Chapter VII: Appendix: II (1)

The following compositions are also used especially in specific cases.

=(D). Tea. Diabetic. _Dechmann._=

Description: Compound of many herbs (powdered) found beneficial to the diabetic system.

=(E). Tea. Laxagen. _Kneipp._=

Description: Compound of several herbs (powdered) approved by the celebrated Kneipp in cases of chronic constipation.

=(F). Salve. Lenicet. _Reiss._=

Description: The most beneficial salve in case of inflamed wounds, boils or exanthematous eruptions.

=(G). Massage Emulsion. _Dechmann._=

Description: Consists of the finest ethereal oils and other ingredients useful and valuable, yet absolutely harmless, in case of nerve or muscular pains, applied as a liniment.

=(H). Propionic acid.=

Description: The product of various herbs known for their high percentage of propionic acid; applied in case of catarrh in the form of atomized steam.

=(I). Oxygen Powder. _Hensel._=

Description: A composition of sugar, gum tragacanth (traganth) and citric acid, used in the form of lemonade in case of high carbonic acid poisoning.

=(J). Anti-Phosphate. _Dechmann._=

(Otherwise termed "Negative Compound.")

Description: Contains all basic salts as sulphates, thus acting as the governor of a machine; that is it prevents the accumulation of too much phosphate in the blood, which would promote the formation of all fungus growths. (See paragraph in the article, "Importance of the Mineral Constituents in our food").

* * * * *

A copy of my wholesale price list as given in 1915--before we entered the war--may give you a fair idea of the price of my compositions. Since that time, most of the ingredients of these remedies have increased from four to ten times in value. The reader can easily judge therefrom of the fairness of the present values. I may say that most of the compositions are listed at only one-fourth to one-third advance, notwithstanding the high cost of chemicals. This fact will absolve me, I think, of any tendency to profiteering.

PRICE-LIST DECH-MANNA COMPOSITIONS.

No. Per oz. Per lb.

I. Plasmogen $0.75 $ 8.00
II. Lymphogen 1.00 10.67
III. Neurogen 1.50 16.00
IV. Osseogen 1.00 10.67
V. Muscogen 1.00 10.67
VI. Mucogen 1.00 10.67
VII. Dento & Ophthogen 1.50 16.00
VIII. Capillogen 1.50 16.00
IX. Dermogen 1.50 16.00
X. Gelatinogen 1.50 16.00
XI. Cartilogen 1.50 16.00
XII. Eubiogen 2.00 21.35
Same with sacch. lact. radio 2.50 26.67

A reduction of 33-1/3% on the prices per pound will be allowed on all the above products as quoted in the second column.

A. Radio emanation tablet (5,000 volts);
Per tablet $ 1.50
Bath salts, original composition, lb. 1.00
B. Eubiogen Liquid (a) oz. 0.75 (b) oz. 1.00
pt. 8.00 pt. 10.67
C. Tonogen (a) oz. 0.50 (b) oz. 0.75
pt. 5.33 pt. 8.00
J. Anti-Phosphate (a) oz. 0.50 (b) oz. 0.75
lb. 5.33 lb. 8.00

Copies of the Handbook "Dare To Be Healthy" Second Edition, may be procured at 75c for the paper-bound edition and $1.50 for the leather-bound edition.

PHYSICAL TREATMENT.

As I have already stated, it is necessary in disease to assist the process of regulating the circulation and opening the body to the full benefit of the dietetic and nutritive salts treatment by applying a number of physical treatments, in each case, which, for convenience sake, I have divided into ten different groups, some of which may need to be applied simultaneously in certain cases.

They are as follows:

23. Ablutions with vinegar and water, 1 part vinegar, 2 parts water.

24. Abdominal packs, vinegar and water, dito

25. Partial packs:
(a) Vinegar and water, dito
(b) Radium and salts.

26. Partial packs:
(a) Arms.
(b) Legs.
(c) Neck.
(d) Shoulder.

27. Three-quarter packs, vinegar and water, dito

28. Gymnastics.

29. Massage.

30. Breathing Exercises.

31. Oxygenator Baths.

32. Radium and Salt Baths.
(a) Half.
(b) Whole.

NOTE--=The Vinegar= indicated to be used for these treatments, and
in all similar treatments, packs, or ablutions, prescribed, is the
natural, or what is known as "Apple Cider Vinegar." The manufactured
or ordinary table vinegar, as made from chemicals, is not suitable
for the purpose.

From these groups a treatment is usually prescribed in each and every case of disease.

The importance of ablutions especially packs is so great that it is necessary to give further explanations concerning them:

In a general way, it is necessary to apply a bath or an ablution (See Form 23) when the test with the thermometer, usually applied under the tongue, in arm-pit or in the rectum, shows that the temperature of the patient exceeds 100 degrees. The patient grows restless, his skin feels dry and the pulse, which regularly is 70 to 80 with adults, 90 to 100 with children, and about 130 with infants, shows an increased speed. As soon as these symptoms appear, they indicate that the immediate cooling off of the body by means of a bath, an ablution or a pack is necessary. Adults will always show the desire for such instinctively.

In extreme cases baths or ablutions should be administered several times every day.

Healthy people perspire as soon as they become too hot. This means that they cool off through the evaporation of the perspiration. This is supplemented by the bath and its cooling effect; balancing the higher temperature of the body with the lower temperature of the water, brings this about. The blood which flows towards the skin during the bath is cooled off, and returns in this condition to the interior of the body, and is immediately followed by other quantities of blood.

Since the blood circulates through the body about twice every minute, the cooling takes place from 20 to 24 times during a bath, lasting from 10 to 12 minutes. This explains the soothing and cooling effect of the bath on the waves of blood and the nerves, which are irritated by the increased temperature.

At the same time the bath opens the pores which assist in the excretion of degenerated matter produced by the disease, and fosters the reception of oxygen.

It is a natural function of the body that an increased flow of the warming blood flies always to any region of the body which is assailed by external cold, so that such parts may not become too cold or, in common parlance, may not "catch" cold.

This explains why the hands get red and hot after throwing snow-balls, the feet burn after a cold foot bath.

As soon as the body, which is hot with fever, is put into the cool bath, the first effect is that the blood-vessels of the skin contract under the cooling influence. The blood recedes. Soon, however, it streams with renewed energy to the skin to defeat the cold. The first action,--the recession of the blood,--is followed by reaction or increased activity of circulation towards the skin. This removes the pressure of the blood upon the overburdened internal organs, such as the brain, the lungs and the heart. The blood is diverted.

For ablutions the water should be cool or lukewarm, the exact temperature to be determined by the strength of the patient. Some vinegar should be added to the water, taking two parts water and one part vinegar.

To accustom children to the use of water and ablutions is one of the important duties of motherhood.

A healthy child should be washed once every day with water at 59 degrees to 64 degrees. The best way to wash the child is to put two chairs in front of its bed. On one of them place the vessel with the necessary water, on the other place the child, after it has been disrobed in bed, in a standing position, so that it can be supported with the back of the chair. The ablution is performed by means of strong application with the hands, dipped into the water, and is repeated several times. Then the shirt is put on again, and the child is allowed to stay well covered in bed for another 15 minutes.

Children must become accustomed to gargling as early as possible, and to draw water up through the nose, or to remove it from the mouth through the nose. This is very valuable and facilitates the treatment of children in case of disease.

VINEGAR PACKS.

It appears opportune at this juncture, and before entering upon the detailed description of the modern healing system of Vinegar Packs, included in the prescribed course of Physical Treatments which follow, to make a few rational remarks illustrative of the physical significance and scientific basis of a branch of therapy which largely amongst the laity, through ignorance, and more so amongst the regular medical fraternity, for reasons of their own, is too frequently lightly regarded by the one and diplomatically depreciated by the other.

In this manner one of the most potent and logical modern factors in the healing of disease would be conveniently consigned to the back ground in company with other simple _but unremunerative_ truths, but for the timely intervention of the new and enlightened school of independent medicine of which the Biological or Hygienic Dietetic Method of Healing is the outcome.

The wonderful efficacy of natural Vinegar upon the organism and its employment in the form of Vinegar Packs and compresses dates back probably to the early traditions of the healing art, but scientific analysis of its subtle operation upon the system through the vital fluid has been left for the scientific research of today to determine.

To those of the public--or the profession--therefore, who are not conversant with the subject the following notes may be valuable as descriptive of the why and wherefore of the use of Vinegar.

It will be admitted, I think, that one of the most prolific sources of disease, in innumerable forms, is that of congestion of blood. The greatest danger of such congestion is inflammation. Should inflammation occur in or near a vital organ and fail to be promptly reduced and its cause (coagulation) removed, the result is decomposition--and decomposition, if not arrested means death.

The most valuable--I might almost say infallible--remedy known, even to the greatest accepted authorities of physiology, for the prevention of inflammation is acetic acid in diluted form, or, in a word, Vinegar, as a restorer of the fluidity of the blood.

Inflammation is the result of coagulation of the blood-albumen; congestion is its sequal, inflammation and decomposition of the tissues its climax. The last is nearly always fatal.

_The manifest object therefore to be achieved in all such cases is to restore the normal fluidity and circulation of the blood_ without unduly taxing any vital organ. Thus, for instance, hot packs on the feet draw the blood towards the feet, where no vital organs exist. Hot packs act as an absorbent, by suction; cold packs, on the affected place, act in inverse ratio as an expelling force. The two operating conjointly promote full circulation and extend the absorbing tendency to the whole system.

Ice, on the other hand, though not infrequently prescribed, is too strong a force. It contracts the blood vessels, arrests normal circulation, and in many cases is the direct cause of death. This is attested by the teaching of physiological law which maintains that any part of the human system which is not fed by fresh oxygenous blood _must decompose_.

Packs, of course, must be regulated in accordance with the vital strength of the patient, as indicated by the physician; for in the course of the excretion of morbid matter through the pores, under the influence of the packs, a certain proportion of accompanying healthy substance is necessarily exuded simultaneously, with a slightly weakening tendency. This however can be promptly and effectively replaced by proper alimentation, or food selection in accordance with the Dech-Manna Diet System already particularized.

One other matter it is advisable to deal with in advance and that is the _Nature of the Vinegar to be employed for Packs_.

It must be borne in mind that for this purpose an absolutely pure natural product should be obtained.

I recommend, in the first place a genuine _Apple Cider Vinegar_; for apples not alone contain the pure acetic acid but also some five or six other fruit acids which are so beneficial for the purpose of keeping the blood at normal temperature and normal fluidity, and contain also a considerable amount of the essentials known under the head of vitamines.

As a secondary alternative I would recommend _Wine Vinegar_ for the same purpose.

The manufacturers vinegar product--_Acetic acid, should never the used_ as it contains, very frequently, harmful ingredients.

It should never be forgotten that the substances used for the purpose of packs, and thus absorbed into the system, become a part of the blood and therefore cannot be too pure.

The reader will doubtless observe from the foregoing demonstration that the Dechmann System of Therapy differs materially from the science of the Old-School of Medicine in that it is not based upon evanescent theories of hairsplitting philosophy but upon the solid basis of cold-blooded fact.

Why then, the reader will inquire, should so wonderful and at the same time _simple, inexpensive and easily applied remedy_ be treated by "the faculty" with an affectation of indulgent toleration, ridicule or "damning with faint praise."

To this riddle there are two solutions--neither of them very creditable to those concerned.

On the one hand, only crass ignorance of some of the most important facts of physiology and physiological chemistry could account for it. And, it must be borne in mind that in the course of the prolific verbosity of pontificated dogma which has graced the scroll of medical science, whole libraries have been written--and ably written, too--by skillful pens for the sole purpose of covering the simple nudity of the agnostic position of science--the dreaded, confidence-shattering admission: "I don't know."

Failing this solution there is, unfortunately, but one alternative and that a singularly distasteful one to entertain; namely, to attribute the unpopularity of this splendid gift of Nature to unprofessional considerations on the part of an apothecary-loving profession.

The employment of vinegar is, as I have said, a royal remedy, ready to the hand of any man and at little or no expense, and it needs no "learned" interpretation.

It is consequently beyond the omnivorous talons of "the trade."

Would it be unkind to say: "Hinc illae lachrymae"?

THE PACKS.

The packs mentioned as physical treatment, under Nos. 24, 25, 26 and 27, are of the greatest importance, and in fact I never undertake the treatment of any disease whatsoever without applying them as the most effective means of restoring proper circulation of the blood and removing diseased matter from the body, which is the only way to bring about a real and definite cure.

The effect of the pack is the cooling of the blood.

The temperature of the pack is 50 degrees and more below the temperature of the blood.

In the first place this brings about quiet after unrest.

Through the action of the body, which sends a large quantity of blood to the places which are touched by the cool compresses, a certain surplus of heat is created which is transferred to the compresses and retained by them as moist warmth.

Under this influence the blood-vessels of the skin extend and absorb blood more freely, which is thus diverted from the important internal organs to the skin. In all cases of fever the diseased matter is dissolved in the hot feverish blood and circulates in and with it. The evaporation of the skin is increased, and with it the diseased matter is absorbed by the compresses, which consequently diffuse an unpleasant odor when removed, and when cleansed, give to the water a muddy appearance. Thus it may be observed to what extent the pack removes diseased matter from the body.

Packs must be changed as soon as they cease to give comfort to the patient, and make him too warm. Highly flushed cheeks, increasing temperature and unrest are sure signs that the pack requires to be changed, and in case of high fever this may happen after 20 to 30 minutes.

For short packs, such as are prescribed in all inflammatory and feverish diseases, water at from 59 degrees to 64 degrees is used.

A piece of linen cloth is folded from 4 to 8 times, wrung out, but not too much, and then covered with moderately thick folds of woollen cloth. The stronger the patient and the higher the fever, the thicker should be the pack.

For infants a double linen strip is sufficient.

The faster the fever and inflammation recede, the longer may the pack last, up to three hours. The convalescent will enjoy the moist warmth, under the influence of which still existing diseased material is thoroughly dissolved and completely excreted. The dissolving effect of packs of long duration is most noticeable in chronic diseases.

Through the penetrating effect of the moist warmth on the body or parts thereof, deposited diseased matter is dissolved, and dislodged, existing excoriations are disintegrated, and withdrawn into the circulating blood, and thus excreted.

The dissolving packs of long duration must be applied somewhat thinner than the cooling ones (from 1 to 3 folds); they must be wrung out more vigorously, and covered more closely.

If a pack should be applied for the sake of prevention of disease, it may be put on in the evening and remain all night. In the beginning of fever, while it remains moderate, the patient can endure the pack for from 2 to 2-1/2 hours.

Biological hygienic therapy rejects the external application of ice, for it causes severe congestion of the blood. Extensive application of the ice pouch causes more or less paralysis of the nerves, which in many cases prevents recovery and even causes chronic disease or fatal results. The biological hygienic treatment desires _to moderate inflammation only_, to the degree that it should lose its dangerous character, but it leaves to the body its power _to remove, through the process of inflammation, alien and diseased matter, and to absorb and gradually carry away the products of inflammation through the blood current_.

Paralysis of the vocal cords, of the muscles of the eye, of the nerves of hearing, the exudations from the nose and eyes after diphteria, meningitis and scarlet fever, adhesions, suppurations after pneumonia and other forms of inflammatory disease, are often the _consequences of the use of ice_, because the products of inflammation are not absorbed, and the ice paralyzes the neighbouring nerves.

Inflammations, which are suppressed by medicine or ice, must renew themselves; since the causes, the alien matter (auto toxins), as well as the products of inflammation remain in the body and are not thoroughly excreted.

To apply water, on the contrary, quickly removes not only the inflammation, but its causes and eventual consequences. The organs which have been inflamed do not show any further inclination to renewed inflammation.

In no case will a chronic ailment be the consequence of an acute disease, provided the same is dealt with in a natural way, according to the principles of biological hygienic treatment.

In order to bring about the complete excretion of all autotoxins and, in case of inflammation, the complete absorption of all products thereof, it is necessary to continue the lengthy packs even during the period of convalescence, and not to stop immediately the fever and inflammation have somewhat disappeared. This is a mistake which is frequently committed, and the fault is then laid at the door of the biological hygienic system. Any relapse, or succeeding illness, will be avoided by continuing the packs for four to six weeks after the disease has been cured, applying them during the night and at first also during the day-time, from two to three hours.

While most people understand the cooling effect of a pack, _the important diverting, dissolving and excreting effect is rarely understood_. Few people understand why ablutions, abdominal and leg packs are prescribed in case of inflammation of the eyes; why, in case of ulcers, besides compresses on the part affected, nightly abdominal packs and ablutions in the morning, are considered indispensable; and why, in case of inflammation of _one_ leg, the healthy leg is also subjected to a pack.

And yet the explanation is very simple, rational and logical.

In limiting packs, in case of inflammation, to the inflamed part only, the blood current would be directed mainly to the one place, and the excretion of autotoxins from the body would only occur in the inflamed place. The blood would carry all diseased matter principally to the diseased spot and deposit it there. The inflamed organ would thus be burdened with work which it simply would not be able to perform. The effect is far otherwise when the pressure of blood into the diseased part is moderated, if the dissolution and excretion of the matter that causes the disease, takes place, not in one spot only, but is distributed over the entire body. If the entire skin comes into action, the entire body participates in the healing process. In biological hygienic-dietetic practice it is, consequently, not sufficient to treat the one diseased organ only. In all diseases _the co-operation of the entire body in a general treatment, remains the main issue of the biological, hygienic therapy_. It regards the human body, as so often stated, purely as a unit, and knows neither specialist nor special cures. This is the key to its success.

IMPORTANT GENERAL ADVICE.

For use in packs take coarse, previously used and loosely woven linen, which readily absorbs water and clings closely to the body.

After each pack the linen must be rinsed well and boiled and the woollen material or blanket must be thoroughly aired. From time to time the woollen covering must be washed, or chemically cleaned, if possible.

Raw silk is an excellent substitute for linen. It clings well to the body, does not cause any discomfort, and has an excellent absorbing quality for water and other substances.

The proper application of the pack is of course of great importance. Adults can easily apply many of the packs without assistance, but generally speaking a third person is necessary, whether in the case of children or patients. It is consequently advisable for every mother to become thoroughly familiar with the methods of applying packs, and she should always have the necessary material on hand. It should be cut to the proper size, and there should be duplicates of each piece for the necessary changes. The approximate measurements for adults are:

=Width= =Length=
Neck pack 5" 40" to 60"
Shoulder pack 10" 40"
Abdominal pack 28" 40" to 60"
Breast or stomach pack 16" 52" to 60"
"T" pack 16" 52" to 60"
Cross piece alone 5" 24"
The shawl 32" to 40" 32" to 40"
Scotch pack (undivided) 16" 80" to 100"
Same for children 10" to 16" 60" to 80"
Calf pack 24" 26"
Leg pack 24" 30"
Three-quarter pack 56" 52" to 60"
Whole pack 68" 80"

The measurements for children are accordingly shorter and narrower.

As to the application of packs, a mother can learn a great deal by experimenting on her own body. Packs at night are by no means detrimental to adults, and the application of a regular abdominal pack, a three-quarter pack, and a whole pack once a week or once every two weeks is decidedly advantageous. Three-quarter and whole packs should be occasionally tried on the body of children with dry linen so that in case of disease the mother will be a well trained nurse, at least in this respect.

To go about the application of the pack quietly and without much talking is very comforting to the patient, who usually grows excited during the procedure.

In case of acute feverish disease the packs and the changes must be applied very quickly, so that the patient will not catch cold. While, as a rule, the patient should not be disturbed in a quiet sleep, unconsciousness or delirium must not prevent change of the pack.

Packs should be applied so as not to cause any creases which may hurt the patient.

The temperature of the water used for packs should be as follows:

For the cooling packs, 59 degrees to 64 degrees.

For dissolving packs, 64 degrees to 71 degrees.

The higher temperature is used in the treatment of infants, nervous and anaemic persons.

In chronic diseases a gradual return to a lower temperature by about 2-1/2 degrees per week is advisable.

No packs or compresses should be put on when parts of the body are cold. In such cases the parts in question must first be warmed.

The linen should be wrung out less for short cooling compresses than for dissolving packs of longer duration.

Cooling compresses must be changed as soon as the patient indicates that he feels oppressed or irritated by the heat.

As a general rule, packs on the legs may be left on feverish patients twice as long as packs on the upper parts of the body.

No fever being apparent, the abdominal pack may be changed after about 2-1/2 hours, the leg pack after 5 hours, and even not at all during the night. Packs should be renewed according to requirements of the individual patient, not in accordance with fixed rules.

Great care must be exercised to fasten the packs well and tightly. This is usually done with good strong safety pins; these should be fastened perpendicularly, or at right angles to the length of the material.

When changing the pack on feverish patients who are to receive an ablution or a bath two or three times a day, all pins must be loosened under the bedcovers so that the pack may be removed quickly.

If ablutions only are to be given, the pack is removed gradually as the respective parts of the body are to be washed.

When the fever is moderate, there should be ablutions morning and evening, or a bath in the morning and an ablution in the evening.

When packs are applied only at night, patients require only an ablution in the morning.

If the packs are not renewed, an ablution must follow the removal. This refreshes and strengthens the skin, closes the wide open pores and prevents taking cold.

Dissolving packs, if annoying at night, may be removed under the bedcovers without an ablution.

If the pack is changed without intervening ablution, the new pack must be ready to be applied before the old, hot one, is taken off.

While in a pack, the patient should not leave his bed, not even for the purpose of urinating or for stool.

GENERAL RULES.

The following general rules must be applied in connection with the directions given anon for packs during different diseases.

In case of inflammation, the inflamed spot is cooled off by local compresses, and diverting packs of longer duration are applied on other parts of the body.

For instance, in case of inflammation of the brain or tonsils.

The first step is to cool off the blood which flows to the neck and head by short-time compresses on the neck and on the cervix. At the same time an attempt must be made to divert it through lengthier packs on the abdomen, the legs and the wrists, thereby to prevent a further delivery of diseased matter to the centre of inflammation. The solution and excretion of diseased matter from other points than the inflamed spots will thereby be effected, and these will be unburdened and calmed accordingly.

In case of inflammation of the organs of the breast (lungs, heart), the blood is diverted to the abdomen, legs and lower arms through long-time packs, and the upper parts of the breast are cooled with short compresses.

If the inflammation has its seat in the abdomen, this must be cooled off, while the diversion with longer-time packs is made to the legs and arms.

Ulcers are treated by applying extremely hot compresses, which are frequently changed, and the surrounding parts are cooled off and diversion is effected through nightly packs on the abdomen and on the legs. The hot compresses dissolve the diseased matter, so that the ulcer opens. Thereupon cool compresses of 71 degrees to 64 degrees are applied and allowed to remain for 2-1/2 to 3 hours, which will effect quick healing without the necessity of an operation.

_The main rule is never to divert towards a vital organ_ of the body, such as the lungs or heart; thus, in case of inflammation of the head, diversion must be attempted, not to the breast, but to the arms and legs.

ABDOMINAL PACK (24)

The abdominal pack should be applied on infants and children whenever they show signs of illness in any way, and naturally, in cases of summer complaints, measles, scarlet fever, diphtheria, whooping cough, pneumonia, typhoid fever, in which cases a pack should be applied during the entire course of the illness with slight intermissions only.

As in acute diseases, it is also applied in chronic ones. (See descriptions to follow). Its early application will often serve to prevent serious sickness.

The abdominal pack reaches from the level of the base of the breast bone to the hips. It is made from a piece of linen crash about 12 inches in width which must cover the space from 6 inches below the arm-pits to the hips, while its length must be such that it can encircle the body, overlap upon the abdomen and be secured with tapes at the left side. A further piece of soft linen is needed to pass between the legs, to be fastened to the former, back and front, with safety-pins. The next requirement is a piece of woollen cloth, or blanket, folded double or treble as required, in breadth, about 6 inches wider than the linen crash and of equal length, with a shorter woollen strip for between the thighs, attached like the linen, back and front. For children a linen towel etc. with the accompanying woollen coverings, will be found, as a rule, sufficient; for infants, a properly folded piece of old linen. The linen as well as the woollen material must be properly folded before the pack is made, and measured, so that the patient need not be kept waiting while the pack is being placed on the body.

The above cut shows how to apply the abdominal pack on an adult patient.

The linen is saturated in two parts of water with one part of vinegar, at 64 to 75 degrees Fahrenheit, well wrung out, and is placed on the woollen material in such a way that the latter extend about 2 to 3 inches on the upper and lower edge. The pack is now placed around the back of the patient, who sits in bed or is held in position by another. The patient's shirt is lifted and he is laid down on the moist linen, which is then quickly raised on both sides and folded over the abdomen. The same is done with the woollen material, which is then fastened tightly in the middle, the upper and lower corners with three safety pins. Then the shirt is pulled down and the patient is warmly covered.

In individual cases it is advisable sometimes to divide the pack into a back and front compress of greater proportions.

In such cases the woollen cloth, which is used for the abdominal pack is placed underneath the patient as before. A towel is folded 6 to 8 times, so that it will grow warm slowly and thus may remain on the body for a longer time. This is placed under the back of the patient. Then two properly folded towels, which are not wrung out very thoroughly, are put on the abdomen, and tucked down a little on both sides. The woollen cloth is thereupon fastened so as to keep the compresses in place, the arrangement being otherwise exactly as before. In such cases the back compress only needs to be changed every 2 to 3 hours, even in case of severe fever. The front towels may be changed several times in the meantime.

Since this system permits the application of the pack without disturbing the patient and making him sit up too often, it is very desirable in cases of severe illness.

The undivided pack is often very uncomfortable for patients suffering from respiratory complaints.

It is better to treat very excitable patients with front compresses only.

When the stomach pack only is prescribed, as in catarrhal and nervous, stomach or liver complaints, which pack may be worn during the night as well as the day, a long, wide mesh shawl, with a bandage, 7 to 8 inches in width at each end, is most servicable, as it will reach around the body 4 or 5 times. In order to exclude the air as much as possible, the moist compress is first applied, and then the shawl is placed around the body in such a way that each succeeding turn covers the previous one to about one-half, in bandage form.

THE CROSS PACK (25)

This is applied in case of men's diseases and women's diseases of the sexual organs. To the woollen material and the linen crash of the abdominal pack, another piece, about half as long and about 7 inches wide, is sewed or pinned before application, in the form of a T.

Before the two ends of the abdominal pack are folded over on the front of the abdomen, the narrower piece is drawn up between the legs from behind, so that the end of it can be fastened to the two sides of the abdominal part of the pack that are folded over in front.

As shown above, the abdominal pack must reach down as far as possible, and if a patient is unable to stand both packs, the moist part of the abdominal pack may be omitted, and only the regular pack over the sexual organs and the woollen part over the abdomen applied.

In case the cross piece is for the purpose of cooling and contracting, it must be frequently renewed.

Women should accompany the ablutions mornings and evenings with injections of lukewarm water at 71 degrees to 82 degrees, and men should make ablutions of the sexual parts 5 to 6 times a day with water at 64 degrees to 71 degrees.

The cross pack has the advantage of gradually putting back into normal position, the female organs, if they are in any way displaced.

These packs will help to cure cases of leukorrhoea and gonorrhoea, locally too, without operations or the application of poisons, especially if applied at an early stage.

LEG PACKS (26)

These are applied in a similar way to the abdominal pack.

A towel or linen is doubled, moistened, and placed upon the woollen cloth, so that the woollen material extends about two inches beyond the upper and lower edges of the towel. These are laid together under one of the patient's legs, covering it from the middle of the thigh to the ankle, turned up from both sides and fastened with three safety pins. The other leg is packed in the same way, each one separately.

In like manner partial packs of the calves or the feet are applied. In all of these cases it is more expedient and comfortable to use "knit" packs. Cotton stockings of suitable length from which the foot has been removed, should take the place of the linen or towel in the packs previously described. They are moistened and covered with woollen stockings of corresponding length. The foot parts are to be used only for foot packs in a similar way. The woollen stocking should be as loose and comfortable as possible. In case of bent legs (through gout or otherwise) the moistened linen is wrapped around the leg like a bandage, and then a woollen bandage is wound over it.

In cases of severe fever the wrists are also packed, no woollen cover, however, being necessary in this case.

The leg pack has, in the first place, a diverting and consequently a calming effect. It is, therefore, of the highest value, next to the abdominal, cross, neck and shoulder packs, in all feverish and especially all chronic cases of disease where congestion in the head and breast, with consequent dizziness, headache, insomnia, pains in the lungs and heart, must be removed; moreover, in chronic cases, they assist in the effects of the abdominal pack.

Foot packs, that is, wet stockings, have a very favorable action upon headache, toothache and earache, and are best applied during the night. If they excite the patient too much, they may easily be taken off during the night; otherwise they should be followed by a cold ablution of the feet in the morning. Nervous patients are usually unable to stand the wet stockings, which only work well if the feet become warm quickly, which, as a rule, is not the case in feverish illnesses.

Patients who suffer from cold feet should take a steam foot bath before applying cold foot packs.

Since the legs and the feet develop less heat than the abdomen, leg and foot packs do not require as thick material as abdominal packs, and are changed less frequently. They are best applied when the fever is at its height, in the late afternoon and at night. In case leg packs are continued for a long while, the legs show decreasing inclination to grow sufficiently warm. Whenever this occurs, leg packs must be discontinued, or the packed legs must be warmed in an artificial manner.

The diverting wrist packs are of special value, especially in all acute diseases of the lungs (inflammations, bleedings, hemorrhages) and the heart.

NECK PACK (26)

This is made by folding a piece of linen fourfold, long enough to reach twice around the neck. It is dipped in the vinegar-water at from 59 degrees to 64 degrees, placed around the neck and some woollen material wound over it, covering well the moist linen.

The neck pack has its effect on the inside of the neck in case of tonsilitis, croup, etc.

If stiffness of the neck, headache or similar pains are felt after its use, the moist linen should not be extended to the back part of the neck but only the front and sides.

Where the effect is to be extended to the trachea and its branches, the bronchia and the tips of the lungs, especially in the case of cough, it is still better to apply the following:

SHOULDER PACK (26)

For this purpose a short towel is folded into a strip of about a hand's width, extending from one of the nipples across the opposite shoulder, around the neck, to the other nipple.

A woollen shawl or fabric, fastened together with a safety pin, must cover the moist towel completely. The shoulder pack is always applied together with the abdominal pack. It is put on first, and the two ends are pulled under the abdominal pack, and then fastened.

THE SCOTCH PACK (26)

The Scotch pack is of the greatest advantage in all diseases of the trachea and the lungs, also in case of whooping cough.

Two towels are sewn together lengthwise and, as a moist pack, are placed over the breast of the patient so that the seam will be in the center. The ends are crossed over the back, one end is brought forward over the left and one over the right shoulder; then the ends are crossed once more and tucked under. A woollen shawl or covering is placed over the moist towels as usual, so that it completely covers the moist pack. The ends are tucked under the pack in front. The pack is fastened with safety pins where the ends cross.

THE DIVIDED SCOTCH PACK (26)

This pack is, in some respects better than the last, since it is less liable to form creases, and the upper portion may be changed more frequently for the purposes of cooling, than the undivided pack. It is used together with the abdominal pack.

Instead of using one strip 4 to 6 inches wide, folded 4 to 6 times, as for the shoulder pack, two strips are taken. One strip is passed across each shoulder, and crossed on the breast as well as on the back. The woollen strips used for covering are of course wider and of double thickness. The ends of the two strips are drawn underneath the abdominal pack, and held by it, and the two shoulder packs may be changed as often as necessary for cooling purposes without necessitating a simultaneous change of the abdominal pack.

THE SHAWL (26)

(This is an application similar to "Kneipp's Shawl")

A large square piece of linen crash from 35 to 40 inches in width is folded into a triangle, dipped in the vinegar-water at 59 to 64 degrees, and after being wrung out, is applied diagonally round the neck. The upper part of the back, the cervix, the neck, the shoulders and the upper parts of the breast are thus covered. A woollen wrap, the ends of which are pinned together on the back, will cover the whole pack tightly.

This pack must be changed if the patient becomes too hot (after 1/2 to 2 hours), otherwise it may stay on all night. In case of feverish catarrh it is used together with the three-quarter pack.

Among other things the "shawl pack" causes the cooling of the blood which streams to the head. Thus its effect in case of congestion and brain trouble is explained.

_Neck and shoulder packs, Scotch packs and shawl packs must always be used in connection with a diverting leg, calf or foot pack._

THE THREE-QUARTER PACK (27)

Next to the abdominal pack the three-quarter pack is one of the best applications, especially for children.

A piece of woollen cloth, or a single blanket, as long as the patient and sufficiently wide to reach all around him, is placed on the bed in such a way as to be level with the arm-pits of the patient. A bedspread of about the same size as the blanket is then dipped into cool vinegar-water, wrung out well, and placed on the blanket so that the upper edge of the latter protrudes. The patient is now laid on the bedspread so that it reaches to the arm-pits. The moist spread is then turned up on both sides, part of it is tucked between the legs, and the protruding lower end is laid on or between the feet. Thus the body, from the arms down, is completely wrapped in the wet spread, and the woollen blanket is covered over it as usual and fastened with safety pins. The patient's shirt is then adjusted. The head, the neck, the uppermost part of the breast and back are not packed. Another blanket is placed over the patient and well fastened on all sides. A pillow must be placed between the feet and the lower edge of the bed. To avoid cold feet the wet spread should reach only to the ankles, and the feet be covered with the woollen blanket, or a hot bottle placed near them.

The three-quarter pack is very valuable in feverish diseases, since it takes effect on so large an area of the skin. It is also very helpful in case of meningitis and other inflammations. It should, however, not be applied by a layman, except with the greatest caution.

The inflamed parts must be covered with compresses, as in case of pneumonia and inflammation of the heart.

If three-quarter packs excite children too much, they must be replaced by abdominal and leg packs.

The patient should remain in the pack as long as he does not become too hot or restless. This may occur after 20 to 30 minutes, in case of severe fever; otherwise, the pack may last an hour or longer. The pack is very useful with children when indications of disease appear. In many cases it will develop and cure disease, such as measles, if it is properly applied for 2 to 2-1/2 hours, and followed by a bath at 77 degrees or an ablution at 64 degrees.

When fever and inflamation begin to slacken, and also during convalescence, three-quarter or whole packs applied daily or every second day, followed by an ablution, are very useful for the purpose of solution and excretion.

In such cases the moist heat should be conserved by applying additional blankets or comforters to the limit of endurance.

THE HALF PACK (25)

The half pack is applied like the three-quarter pack, with the exception that it reaches only from the arm-pits to the knees.

It is especially necessary to close it carefully around the legs. The half pack allowing the body more freedom, it may be kept on all night.

It is most effective on the thighs in cases of sciatica. It is, however, also applied in case of febrile disease.

THE WHOLE PACK

This is applied in nearly the same way as the three-quarter pack, but includes also the arms, breast and neck.

In this case the blanket must reach to above the ears. On top of the moist spread a towel is laid, which is first drawn around the abdomen. The patient's arms must be somewhat bent, so that they will not oppress the breast when packed with it. Otherwise the arms may be treated just like the legs, so that the moist spread touches them everywhere. When it is impossible to fasten the blanket at the neck with safety pins, it can be tucked firmly under both shoulders. The blanket must be drawn tightly over the shoulders and the ends tucked under the opposite shoulder. It must exceed the length of the patient by 18 inches. In case one blanket is not large enough, two must be used, one of which may be drawn down 6 inches below the other.

Additional blankets, pillows and comforters may be used in case of high fever.

The advice already given in regard to the differences in packs, depending on their various purposes of cooling, diverting, calming or dissolving, must also determine in this case as to the extra amount of covering. The access of cold air at the neck and legs, however, must always be carefully guarded against.

An ablution or bath must follow each whole pack.

If properly applied, the "whole pack" will be of the greatest benefit in all febrile and chronic cases.

Inflammations require partial packs, while at the same time dissolving or diverting packs of longer duration are applied to the parts of the body which are not affected.

SMALL COMPRESSES

Small compresses may be applied to any part of the body.

They reduce ulcers and slight inflammations; they dissolve coagulation in cases of rheumatism or gout, even of long standing.

A medium sized piece of linen folded six to eight times, is useful in case of toothache or earache. The compress must be covered with a woollen cloth and fastened as securely as possible. Dissolving compresses must be covered more thickly than cooling ones.

Special compresses are sometimes needed on the head, on the heart and around the neck to prevent congestions. They are covered only slightly, and like all cooling compresses, are changed as soon as they become hot.

GYMNASTICS, MASSAGE AND BREATHING EXERCISES (28, 29, 30)

The three items under "Physical Treatment": 28. _Gymnastics_, 29. _Massage_ and 30. _Breathing_, require only a few explanatory remarks.

Their common object is, by means of external mechanical aid, to stimulate the circulation of the blood which is undergoing the process of regeneration. They remove obstacles to circulation and produce movements and reactions. While, in the case of massage, this external aid must, as a rule, be given by a third person in order to be effective, gymnastics and breathing exercises depend upon the patient himself. All of them, however, have the common attribute that, in order to be useful, they must be strictly individual. The old proverb: "No one thing is good for everybody," is fittingly applied in this case.

There are few things that are so much abused as this rule in regard to gymnastics. I cannot urge too strongly the importance of caution in advising such exercises. While much of what is claimed for them may be good and true, the governing question as to _what is suitable in an individual case_, can obviously not be determined by any such impersonal advice. It is the exclusive right and the duty of the attending physician to prescribe whether, and to what extent, these exercises should be applied in each case.

This is true of gymnastics even when practised by reputedly healthy people. By executing certain movements, they may develop disease and weaken certain organs, through ignorance of their abnormal condition.

In case gymnastics or breathing exercises are prescribed as part of a treatment they should be executed in strict accordance with the order of the attending hygienic-dietetic physician.

One of the great principles never to be overlooked in gymnastics is, that in order to have the desired effect they must be carried out with the greatest regularity.

As to massage, this requires knowledge of anatomy in general, and of the anatomy of the individual to be treated, in particular. Only in this way can the desired effect be produced on certain muscles and nerves, with the further consequence that their movements promote the correct and health-giving circulation of the blood. Here again the governing factor must be the prescription of the hygienic-dietetic physician who has studied the individual case and knows the effect he wishes to produce by means of massage, and how to procure the same.

Books on massage and its general practice without knowledge of the particular case, will really accomplish nothing.

ELECTRIC VIBRATORS

In certain cases, and where it is not a question of general massage, the patient will be able to apply massage for himself according to the physician's prescription.

In this connection he will find an electric vibrator of valuable assistance. It will allow him to extend the area of the self-applied massage, but again, it will be useful only to the extent that it is carried out in strict accordance with instructions.

OXYGENATOR, RADIUM AND SALT BATHS (31, 32)

Since the discovery of radio-activity and the many effects which the presence of radium in certain waters and minerals produces on the human body, it has been the special task of research to find means of giving humanity in general the benefit of this important discovery.

The radium preparation, called "Oxygenator," possesses the quality of oxidizing about five times as quickly as any other known substance, and thus removing the degenerated and diseased cells of the human body accordingly.

This material itself, as well as other combinations of radio products and salts I use and prescribe for half or whole baths, as the case may require.

They are of the greatest assistance in carrying out the course of treatment in each individual case. What in former times could be effected only through expensive trips to the few famous healing springs of the world, can now be accomplished in the comfort of the home or the sanatorium. But these measures, too, should be followed only in strict accordance with the physician's orders, bearing in mind that there is such a thing as "too much" even of so valuable an energizer as this.

THE DISEASES TO BE TREATED AND THE APPLICATION OF THE METHOD.

Having given, in the foregoing paragraphs, a brief description of the course of healing which I advocate, I am now about to give a short explanation of the different methods to be applied in treating various forms of disease, all of which have been already explained as degenerations of the twelve tissues of the body. This will enable patients to apply the prescriptions given to their individual cases.

..._Once more, however, I warn every one not to commit the mistake of believing that a layman can cure his own disease by even the most careful study of a book such as this is._

To the patient, who has been led into the path of health, it will, as is its purpose, give such instructions as will enable him to see his condition plainly. _He will then be able the more effectively to follow the instructions of the physician, and--what is of equal importance--to inform him correctly in regard to his own observations of his condition and the changes brought about by the treatment._

There is another point that I wish to mention here at the outset.

Disease, although reduced to its last analysis under this system, is never so simple that it can be determined as the degeneration of one tissue exclusively. The unity of the body, the close connection of the various tissues, and the gradual transition from one into another, make it impossible to draw the lines as sharply and distinctly as between chemical elements. For the sake of classification we make the degeneration of a certain tissue the distinguishing element between various forms of disease. Let us not forget, however, that this does not mean more than the _degeneration of the main tissue_ which is affected by this particular complaint, while the same is also characterized by simultaneous degeneration of one or more of the other tissues, only to a lesser degree. It is, therefore, not inconsistent if, in giving the more detailed description thereof, several tissues are mentioned as being degenerated, and not only the one particular tissue from which the class derives its name.

I. DEGENERATION OF THE PLASMO TISSUE.

_Anaemia, Chlorosis, Pernicious Anaemia. A. Scrofulosis. B. Tuberculosis. C. Syphilis. D. Cancer._