor, and to swell the bills of mortality! It might be asked, what part of the chest, in particular, ought to be kept warm? The upper part needs it most. It is in the _upper_ part of the lungs that tubercles (consumption) usually first make their appearance; and is it not preposterous to have such parts, in particular, kept cool? Double-breasted waistcoats cannot be too strongly recommended for _delicate_ youths and for all men who have _weak_ chests.

315. _Have you any directions to give respecting the shoes and the stockings?_

The shoes for winter should be moderately thick and water-proof. If boys and girls be delicate, they ought to have double soles to their shoes, with a piece of bladder between each sole, or the inner sole may be made of cork; either of the above plans will make the soles of boots and shoes completely water-proof. In wet or dirty weather, india-rubber overshoes are useful, as they keep the _upper_ as well as the _under_ leathers perfectly dry.

The socks or stockings, for winter, ought to be either lamb’s-wool or worsted; it is absurd to wear _cotton_ socks or stockings all the year round. I should advise a boy to wear socks, not stockings; as he will then be able to dispense with garters. Garters, as I have remarked in a previous Conversation, are injurious—they not only interfere with the circulation of the blood, but also, by pressure, injure the bones, and thus the shape of the legs.

Boys and girls cannot be too particular in keeping their feet warm and dry, as cold wet feet are one of the most frequent exciting causes of bronchitis, of sore throats, and of consumption.

316. _When should a girl begin to wear stays?_

She ought never to wear them.

317. _Do not stays strengthen the body?_