Chapter XII: Part 12

If the teeth be much decayed, and if, in consequence, the breath be offensive, two ounces of finely-powdered charcoal, well mixed with the above ingredients, will be found a valuable addition.

Some persons clean their teeth every morning with soap; if soap be used it ought to be Castile soap, and if the teeth be not white and clear, Castile soap is an excellent cleanser of the teeth, and may be used in lieu of tooth-powder as before recommended.

There are few persons who brush the teeth properly. I will tell you the right way. First of all procure a tooth-brush of the best make, and of rather hard bristles, to enable it to penetrate into all the nooks and corners of the teeth: then, having put a small quantity of warm water into your mouth, letting the principal of it escape into the basin, dip your brush in warm water, and if you are about using Castile soap, rub the brush on a cake of the soap, and then well brush your teeth, first upward and then downward, then from side to side—from right to left and from left to right—then the backs of the teeth, then apply the brush to the tops of the crowns of the teeth both of the upper and of the lower jaw,—so that _every_ part of each tooth, including the gums, may in turn be well cleansed, and be well brushed. Be not afraid of using the brush: a good brushing and dressing will do the teeth and the gums an immensity of good; it will make the breath sweet, and will preserve the teeth sound and good. After using the brush the mouth must, of course, be well rinsed out with warm water.

The finest set of teeth I ever saw in my life belonged to a middle-aged gentleman; the teeth had neither spot not blemish—they were like beautiful pearls. He never had toothache in his life, and did not know what toothache meant! He brushed his teeth, every morning, with soap and water, in the manner I have previously recommended. I can only say to you—go and do likewise!

Camphor ought never to be used as an ingredient of tooth-powder, it makes the teeth brittle. Camphor certainly has the effect of making the teeth, for a time, look very white; but it is an evanescent beauty.

Tartar is apt to accumulate between and around the teeth; it is better in such a case _not_ to remove it by scaling instruments, but to adopt the plan recommended by Dr. Richardson, namely, to well brush the teeth with pure vinegar and water.

PREVENTION OF DISEASE, ETC.

351. _If a boy or a girl show great precocity of intellect, is any organ likely to become affected?_

A greater quantity of arterial blood is sent to the brain of those who are prematurely talented, and hence it becomes more than ordinarily developed. Such advantages are not unmixed with danger; this same arterial blood may excite and feed inflammation, and either convulsions, or water on the brain, or insanity, or, at last, idiocy may follow. How proud a mother is in having a precocious child! How little is she aware that precocity is frequently an indication of disease!

352. _How can danger in such a case be warded off?_

It behooves a parent, if her son be precocious, to restrain him—to send him to a quiet country place, free from the excitement of the town; and when he is sent to school, to give directions to the master that he is not on any account to tax his intellect (for a master is apt, if he have a clever boy, to urge him forward); and to keep him from those institutions where a spirit of rivalry is maintained, and where the brain is thus kept in a state of constant excitement. Medals and prizes are well enough for those who have moderate abilities, but dangerous, indeed, to those who have brilliant ones.

An overworked precocious brain is apt to cause the death of the owner; and if it does not do so, it in too many instances injures the brain irreparably, and the possessor of such an organ, from being one of the most intellectual of children, becomes one of the most commonplace of men.

Let me urge you, if you have a precocious child, to give, and that before it be too late, the subject in question your best consideration.

353. _Are precocious boys in their general health usually strong or delicate?_

Delicate. Nature seems to have given a delicate body to compensate for the advantages of a talented mind. A precocious youth is predisposed to consumption, more so than to any other disease. The hard study which he frequently undergoes excites the disease into action. It is not desirable, therefore, to have a precocious child. A writer in “Fraser’s Magazine” speaks very much to the purpose when he says, “Give us intellectual beef rather than intellectual veal.”

354. _What habit of body is most predisposed to Scrofula?_

He or she who has a moist, cold, fair, delicate, and almost transparent skin, large prominent blue eyes, protuberant forehead, light-brown or auburn hair, rosy cheeks, pouting lips, milk-white teeth, long neck, high shoulders, small, flat, and contracted chest, tumid bowels, large joints, thin limbs, and flabby muscles, is the person most predisposed to scrofula. The disease is not entirely confined to the above; sometimes he or she who has black hair, dark eyes and complexion, is subject to it, but yet far less frequently than the former. It is a remarkable fact that the most talented are the most prone to scrofula, and being thus clever their intellects are too often cultivated at the expense of their health. In infancy and childhood, either water on the brain or mesenteric disease; in youth, pulmonary consumption is frequently their doom. They are like shining meteors; their life is brilliant, but short.

355. _How may Scrofula be warded off?_

Strict attention to the rules of health is the means to prevent scrofula. Books, unless as an amusement, ought to be discarded. The patient must almost live in the open air, and his residence should be a healthy country place, where the air is dry and bracing; if it be at a farm-house, in a salubrious neighborhood, so much the better. In selecting a house for a patient predisposed to scrofula, _good pure water should be an important requisite_—indeed for every one who values his health. Early rising in such a case is most beneficial. Wine, spirits, and all fermented liquors ought to be avoided. Beef-steaks and mutton-chops in abundance, and plenty of milk and farinaceous food—such as rice, sago, arrow-root, etc.—should be his diet.

Scrofula, if the above rules be strictly and perseveringly followed, may be warded off; but there must be no half measures, no trying to serve two masters—to cultivate at the same time the health and the intellect. The brain, until the body becomes strong, must _not_ be taxed. “You may prevent scrofula by care; but that some children are originally predisposed to the disease there cannot be the least doubt, and in such cases the education and the habits of youth should be so directed as to ward off a complaint the effects of which are so frequently fatal.”

356. _But suppose the disease to be already formed, what must then be done?_

The plan recommended above must still be pursued, not by fits and starts, but steadily and continuously, for it is a complaint that requires a vast deal of patience and great perseverance. Warm and cold sea bathing in such a case is generally most beneficial. In a patient with confirmed scrofula it will of course be necessary to consult a skillful and experienced doctor.

But do not allow, without a second opinion, any plan to be adopted that will weaken the system, which is already too much depressed. No, rather build up the body by good nourishing diet (as previously recommended), by cod-liver oil, by a dry, bracing atmosphere, such as either Brighton, or Ramsgate, Llandudno; or, if the lungs be delicate, by a more sheltered coast, such as either St. Leonard’s or Torquay.

Let no active purging, no mercurials, no violent, desperate remedies be allowed. If the patient cannot be cured _without_ them, I am positive that he will not be cured _with_ them.

But do not despair; many scrofulous patients are cured by time and by judicious treatment. But if desperate remedies are to be used, the poor patient had better _by far_ be left to Nature. “Let me fall now into the hand of the LORD; for very great are his mercies: but let me not fall into the hand of man.”

357. _Have you any remarks to make on a girl stooping?_

A girl ought never to be allowed to stoop: stooping spoils the figure, weakens the chest, and interferes with the digestion. If she cannot help stooping, you may depend upon it that she is in bad health, and that a medical man ought to be consulted. As soon as her health is improved the dancing-master should be put in requisition, and calisthenic and gymnastic exercises should be resorted to. Horse exercise and swimming in such a case are very beneficial. The girl should live well, on good nourishing diet, and not be too closely confined either to the house or to her lessons. She ought during the night to lie on a horse-hair mattress, and during the day, for two or three hours, flat on her back on a reclining board. Stooping, if neglected, is very likely to lead to consumption.

358. _If a boy be round-shouldered and slouching in his gait, what ought to be done?_

Let him be drilled; there is nothing more likely to benefit him than drilling. You never see a soldier round-shouldered nor slouching in his gait. He walks every inch like a man. Look at the difference in appearance between a country laborer and a soldier! It is the drilling that makes the difference. “Oh, for a drill-sergeant to teach them to stand upright, and to turn out their toes, and to get rid of that slouching, hulking gait, which gives such a look of clumsiness and stupidity!”

359. _My daughter has grown out of shape, she has grown on one side, her spine is not straight, and her ribs bulge out more on the one side than on the other: what is the cause, and can anything be done to remedy the deformity?_

The causes of this lateral curvature of the spine, and consequent bulging out of the ribs that you have just now described, arise either from delicacy of constitution, from the want of proper exercise, from too much learning, or from too little play, or from not sufficient or proper nourishment for a rapidly-growing body. I am happy to say that such a case, by judicious treatment, can generally be cured—namely, by gymnastic exercises, such as the hand-swing, the fly-pole, the patent parlor gymnasium, the chest expander, the skipping-rope, the swimming bath; all sorts of out-door games, such as croquet, archery, etc.; by plenty of good nourishment, by making her a child of Nature, by letting her almost live in the open air, and by throwing books to the winds. But let me strongly urge you not, unless ordered by an experienced surgeon, to allow any mechanical restraints or appliances to be used. If she be made strong, the muscles themselves will pull both the spine and the ribs into their proper places, more especially if judicious games and exercises (as I have before advised), and other treatment of a strengthening and bracing nature, which a medical man will indicate to you, be enjoined. Mechanical appliances will, if not judiciously applied, and in a proper case, waste away the muscles, and will thus increase the mischief; if they cause the ribs to be pushed in in one place, they will bulge them out in another, until, instead of being one, there will be a series of deformities. No, the giving of strength and the judicious exercising of the muscles are, for a lateral curvature of the spine and the consequent bulging out of one side of the ribs, the proper remedies, and, in the majority of cases, are most effectual, and quite sufficient for the purpose.

I think it well to strongly impress upon a mother’s mind the great importance of early treatment. If the above advice be followed, every curvature in the beginning might be cured. Cases of several years’ standing might, with judicious treatment, be wonderfully relieved.

Bear in mind, then, that if the girl is to be made straight, she is first of all to be made strong; the latter, together with the proper exercises of the muscles, will lead to the former; and the _earlier_ a medical man takes it in hand, the more rapid, the more certain, and the more effectual will be the cure.

An inveterate, long-continued and neglected case of curvature of the spine and bulging out of the ribs on one side might require mechanical appliances, but such a case can only be decided on by an experienced surgeon, who ought always, _in the first place_, to be consulted.

360. _Is a slight spitting of blood to be looked upon as a dangerous symptom?_

Spitting of blood is always to be looked upon with suspicion, even when a youth appears in other respects to be in good health; it is frequently the forerunner of consumption. It might be said that, by mentioning the fact, I am unnecessarily alarming a parent, but it would be a false kindness if I did not do so:

“I must be cruel only to be kind.”

Let me ask when is consumption to be cured? Is it at the onset, or is it when it is confirmed? If a mother had been more generally aware that spitting of blood was frequently the forerunner of consumption, she would, in the management of her offsprings, have taken greater precautions; she would have made everything give way to the preservation of their health; and, in many instances, she would have been amply repaid by having the lives of her children spared to her. We frequently hear of patients in _confirmed_ consumption being sent to Menton, to Madeira, and to other foreign parts. Can anything be more cruel or absurd? If there be any disease that requires the comforts of home—and truly may an Englishman’s dwelling he called _home_!—and good nursing more than another, it is consumption.

361. _What is the death-rate of Consumption in England? At what age does Consumption most frequently occur? Are girls more liable to it than boys? What are the symptoms of this disease?_

It is asserted, on good authority, that there always are, in England, 78,000 cases of consumption, and that the yearly death-rate of this fell disease alone is 39,000! Consumption more frequently shows itself between the ages of fourteen and twenty-one: after then, the liability to the disease gradually diminishes, until at the age of forty-five it becomes comparatively rare. Boys are more prone to this complaint than girls. Some of the most important symptoms of pulmonary consumption are indicated by the stethoscope; but, as I am addressing a mother, it would, of course, be quite out of place to treat of such signs in Conversations of this kind. The symptoms it might be well for a parent to recognize, in order that she may seek aid early, I will presently describe. It is perfectly hopeless to expect to cure consumption unless advice be sought at the _onset_, as the only effectual good in this disease is to be done _at first_.

It might be well to state that consumption creeps on insidiously. One of the earliest symptoms of this dreadful scourge is a slight, dry, short cough, attended with tickling and irritation at the top of the throat. This cough generally occurs in the morning; but, after some time, comes on at night, and gradually throughout the day and the night. Frequently during the early stage of the disease _a slight spitting of blood occurs_. Now this is a most dangerous symptom; indeed, I may go so far as to say that, as a rule, it is almost a sure sign that the patient is in the _first_ stage of a consumption.

There is usually hoarseness, not constant, but coming on if the patient be tired, or toward the evening; there is also a sense of lassitude and depression, shortness of breathing, a feeling of being quickly wearied—more especially on the slightest exertion. The hair of a consumptive person usually falls off, and what little remains is weak and poor; the joints of the fingers become enlarged, or clubbed as it is sometimes called; the patient loses flesh, and, after some time, night-sweats make their appearance; then we may know that hectic fever has commenced.

Hectic begins with chilliness, which is soon followed by flushings of the face, and by burning heat of the hands and feet, especially of the palms and the soles. This is soon succeeded by perspirations. The patient has generally, during the day, two decided paroxysms of hectic fever—the one at noon, which lasts about five hours, the other in the evening, which is more severe, and ends in violent perspirations, which perspirations continue the whole night through. He may, during the day, have several attacks of hectic flushes of the face, especially after eating; at one moment he complains of being too hot, and rushes to the cool air; the next moment he is too cold, and almost scorches himself by sitting too near the fire. Whenever the circumscribed hectic flush is on the cheek, it looks as though the cheek had been painted with vermilion, then is the time when the palms of the hands are burning hot.

The expectoration at first is merely mucus, but after a time it assumes a characteristic appearance; it has a roundish, flocculent, wooly form, each portion of phlegm keeping, as it were, distinct; and if the expectoration be stirred in water, it has a milk-like appearance. The patient is commonly harassed by frequent bowel complaints, which rob him of what little strength he has left. The feet and ankles swell. The perspiration, as before remarked, comes on in the evening, continues all night, more especially toward morning and while the patient is asleep; during the time he is awake, even at night, he seldom sweats much. The thrush generally shows itself toward the close of the disease, attacking the tongue, the tonsils, and the soft palate, _and is a sure harbinger of approaching death_. Emaciation rapidly sets in.

If we consider the immense engines of destruction at work—viz., the colliquative (melting) sweats, the violent bowel complaints, the vital parts that are affected, the harassing cough, the profuse expectoration, the hectic fever, the distressing exertion of struggling to breathe,—we cannot be surprised that “consumption had hung out her red flag of no surrender,” and that death soon closes the scene. In girls, provided they have been previously regular, menstruation gradually declines, and then entirely disappears.

362. _What are the causes of Consumption?_

The _predisposing_ causes of consumption are the scrofulous habit of body, hereditary predisposition, narrow or contracted chest, deformed spine, delicacy of constitution, bad and scanty diet, or food containing but little nourishment, impure air, close in-door confinement in schools, in shops, and in factories, ill-ventilated apartments, dissipation, late hours, over-taxing with book learning the growing brain, thus producing debility, want of proper out-door exercises and amusements, tight lacing—indeed, anything and everything that either will debilitate the constitution, or will interfere with or will impede the proper action of the lungs, will be the predisposing causes of this fearful and lamentable disease.

An ill, poor, and insufficient diet is the mother of many diseases, and especially of consumption: “Whatsoever was the father of a disease, an ill diet was the mother.”

The most common _exciting_ causes of consumption are slighted colds, neglected inflammation of the chest, long continuance of influenza, sleeping in damp beds, allowing wet clothes to dry on the body, unhealthy employments—such as needle grinding, pearl-button making, etc.

363. _Supposing a youth to have spitting of blood, what precautions would you take to prevent it from ending in Consumption?_

I should let his health be the first consideration; I should throw books to the winds; if he be at school, I should advise you to take him away; if he be in trade, I should cancel his indentures; if he be in the town, I should send him to a sheltered healthy spot in the country, or to the south coast; as, for instance, either to St. Leonards-on-Sea, or to Torquay.

I should be particular in his clothing, taking especial care to keep his chest and feet warm. If he did not already wear flannel waistcoats, let it be winter or summer, I should recommend him immediately to do so; if it be winter, I should advise him also to take to _flannel_ drawers. The feet must be carefully attended to; they ought to be kept both warm and dry, the slightest dampness of either shoes or stockings should cause them to be immediately changed. If a boy, he ought to wear double-breasted waistcoats; if a girl, high dresses.

The diet must be nutritious and generous; he should be encouraged to eat plentifully of beef and mutton. There is nothing better for breakfast, where it agrees, than milk; indeed, it may be frequently made to agree by previously boiling it. Good home-brewed ale or sound porter ought, in moderation, to be taken. Wine and spirits must on no account be allowed. I caution parents in this particular, as many have an idea that wine, in such cases, is strengthening, and that _rum_ and milk is a good thing either to cure or to prevent a cough!

If it be summer, let him be much in the open air, avoiding the evening and the night air. If it be winter, he should, unless the weather be mild for the season, keep within doors. Particular attention ought to be paid to the point the wind is in, as he should not be allowed to go out if it is either in the north, in the east, or in the northeast; the latter is more especially dangerous. If it be spring, and the weather be favorable, or summer or autumn, change of air, more especially to the south coast—to the Isle of Wight, for instance—would be desirable; indeed, in a case of spitting of blood, I know of no remedy so likely to ward off that formidable, and, generally, intractable complaint—consumption—as change of air. The beginning of the autumn is, of course, the best season for visiting the coast. It would be advisable, at the commencement of October, to send him either to Italy, to the south of France—to Mentone—or to the mild parts of England—more especially either to Hastings, or to Torquay, or to the Isle of Wight—to winter. But remember, if he be actually in a _confirmed_ consumption, I would not, on any account whatever, let him leave his home; as then the comforts of home will far, very far outweigh any benefit of change of air.

364. _Suppose a youth to be much predisposed to a Sore Throat, what precautions ought he to take to ward off future attacks?_

He must use every morning thorough ablution of the body, beginning cautiously; that is to say, commencing with the neck one morning, then by degrees, morning after morning, sponging a larger surface, until the whole of the body be sponged. The chill at first must be taken off the water; gradually the temperature ought to be lowered until the water be quite cold, taking care to rub the body thoroughly dry with a coarse towel—a Turkish rubber being the best for the purpose.

He ought to bathe his throat externally every night and morning with lukewarm salt and water, the temperature of which must be gradually reduced until at length no warm water be added. He should gargle his throat either with barm, vinegar, and sage tea, or with salt and water—two teaspoonfuls of table salt dissolved in a tumbler of water. A wineglassful of barm, a wineglassful of vinegar, and the remaining sage tea, to make a half-pint bottle of gargle. He ought to harden himself by taking plenty of exercise in the open air. He must, as much as possible, avoid either sitting or standing in a draught; if he be in one he should face it. He ought to keep his feet warm and dry. He should take as little aperient medicine as possible, avoiding especially both calomel and blue-pill. As he grows up to manhood he ought to allow his beard to grow, as such would be a natural covering for his throat: I have known great benefit to arise from this simple plan. The fashion is now to wear the beard, not to use the razor at all, and a sensible fashion I consider it to be. The finest respirator in the world is the beard. The beard is not only good for sore throats, but for weak chests. The wearing of the beard is a splendid innovation; it saves no end of trouble, is very beneficial to health, and is a great improvement “to the human face divine.”

365. _Have you any remarks to make on the almost universal habit of boys and of very young men smoking?_

I am not now called upon to give an opinion of the effects of tobacco smoking on the middle-aged and on the aged. I am addressing a mother as to the desirability of her sons, when boys, being allowed to smoke. I consider tobacco smoking one of the most injurious and deadly habits a boy or a young man can indulge in. It contracts the chest and weakens the lungs, thus predisposing to consumption. It impairs the stomach, thus producing indigestion. It debilitates the brain and nervous system, thus inducing epileptic fits and nervous depression. It stunts the growth, and is one cause of the present race of pigmies. It makes the young lazy and disinclined for work. It is one of the greatest curses of the present day. The following cases prove, more than any argument can prove, the dangerous and deplorable effects of a boy smoking. I copy the first case from _Public Opinion_. “The _France_ mentions the following fact as a proof of the evil consequences of smoking for boys: ‘A pupil in one of the colleges, only twelve years of age, was some time since seized with epileptic fits, which became worse and worse in spite of all the remedies employed. At last it was discovered that the lad had been for two years past secretly indulging in the weed. Effectual means were adopted to prevent his obtaining tobacco, and he soon recovered.’”

The other case occurred about five years ago, in my own practice. The patient was a youth of nineteen. He was an inveterate smoker. From being a bright, intelligent lad, he was becoming idiotic, and epileptic fits were supervening. I painted to him, in vivid colors, the horrors of his case, and assured him that if he still persisted in his bad practices, he would soon become a driveling idiot! I at length, after some trouble and contention, prevailed upon him to desist from smoking altogether. He rapidly lost all epileptic symptoms, his face soon resumed its wonted intelligence, and his mind asserted its former power. He remains well to this day, and is now a married man with a family.

366. _What are the best methods to restrain a violent Bleeding from the Nose?_

Do not interfere with a bleeding from the nose unless it be violent. A bleeding from the nose is frequently an effort of Nature to relieve itself, and therefore, unless it be likely to weaken the patient, ought not to be restrained. If it be necessary to restrain the bleeding, press firmly for a few minutes the nose between the finger and the thumb—this alone will often stop the bleeding; if it should not, then try what bathing the nose and the forehead and the nape of the neck with water quite cold from the pump will do. If that does not succeed, try the old-fashioned remedy of putting a cold large door-key down the back. If these plans fail, try the effects either of powdered alum or of powdered matico, used after the fashion of snuff—a pinch or two, either of the one or the other, or of both, should be sniffed up the bleeding nostril. If these should not answer the purpose, although they almost invariably will, apply a large lump of ice to the nape of the neck, and put a small piece of ice into the patient’s mouth for him to suck.

If these methods do not succeed, plunge the hand and the forearm into cold water, keep them in for a few minutes, then take them out, and either hold or let be held up the arms and hands high above the head; this plan has frequently succeeded when others have failed. Let the room be kept cool, throw open the windows, and do not have many in the room to crowd around the patient.

Doubtless, Dr. Richardson’s local anæsthetic—the ether spray—playing from a few seconds to a minute _on_ the nose and _up_ the bleeding nostril, would act most beneficially in a severe case of this kind, and would, before resorting to the disagreeable operation of plugging the nose, deserve a trial. I respectfully submit this suggestion to my medical brethren. The ether—rectified ether—used for the spray ought to be perfectly pure, and of the specific gravity of 0.723.

If the above treatment does not soon succeed, send for a medical man, as more active means, such as plugging of the nostrils—_Which is not done unless in extreme cases_—might be necessary.

But before plugging of the nose is resorted to, it will be well to try the effects of a cold solution of alum:

Take of—Powdered Alum, one drachm;
Water, half a pint;

To make a Lotion.

A little of the lotion should be put into the palm of the hand and sniffed up the bleeding nostril; or, if that does not succeed, some of the lotion ought, by means of a syringe, to be syringed up the nose.

367. _In case of a young lady Fainting, what had better be done?_

Lay her flat upon her back, taking care that the head be as low as or lower than the body; throw open the windows; do not crowd around her; unloose her dress as quickly as possible; ascertain if she have been guilty of tight lacing, for fainting is sometimes produced by that reprehensible practice. Apply smelling salts to her nostrils; if they be not at hand, burn a piece of rag under her nose; dash cold water upon her face; throw open the window; fan her; and do not, as is generally done, crowd round her, and thus prevent a free circulation of air. Shakspeare knew the great importance of not crowding around a patient who has fainted. He says:

“So play the foolish throngs with one that swoons;
Come all to help him, and so stop the air
By which he should revive.”
_Measure for Measure_, Act ii. sc. 4.

As soon as she can swallow, give her either a draught of _cold_ water, or a glass of wine, or a teaspoonful of sal-volatile in a wineglassful of water.

_To prevent fainting for the future._—I would recommend early hours; country air and exercise; the stays, if worn at all, to be worn slack; attention to diet; avoidance of wine, beer, spirits, excitement, and fashionable amusements.

Sometimes the cause of a young lady fainting is either a disordered stomach or a constipated state of the bowels.

If the fainting have been caused by _disordered stomach_, it may be necessary to stop the supplies, and give the stomach, for a day or two, but little to do; a fast will frequently prevent the necessity of giving medicine. Of course, if the stomach be _much_ disordered, it will be desirable to consult a medical man.

If your daughter’s fainting have originated from a _costive state of the bowels_ (another frequent cause of fainting), I beg to refer you to a subsequent Conversation, in which I will give you a list of remedies for the prevention and the treatment of constipation.

A young lady’s fainting occasionally arises from debility—from downright weakness of the constitution; then the best remedies will be change of air to the coast, good nourishing diet, and the following strengthening mixture:

Take of—Muriated Tincture of Iron, one drachm and a half;
Tincture of Calumba, six drachms;
Distilled Water, seven ounces.

Two tablespoonfuls of this mixture to be taken three times a day.

Or, for a change, the following:

Take of—Wine of Iron, one ounce and a half;
Distilled Water, six ounces and a half:

To make a Mixture. Two tablespoonfuls to be taken three times a day.

Iron medicines ought always to be taken _after_ instead of _before_ a meal. The best times of the day for taking either of the above mixtures will be eleven o’clock, four o’clock, and seven o’clock.

368. _You had a great objection to a mother administering calomel either to an infant or to a child, have you the same objection to a boy or a girl taking it when he or she requires an aperient?_

Equally as great. It is my firm belief that the frequent use, or rather the abuse, of calomel and of other preparations of mercury, is often a source of liver disease, and an exciter of scrofula. It is a medicine of great value in some diseases, when given by a _judicious_ medical man; but, at the same time, it is a drug of great danger when either given indiscriminately, or when too often prescribed. I will grant that in liver diseases it frequently gives temporary relief; but when a patient has once commenced the regular use of it, he cannot do without it, until, at length, the _functional_ ends in _organic_ disease of the liver. The use of calomel predisposes to cold, and thus frequently brings on either inflammation or consumption. Family aperient pills ought never to contain, in any form whatever, a particle of mercury.

369. _Will you give me a list of remedies for the prevention and for the cure of Constipation?_

If you find it necessary to give to your son or to your daughter aperient medicine, the mildest ought to be selected; for instance, an agreeable and an effectual one is an electuary composed of the following ingredients:

Take of—Best picked Alexandria Senna, one ounce;
Best Figs, two ounces;
Best Raisins (stoned), two ounces:

All chopped very fine. The size of a nutmeg or two to be occasionally
eaten.

Or, one or two teaspoonfuls of compound confection of senna (lenitive electuary) may occasionally, early in the morning, be taken. Or, for a change, a teaspoonful of Henry’s magnesia, in half a tumblerful of warm water. If this should not be sufficiently active, a teaspoonful of Epsom salts should be given with the magnesia. A Seidlitz powder forms another safe and mild aperient; or one or two compound rhubarb pills may be given at bedtime. The following prescription for a pill, where an aperient is absolutely necessary, is a mild, gentle, and effective one for the purpose:

Take of—Extract of Socotrine Aloes, eight grains;
Compound Extract of Colocynth, forty-eight grains:
Hard Soap, twenty-four grains;
Treacle, a sufficient quantity:

To make twenty-four Pills. One or two to be taken at bedtime
occasionally.

But, after all, the best opening medicines are—cold ablutions every morning of the whole body; attention to diet; variety of food; bran-bread; grapes; stewed prunes; [For the best way of stewing prunes, see question 244.] French plums; Muscatel raisins; figs; fruit, both cooked and raw—if it be ripe and sound; oatmeal porridge; lentil powder, in the form of Du Barry’s Arabica Revalenta; vegetables of all kinds, especially spinach; exercise in the open air; early rising; daily visiting the water-closet at a certain hour—there is nothing keeps the bowels open so regularly and well as establishing the habit of visiting the water-closet at a certain hour every morning; and the other rules of health specified in these Conversations. If more attention were paid to these points, poor school-boys and school-girls would not be compelled to swallow such nauseous and disgusting messes as they usually are.

Should these plans not succeed (although in the majority of cases, with patience and perseverance, they will), I would advise an enema once or twice a week, either simply of warm water, or of one made of gruel, table salt, and olive oil, in the proportion of two tablespoonfuls of salt, two of oil, and a pint of warm gruel, which a boy may administer to himself, or a girl to herself, by means of a proper enema apparatus.

Hydropathy is oftentimes very serviceable in preventing and in curing costiveness; and as it will sometimes prevent the necessity of administering medicine, it is both a boon and a blessing. “Hydropathy also supplies us with various remedies for constipation. From the simple glass of cold water, taken early in the morning, to the various douches and sea-baths, a long list of useful appliances might be made out, among which we may mention the ‘wet compresses’ worn for three hours over the abdomen [bowels], with a gutta-percha covering.”

I have here a word or two to say to a mother who is always physicking her family. It is an unnatural thing to be constantly dosing either a child or any one else with medicine. One would suppose that some people were only sent into the world to be physicked! If more care were paid to the rules of health, very little medicine would be required! This is a bold assertion; but I am confident that it is a true one. It is a strange admission for a medical man to make, but, nevertheless, my convictions compel me to avow it.

370. _What is the reason girls are so subject to Costiveness?_

The principal reason why girls suffer more from costiveness than boys, is that their habits are more sedentary; as the best opening medicines in the world are an abundance of exercise, of muscular exertion, and of fresh air.

Unfortunately, poor girls in this enlightened age must be engaged, sitting all the while, several hours every day at fancy work, the piano, and other accomplishments; they, consequently, have little time for exercise of any kind. The bowels, as a matter of course, become constipated; they are, therefore, dosed with pills, with black draughts, with brimstone and treacle—oh! the abomination!—and with medicines of that class, almost _ad infinitum_. What is the consequence? Opening medicines, by constant repetition, lose their effects, and, therefore, require to be made stronger and still stronger, until at length the strongest will scarcely act at all, and the poor unfortunate girl, when she becomes a woman, _if she ever does become one_, is spiritless, heavy, dull, and listless, requiring daily doses of physic, until she almost lives on medicine!

All this misery and wretchedness proceed from Nature’s laws having been set at defiance, from _artificial_ means taking the place of _natural_ ones—from a mother adopting as her rule and guide fashion and folly, rather than reason and common sense. When will a mother awake from her folly and stupidity? This is strong language to address to a lady; but it is not stronger than the subject demands.

Mothers of England! do, let me entreat you, ponder well upon what I have said. Do rescue your girls from the bondage of fashion and folly, which is worse than the bondage of the Egyptian task-masters; for the Israelites did, in making bricks without straw, work in the open air—“So the people were scattered abroad throughout all the land of Egypt to gather stubble instead of straw;” but your girls, many of them at least, have no work, either in the house or in the open air—they have no exercise whatever. They are poor, drawling, dawdling, miserable nonentities, with muscles, for the want of proper exercise, like ribbons, and with faces, for the lack of fresh air, as white as a sheet of paper. What a host of charming girls are yearly sacrificed at the shrine of fashion and of folly!

Another, and a frequent cause of costiveness, is the bad habit of disobeying the call of having the bowels opened. The moment there is the slightest inclination to relieve the bowels, _instantly_ ought it to be attended to, or serious results will follow. Let me urge a mother to instill into her daughter’s mind the importance of this advice.

371. _Young people are subject to Pimples on the Face, what is the remedy?_

These hard red pimples (_acne_) are a common and an obstinate affection of the skin, principally affecting the forehead, the temples, the nose, and the cheeks; occasionally attacking the neck, the shoulders, the back, and the chest; and as they more frequently affect the young, from the age of 15 to 35, and are disfiguring, they cause much annoyance. “These pimples are so well known by most persons as scarcely to need description; they are conical, red, and hard; after awhile, they become white, and yellow at the point, then discharge a thick yellow-colored matter, mingled with a whitish substance, and become covered by a hard, brown scab, and lastly, disappear very slowly, sometimes very imperfectly, and often leaving an ugly scar behind them. To these symptoms are not unfrequently added considerable pain, and always much unsightliness. When these little cones have the black head of a ‘grub’ at their point, they constitute the variety termed _spotted acne_. These latter often remain stationary for months, without increasing or becoming red; but when they inflame, they are nowise different in their course from the common kind.”

I find, in these cases, great benefit to be derived from bathing the face, night and morning, with strong salt and water—a tablespoonful of table salt to a teacupful of water; by paying attention to the bowels; by living on plain, wholesome, nourishing food; and by taking a great deal of out-door exercise. Sea bathing, in these cases, is often very beneficial. Grubs and worms have a mortal antipathy to salt.

372. _What is the cause of a Gum-boil?_

A decayed root of a tooth, which causes inflammation and abscess of the gum, which abscess breaks, and thus becomes a gum-boil.

373. _What is the treatment of a Gum-boil?_

Foment the outside of the face with a hot chamomile and poppy-head fomentation, and apply to the gum-boil, between the cheek and the gum, a small white-bread and milk poultice, which renew frequently.

Four poppy-heads and four ounces of chamomile blows to be boiled in
four pints of water for half an hour, and then to be strained to make
the fomentation.

Cut a piece of bread, about the size of the little finger—without
breaking it into crumb—pour boiling hot milk upon it, cover it over,
and let it stand for five minutes, then apply the soaked bread over
the gum-boil, letting it rest between the cheek and the gum.

As soon as the gum-boil has become quiet, _by all means_ have the affected tooth extracted, or it might cause disease, and consequently serious injury of the jaw; and whenever the patient catches cold there will be a renewal of the inflammation, of the abscess, and of the gum-boil, and as a matter of course, renewed pain, trouble, and annoyance. Moreover, decayed fangs of teeth often cause the breath to be offensive.

374. _What is the best remedy for a Corn?_

The best remedy for a _hard corn_ is to remove it. The usual method of cutting, or of paring a corn away, is erroneous. The following is the right way; Cut with a _sharp_ pair of pointed scissors around the circumference of the corn. Work gradually round and round and toward the center. When you have for some considerable distance well loosened the edges, you can either with your finger or with a pair of forceps generally remove the corn bodily, and that with little pain and without the loss of any blood.

If the corn be properly and wholly removed, it will leave a small cavity or round hole in the center, where the blood-vessels and the nerve of the corn—vulgarly called the root—really were, and which, in point of fact, constituted the very existence or the essence of the corn. Moreover, if the corn be entirely removed, you will, without giving yourself the slightest pain, be able to squeeze the part affected between your finger and thumb.

_Hard corns_ on the sole of the foot and on the sides of the foot are best treated by filing—by filing them with a sharp cutting file (flat on one side and convex on the other), neither too coarse nor too fine in the cutting. The corn ought, once every day, to be filed, and should daily be continued until you experience a slight pain, which tells you that the end of the corn is approaching. Many cases of _hard corn_, that have resisted every other plan of treatment, have been _entirely_ cured by means of the file. One great advantage of the file is, it cannot possibly do any harm, and may be used by a timid person, by one who would not readily submit to any cutting instrument being applied to the corn.

The file, if properly used, is an effectual remedy for a _hard corn_ on the sole of the foot. I myself have seen the value of it in several cases, particularly in one case, that of an old gentleman of ninety-five, who had a corn on the sole of his foot for upwards of half a century, and which had resisted numerous, indeed, almost innumerable, remedies; at length I recommended the file, and after a few applications entire relief was obtained, and the corn was completely eradicated.

The corns between the toes are called _soft corns_. A _soft corn_ is quickly removed by the strong acetic acid—acid. acetic. fort.—which ought to be applied to the corn every night by means of a camel’s-hair brush. The toes should be kept asunder for a few minutes, in order that the acid may soak in; then apply between the toes a small piece of cotton-wool.

_Hard corns_, then, on the sole and on the side of the foot, are best treated by the file; _hard corns_ on the toes by the scissors; and _soft corns_ between the toes by the strong acetic acid.

In the generality of cases the plans recommended above, if properly performed, will effect a cure; but if the corn, from pressure or from any other cause, should return, remove it again and proceed as before directed. If the corn have been caused either by tight or by ill-fitting shoes, the only way to prevent a recurrence is, of course, to have the shoes properly made by a clever shoemaker—by one who thoroughly understands his business, and who will have a pair of lasts made purposely for the feet.

As long as fashion, instead of common sense, is followed in the making of both boots and shoes, men and women will as a matter of course suffer from corns.

It has often struck me as singular, when all the professions and trades are so overstocked, that there should be, as there is in every large town, such a want of chiropodists (corn-cutters)—of respectable chiropodists—of men who would charge a _fixed_ sum for every visit the patient may make; for instance, to every working-man a shilling, and to every gentleman half a crown or five shillings for _each_ sitting, and not for _each_ corn (which latter system is a most unsatisfactory way of doing business). I am quite sure that if such a plan were adopted, every town of any size in the kingdom would employ regularly one chiropodist at least. However we might dislike some few of the American customs, we may copy them with advantage in this particular—namely, in having a regular staff of chiropodists both in civil and in military life.

The German method of making boots and shoes is a capital one for the prevention of corns, as the boots and shoes are made scientifically, to fit a _real_ and not an _ideal_ foot.

One of the best preventives of, as well as of the best remedies for, corns, especially of soft corns between the toes, is washing the feet every morning, as recommended in a previous Conversation, taking especial care to wash with the thumb, and afterward to wipe with the towel between each toe. [See _Youth_—_Ablution_.]

375. _What is the best remedy to destroy a Wart?_

Pure nitric acid, carefully applied to the wart by means of a small stick of cedar wood, a camel’s-hair pencil-holder, every other day, will soon destroy it. A very small quantity of pure nitric acid—just a drain at the bottom of a stoppered bottle—is all that is needed, and which may be procured of a chemist.

Care must be taken that the acid does not touch the healthy skin, or it will act as a caustic to it.

The nitric acid should be preserved in a stoppered bottle, and must be put out of the reach of children.

376. _What is the best remedy for Tender Feet, for Sweaty Feet, and for Smelling Feet?_

Cold water: bathing the feet in cold water, beginning with tepid water but gradually from day to day reducing the warm until the water be quite cold. A large nursery-basin, one-third full of water, ought to be placed on the floor, and one foot at a time should be put in the water washing the while with a sponge the foot, and with the thumb between each toe. Each foot should remain in the water about half a minute. The feet ought after each washing to be well dried, taking care to dry with the towel between each toe. The above process must be repeated at least once every day, every morning, and, if the annoyance be great, every night as well. A clean pair of stockings ought in these cases to be put on daily, as perfect cleanliness is absolutely necessary both to afford relief and to effect a cure.

If the feet be tender, or if there be either bunions or corns, the shoes and the boots made according to the German method (which are fashioned according to the actual shape of the foot) should alone be worn.

377. _What are the causes of so many young ladies of the present day being weak, nervous, and unhappy?_

The principal causes are—ignorance of the laws of health, Nature’s laws being set at naught by fashion and by folly, by want of fresh air and exercise, by want of occupation, and by want of self-reliance. Weak, nervous, and unhappy! Well they might be! What have they to make them strong and happy? Have they work to do to brace the muscles? Have they occupation—useful, active occupation—to make them happy? No! they have neither the one nor the other!

378. _What diseases are girls most subject to?_

The diseases peculiar to girls are—Chlorosis, Greensickness, and Hysterics.

379. _What are the usual causes of Chlorosis?_

Chlorosis is caused by torpor and debility of the whole frame, _especially of the womb_. It is generally produced by scanty or by improper food, by the want of air and exercise, and by too close application within doors. Here we have the same tale over again—close application within doors, and the want of fresh air and exercise! When will the eyes of a mother be opened to this important subject?—the most important that can engage her attention!

380. _What is the usual age for Chlorosis to occur, and what are the symptoms?_

Chlorosis more frequently attacks girls from fifteen to twenty years of age; although unmarried women, much older, occasionally have it. I say _unmarried_, for, as a rule, it is a complaint of the _single_.

The patient, first of all, complains of being languid, tired, and out of spirits: she is fatigued with the slightest exertion: she has usually palpitation of the heart (so as to make her fancy that she has a disease of that organ, which, in all probability, she has _not_); she has shortness of breath, and a short dry cough; her face is flabby and pale; her complexion gradually assumes a yellowish or greenish hue—hence the name of chlorosis; there is a dark, livid circle around her eyes: her lips lose their color, and become almost white; her tongue is generally white and pasty; her appetite is bad, and is frequently depraved—the patient often preferring chalk, slate-pencil, cinder, and even dirt, to the daintiest food; indigestion frequently attends chlorosis; she has usually pains over the short-ribs, on the _left_ side; she suffers greatly from “wind,” and is frequently nearly choked by it; her bowels are generally costive, and the stools are unhealthy; she has pains in her hips, loins, and back; and her feet and ankles are oftentimes swollen. _The menstrual discharge is either suspended, or very partially performed_; if the latter, it is usually almost colorless. Hysterical fits not unfrequently occur during an attack of chlorosis.

381. _How may Chlorosis be prevented?_