Imaginary Troubles.—These are of two kinds, the one purely imaginary, the other where bodily trouble is mixed with the imagined. In the first case the patient is in agony with a pain, when nothing wrong can be discovered in the part, or even elsewhere, to account for it. In such a case, proper treatment of the BRAIN or SPINE (see) will often relieve. Again, a patient has set up such a standard of health that what would not trouble any ordinary person at all, gives him much distress. An intermitting pulse often is a source of great anxiety; but we have known people with intermitting pulses continuing in good health for forty years, and living to old age. So with many other heart symptoms that need give no concern at all. Sprains to some muscles are often taken for serious internal inflammation, and a slight cough and spit are taken for consumption. Care must be taken to resist all such fancies, and if not otherwise removable, thoroughly competent medical advice will often put the patient right. In such a case a medical man of undoubted high standing is best consulted, for an inferior practitioner may nearly kill the patient by arousing needless fears, which are afterwards difficult to remove. See Hysteria.

It must be remembered that diseases of the imagination are as actually painful to the patient as if they really were organic troubles. It is, therefore, useless to laugh at or pooh pooh the trouble, or suggest that the sufferer is only humbugging. Attention must be paid to diet, exercise, and to material, mental, and moral surroundings, so as in every way to relieve the patient from those apparent troubles that so annoy him. Great gentleness, firmness, hopefulness, and sympathy will often bring about an almost unconscious cure. If the trouble has been brought about by over-work and worry, complete rest will often be needed. If there is something in the surroundings that jars, a change may be advisable.

Indigestion.—(See also Digestion; Assimilation.) This subject leads naturally to a consideration of food in relation to it. The trouble usually is that food easily enough digested by others causes distress to the patient. Here we at once see that cooking plays a most important part. Potatoes, for example, when steeped for half-an-hour in hot water, which is changed before they are boiled, are much more easy of digestion. The water in which they have been steeped is found green with unripe sap, which is all removed. Where unripe juice is present in any root, this method of cookery is a good one. Eggs placed in boiling water, and allowed to remain so till the water is getting cool—say half-an-hour—are often found to be much more easily digested than as usually prepared. What we aim at in these illustrations is to show that digestion depends on the relation of the food taken to the juices of the stomach which are to dissolve it. It must be brought into a digestible state if weak stomachs are to deal with it.

Greasy, heavy dishes must always be avoided. Also unripe fruit. The diet should be spare, as very often indigestion proceeds simply from the stomach having had too much to do.

A very easily digested food is fine jelly of oatmeal made in the following way:—Take a good handful of the meal and put it in a basin with hot water, sufficient to make the mixture rather thin. Let it steep for half-an-hour. Strain out all the rough particles, and boil the milky substance till it is a jelly, with a very little salt. To an exceedingly weak patient you give only a dessertspoonful, and no more for half-an-hour. If the patient is not so weak you may give a tablespoonful, but nothing more for half-an-hour. In that time the very small amount of gastric juice which the stomach provides has done its work with the very small amount of food given. Really good blood, though only very little, has been formed. The step you have taken is a small one, but it is real. You proceed in this way throughout the whole day. The patient should not swallow it at once, but retain it in the mouth for a considerable time, so that it may mix with the saliva.

By this, or by porridge made from wheaten meal, you may secure good digestion when the gastric juice is scanty and poor; but we should not like to be restricted to that. We want a stomach that will not fight shy of any wholesome thing. We must treat it so that when suitable food is offered it may be comfortably digested.

Now, there is an exceedingly simple means for putting the glands in order when they are not so. About half-an-hour before taking any food, take half a teacupful of water as hot as you can sip it comfortably. This has a truly wonderful effect. Before food is taken, the mucous membrane is pale and nearly dry, on account of the contracted state of the arteries. In many cases the glands that secrete the gastric juice are feeble; in others they seem cramped, and far from ready to act when food is presented. The hot water has the same effect on them as it has everywhere else on the body—that of stimulating the circulation and bringing about natural action. It looks a very frail remedy; but when we can, as it were, see these glands opening and filling with arterial blood the instant they are bathed in this same water, and see how ready they become to supply gastric juice for digestion, the remedy does not look so insignificant.

We have, in scores of cases, seen its effects in the most delightful way. Persons who have to our knowledge been ill and miserable with their stomachs for years have become perfectly well from doing nothing but taking half a teacupful of hot water regularly before taking any food. It is true that great good is effected in cases of this kind by giving the weakened organ light work to do for a time. Wonders are done by feeding with wheaten-meal biscuits and water for some time, beginning with a very small allowance, and seeing that every mouthful is thoroughly chewed. Great things, too, are accomplished with such wheaten-meal porridge as we have already mentioned. But we feel disposed to regard the half-teacupful of hot water regularly before eating as the chief means of cure. It is wonderfully cheap: it goes hard with the druggist if his customers need nothing but a little hot water. Still, from what we have seen, and from what some of the very highest authorities have told us, we come more and more to look to this simple remedy as about all that is required inwardly to cure the worst cases of indigestion.

A little pepsin added to the hot water may be of use; also in cases of acidity a few drops of white vinegar mixed with the water will be found beneficial.

Soda, iron, lime, charcoal, even tar pills are used as remedies for indigestion; but none of them do much good, and some are highly injurious. If used at all, their use should be temporary, and under good medical advice.

If pain is felt, the stomach may be greatly soothed by soft fine lather (see Lather and Soap). It acts in such cases like a charm. Spread it gently over the stomach, and wipe it off with a soft cloth. Cover again with fresh lather. Do this five or six times, and cover up the last coat with a soft cloth.

All indulgences which tend to weaken the stomach are to be avoided. Alcohol and tobacco must be given up. Over-excitement must be avoided, and abundance of fresh air breathed, if a cure is to be expected.

Where sudden and violent pain comes on after meals, a poultice or hot fomentation applied directly over the stomach is the best remedy at the time. See Flatulence.

Infant Nursing.—A mother who has had strength to bear a child is, as a rule, quite strong enough to nurse it. Suckling is natural, and usually most beneficial to health. Many women have better health and appetite at such a time than at any other. Every mother ought, therefore, unless her health forbids it, to nurse her own child; no other food is so good for it as that which nature provides. We cannot too strongly condemn the mother who from indolence or love of pleasure shirks this sacred duty. By so doing she violates the laws of nature, which can never be done with impunity. Many troubles follow, and her constitution is seriously injured. Alas that we should ever have to say, with Jeremiah: "Even the sea monsters draw out the breast, they give suck to their young ones; the daughter of my people is become cruel, like the ostriches in the wilderness."

If a wet-nurse must be employed, great care should be exercised in choosing a healthy person with a child as near as possible to the age of the infant.

Let mothers remember that there is great variety in milk. Not only does one mother's milk differ from another, but the same mother's milk varies from time to time. Variation in health and diet affects the milk very much. Many cases of infant trouble are traceable to the mother's milk, which should not be overlooked as a possible cause.

Again, an abundance of milk is not always good. An infant may thrive better on a scanty supply of good milk than on an abundance of bad milk. Milk derived from drinking ale, porter, or alcoholic drinks of any kind, though abundant, is very far indeed from good, that produced by plain and simple diet is always best.

Again, the state of the mother's mind has a great deal to do with the quality of her milk. A fright, or continued worry, may transform good milk into most injurious food for the child.

There need be no fear caused by these ideas: it is only in exceptional cases that nursing need be given up; the natural way is always the best. But where necessary there need be no hesitation in putting an infant on the bottle. The milk of a healthy cow, or condensed milk of first-rate brand, is much to be preferred to that of a wearied, worn-out, and worried mother.

Infants' Food.—For infants who cannot be nursed at the breast, cows' milk in the "bottle" is the best substitute. But all milk used from the cow should be sterilised and cooled before use. That is unless it is found on trial that the child thrives better on unsterilised milk. It is not necessary to have "one cow's milk;" but it is important to have the milk adapted in strength to the infant's need. If the milk be too rich, the infant will often break out into spots, or will vomit. A little more boiling water in the bottle mixture will remedy this, and often prevent serious trouble. The same proportion of water and milk will not always do. One dairy's milk, and even one cow's milk, differs from another; and so does the digestive power of infants. We have to find out that strength of milk to suit our own baby, and not be led astray by the advice of other mothers. In health the young infant does not require food oftener than every two hours, sometimes even every three. It may cry because of cold, wet, or discomfort, not from want of food. To overload the stomach with food is harmful and leads to serious disorders. Its food requires a certain time for digestion, even in an infant, and as the child grows, the intervals between meals ought to be increased.

A good mixture is two parts of cow's milk to one of water. To every pint of this add four teaspoonfuls of sugar, and a tablespoonful of cream. Barley water may be used instead of common water. The water should be boiling, and should be poured into the milk. The bottle should be thoroughly cleansed, and boiled in boiling water before re-filling. It must be remembered that the saliva does not possess the property of turning starch into sugar till the child is six months old; therefore starchy food, such as bread, arrowroot, etc., should on no account be given before that age. Preparations for weaning may then begin, by giving the child small quantities of oatmeal jelly and milk, or even of porridge and milk, so that the weaning comes on gradually. The time of nursing should not exceed nine months. If, however, a child afterwards be ill, there is no harm in going back for a time to the bottle, even at two years old. Common sense must guide, and not hard-and-fast rule. Easily assimilated food must ever be chosen; and as a food for children, oatmeal porridge, well boiled, holds the first place—far before bread sops. If porridge be not easily digested, try oatmeal jelly. Most of the infant foods so largely advertised cannot be recommended.

* * * * *

It is now suspected that tuberculosis is transmitted to children mainly from the milk of cows affected with this disease. Cows are exceedingly liable to tuberculous disease of the udder. It is therefore very difficult to get milk guaranteed free from the tubercle bacillus, and recent examinations of that coming into Manchester and Liverpool showed that from 18 to 29 per cent. contained this deadly germ. (Strange to say, tubercular disease of the mother's breast is practically unknown, and children never derive the disease from their mother's milk.) It is therefore of the greatest importance that only the milk of cows proved free from this disease should be used. The disease is easily detected, and if a demand were created for milk guaranteed free from the germs, dairymen would soon supply it.

Unless it is absolutely certain the cows supplying the milk are free from disease, the milk should be sterilised by heating to near boiling point, and then cooling rapidly. If kept twelve hours, the boiled taste goes off it, and children soon get to like it. Though sterilised milk will keep for some time without getting sour, it should be sterilised each day, specially if for infant use.

This treatment makes the milk keep without the use of preservatives, such as boric acid. We regret to say the use of these is not illegal, and they are largely used in preserving milk, butter, hams, etc. We have seen very serious illnesses produced in children (and adults too) by the heavy doses they have got when both the farmer and milk vendor have added these preservatives. This they often do at the season when the milk easily turns sour. Every care should therefore be taken to get milk guaranteed free from these noxious drugs; and if this is impossible, condensed milk should be used instead. As there is a great variety of brands of condensed milk in the market, always choose one which guarantees that the milk taken has been whole milk, and also unsweetened.

Infants' Sleep.—See Children's Sleep.

Infection.—Few things have so great and distressing effect as the fear of infection in disease. As a rule this fear is not justified by the facts, where ordinary precautions are taken. These precautions, too, need not be costly, and involve in many cases little more than some careful work. Where scarlet fever has shown itself in any household, the very first thing is to see to the continuous freshening of the air in the sick-room and in all the house. Ventilation is, indeed, the first and most important method of disinfection. Chloride of lime and other disinfecting fluids will decompose the offensive and noxious odours, but pure air will sweep the organisms of disease themselves away. Fresh air kills the microbes of certain diseases, e.g., consumption, and is hostile to all disease. The stools of typhoid patients should be disinfected, and great care taken that no water or other fluid is contaminated by them through imperfect sanitation, etc. (see Fever, Typhoid). Seeing that the seeds of disease are all around us, the best method of warding off their attacks is to keep the body in a state to resist their inroads by strict attention to diet, exercise and ventilation. Let all be done also, by fires if necessary, to thoroughly dry the room and house. See that all the family breathe fresh air by night as well as by day; have open windows where and when possible.

Acetic acid is as powerful a disinfectant as carbolic acid, in proportion to its strength, and has the advantage of being harmless, unless in the glacial form.

In all cases of infectious disease these precautions are almost certain to prevent its spread, with, in addition, the special ones given under the head of the disease.

Inflammation, Deep-seated.—Often inflammation occurs in the centre of, or beneath, a mass of muscle, as the hip or thigh. We refer not to the formation of an ABSCESS (see), but to the violent, hot inflammatory action that often issues in an abscess. For this the treatment should be strong moist heat applied to the back, where the nerve roots of the inflamed part lie, and persistent cooling of the part which is painful. The heat may be by bran poultice, fomentation, or hot-water bag and moist flannel. The cold must not be ice, but only cold water cloths frequently renewed.

It is curious to see how people are frightened at the only thing that gives relief, and not at all at that which does the most damage. A gentleman wrote us once that he had had eighteen blisters on, but was afraid to apply a cold cloth. We wrote him that if he still lived after eighteen fly blisters, he would surely not die under a cold cloth. They will say they have tried so many things. We reply, that if they had tried a million wrong things, and shrunk from the right one, they would be only so much the worse.

If there is local swelling, and signs that an abscess is forming, then treat as recommended for Abscess.

Inflammation of the Bowels.—See Bowels.

Inflammation of the Brain.—See Brain. See also Knee; Limbs, Inflamed; Lungs, etc.

Inflammatory Outbreaks.—Sometimes a severe out-break and eruption will occur in and around the nostrils or lips, and spread over the face. (If of the nature of erysipelas, treat as under that head.) In ordinary cases, there is need for more than local treatment, as it is probable that more or less failure in the skin exists. Also the feet will be most probably cold and damp. Let these be bathed (see Bathing Feet), and dried. Then rub them with CAYENNE LOTION (see) for some ten minutes, until in a glow of heat. Dry well, rub on hot olive oil, and dry again. Do this twice a day for a week. Warm and dry stockings must be worn. The skin of the back will probably be found dry and rough. Wash it down daily with SOAP (see) and hot water, and rub with warm olive oil. After a week of this treatment, probably the eruption will be much lessened. If it is still troublesome, apply cool cloths to the whole head, avoiding the sore parts, until it is generally cooled down and the skin softened, or the head may be, instead of this, packed in lather of the soap already mentioned. (See Head, Soaping). For the sore itself, apply weak vinegar or very weak ACETIC ACID (see), and a little olive oil after. But it is best if it can be healed in such cases without any local application, through the general treatment of feet and skin.

Internal Relaxation.—Pain is often felt in parts of the back or sides which will yield to no medicine such as usually relieves. This most probably arises from relaxation and swelling of some internal part of the body, so that there is more or less constant pressure on some nerves. It will be worse after fatigue or long standing, or any mental worry and excitement. This shows us that one thing necessary to cure is rest: entire rest if possible, if not, as much as can be taken. It is well to find out the easiest posture in which to lie, and spend as much time as possible in that posture. Seek, also, by applying cold cloths to the painful parts, to reduce the swollen tissue. There may also be required fomenting of the feet and legs (see Angina Pectoris) to prevent chill during this cooling. Often pain in the urinary organs is due to nothing but this relaxation, and yields to such treatment. Rest, however, is a primary necessity in all such cases.

Itch.—See Rash.

Jaundice.—This disease, or its approach, may be known by several signs: a more or less yellow colour of the skin where otherwise white; a yellowness of the whites of the eyes, and failure of the bowels to act sufficiently, with lack of appetite. It may come on gradually, or may be induced suddenly by some disgusting mouthful or sight which affects the nervous system, and through this the liver and stomach. Where a disgust, or, as the Scotch call it, a "scunner," is taken at any food, especially with children, they should never be forced to eat it. Jaundice may follow if they are so forced. Those having the care of children should always remember this.

The cure is found first in nursing the sympathetic nerves, by a fomentation for an hour of the whole length of the middle of the back, oiling before and after with olive oil. Four hours later treat the stomach and bowels in the same way. In another four hours foment the feet and legs similarly. All this time give a tablespoonful of hot water every ten minutes. Then rest for twelve hours, and repeat the cycle of treatment. During the twelve hours' rest, the hot water may be taken in sips, as desired by the patient. If there is pain in the region of the liver, foment that region more strongly. If severe, place a bran poultice on above the liver, and keep it on all day, or even for twenty-four hours if the patient is comfortable in it. By the second day there should be a marked improvement.

Kidney Complaints.—See Urinary Troubles.

Knee, Swelling of, or Pain in.—For ordinary slight injuries, complete rest, and rubbing with spirit lotion, should be sufficient. But where there is previous weakness, or constitutional tendency, even slight pain and stiffness, caused by wet or some blow or wrench, the joint must be treated thoroughly. Careless and wrong treatment may be given, and result in severe lameness. We wish, however, to point out that the treatment here recommended has cured many cases where this lameness appeared hopeless, and even restored walking power in limbs which had been ordered to be amputated by surgeons.

In the early stages of the trouble, it should be easy to cure in five or six days. First apply the SOAPY BLANKET (see) at bedtime. Then, about eleven o'clock in the fore-noon, place the leg so that the knee is over a small tub or bath full of very hot water, as hot as can be borne without pain. Pour this over the knee with a sponge or large soft cloth for an hour, adding hot water as it cools. If the patient becomes sick or faint, discontinue the bathing for a time. Dry the limb, rub with olive oil, and dry again gently. At five in the afternoon repeat the treatment of the knee. At bedtime sponge all over with hot vinegar, rub with hot olive oil, and put to bed. If the joint has been stiffened, gentle efforts to move it may be made during the treatment.

Sometimes during this treatment boils will break out over the knee and discharge a good deal, but as soon as their work in removing disease is done, these will heal up. Generally, however, this will not occur. The diet may be such as we recommend in cases of ABSCESS (see).

In bad cases, the treatment may be continued for weeks before much favourable change is noted. Patience and perseverance, however, will win the day. The soapy blanket should not be given oftener than three times a week, and a rest from all treatment on the Sabbath is best. See also Housemaid's Knee.

Often in cases of knee pain and trouble, when local applications have little power, a BRAN POULTICE (see) on the lower back will effect a speedy cure. Sensible people will, of course, study and apply fresh treatment in such cases. Where the knee, for instance, is in the hot stage of inflammation, hot applications will be injurious. In such a case, cold cloths on the knee, with bran poultice on the lower back, will be the proper treatment. Try heat first, and if it is hurtful, vary the treatment to cold and heat, continued as above.

Here, again, is a knee which gives its owner excruciating pain, and shows only a little swelling and no sign of diseased matter whatever. The hot fomentation and cold towels have both been tried, but there are now and again symptoms that show us that the root of the evil has not been reached. We try cold cloths on this knee, but they greatly increase the pain. We at length suspect that it is not the knee that is seriously diseased, but the root of one or more of the nerves that supply the link from the lower part of the spine. By this time the pain has returned into the knee dreadfully, and everything has failed. But very soon after a large, thick towel, folded and wrung out of cold water, having plenty of mustard spread on it, is placed across the haunches, relief is given in the most charming fashion. The cold cloth absorbs superfluous heat, and superfluous vital action to a certain extent, but the mustard draws it out so much more speedily and powerfully that the deep-seated roots of the nerves are reached and cooled down to their normal action. The pain ceases, and the poor sufferer blesses the mustard. We are just describing what actually occurs.

Sometimes a prejudice arises against heat. If, for example, an inflamed knee has been strongly heated during the hot stage of the trouble, the pains and injury will have been greatly increased. But one way or other that hot stage of the trouble has been got over, and now without heat it is impossible to cure. The patient, however, and probably the nurse waiting upon him, are decided against all hot appliances. These do so much mischief that it is believed to be out of the question to try them again. It may be that the prejudice is so strong that you simply can do nothing; it may not be quite so invincible as that. If you are able to point out that it was only because the heat was applied at a wrong time, or in far too great strength, and that now, since the inflammatory power is spent, heat will be sure to have a good effect, if it is only carefully applied, the prejudice may be removed. We have seen a patient in this stage, and with both knees bad, wrapped in a large hot blanket fomentation from the ankles to above the knees; and he was constrained to exclaim, "That's the right thing, beyond all doubt." Then there is no more prejudice.

Sufferers should not be disappointed if for a week or two they are not sensibly better. In some cases the effect is apparent in four or five days, but generally a fortnight or three weeks pass without much encouragement. We see great despondency sometimes just before all pain disappears. Still, as a rule, the new health is seen in the cheek and eye very soon. Where a violent inflammation is obviously proceeding in the knee, the TURNIP POULTICE (see) is the best remedy. If there be great heat in all the body, there will be little or no need for heating any part; judgment must be used for each individual case in these matters. While resting as much as possible, the patient will find it best to lie on the back, with the sore knee supported a little higher than the body. A gently applied bandaging of the whole limb is also very beneficial, and may be used for all weak limbs, even when the patient is walking about.

In the treatment of stiffened knees, even where accidental bending of the joint gives very great pain, it is a grave mistake to put the knee in splints to prevent bending. What is wanted is to encourage bending as far as that can be done without much pain, so that the joint may not permanently stiffen. Even where, by the use of splints, permanent stiffness seems to have been brought on, the warm-water treatment recommended above will bring about a loosening and softening of the joint, which will permit first of a slight bending, and then, with gentle encouragement, a complete flexibility. The complete restoration of the limb should be the object kept in view. No case of a stiffened joint, although it may be free from pain and disease, can be regarded as satisfactory, and hence treatment should be persevered in until all stiffness is gone. Common sense will direct as to hot and cold applications, when to apply each, and how long to continue either; the patient's comfortable feeling being the very best guide. We are glad to know of very many apparently hopeless limbs saved by our treatment, even where it has been imperfectly carried out.

Lacing, Tight.—This produces such serious deformity, and in many ways so interferes with the health of women, that we are constrained to write upon the subject. We find in cases which come before us that lacing, both of the feet and the waist, as practised by our women, has caused disease, and prevents our curing it. To begin with the lacing of boots. There is a certain form and size of foot which are supposed to be graceful. To obtain this, boots unsuitable in shape, and far too small in size, are used, and tightly laced down upon the foot and ankle, preventing circulation of the blood in these important parts. This causes corns and misshapen toes and nails; but its bad effects are also felt throughout all the body. We have pointed out in other articles the great curative power of bathing or fomenting the feet. The tight lacing of boots produces exactly the opposite effect. It is as powerful to injure as the other to cure. Cold feet are the cause of many most serious troubles. To keep tight-booted feet warm is almost impossible. True neatness abhors all such mistaken treatment of the feet. Moreover, no supposed good shape, in body or feet, can ever produce the impression of beauty which good health never fails to give, so that the tightly-booted high-heeled girl or woman defeats her own object.

A yet more serious evil is the wearing of corsets. From this comes very much of the ill-health from which women suffer. The stomach, liver, and other organs are forced downward, their proper blood supply is cut off, and indigestion, constipation, headache and backache are the inevitable consequence. The pressure of these organs causes falling of the womb and the terrible troubles which employ two-thirds of the fashionable surgeons. These have not failed to denounce the folly which brings so many patients to them.

Dr. Herbert Snow, the great authority on cancer, and physician to the London Cancer Hospital, attributes almost wholly to the use of corsets the fact that for one man who dies of cancer two women die of it. The compression of the womb makes it specially liable to be attacked, while the rubbing of the hard edge of the corset on the breast sets up cancer there.

Besides its evil effects on the abdominal organs, the lungs also suffer, the ribs are prevented from expanding and so the wearer can never breathe as deeply as is necessary. The muscles of the abdomen and trunk are greatly weakened; indeed to this is due the fact that a woman who is accustomed to corsets has great difficulty in giving them up. She feels as if she would "come to pieces" if not supported by them.

The exercises given in the appendix will help to restore tone to these muscles, and with perseverance in these, vigor and health will return, and the deformities such as flat or hollow chest, drooping shoulders, and protuberant abdomen, caused by muscular weakness, will disappear.



As we have said (see Skin, Care of) clothing should be loose and porous in order that the skin may perform its functions. Corsets are both tight and impervious. The constriction of any part of the body by tight bands, and the hanging of the clothes from the hips, are highly injurious.

It is frequently urged that corsets are necessary if a woman is to have well-fitting clothes and a neat figure, but this is by no means the case. We illustrate a "good health waist" which has the advantage of allowing freedom of movement and respiration, producing no constriction of any part, and yet being well-fitting. Buttons are arranged, as shown in the illustration, to support the skirts so that their weight falls equally from the shoulders. This waist can be had from the Good Health Supply Department, 451 Holloway Road, London, N., who will send particulars on receipt of a post card.



Lancing Swellings.—See Abscess.

Lather, How to make.—One of the most powerful soothing influences which can be had, is found in the lather of M'Clinton's soap, so often recommended in these pages. Applied to the skin over a stomach which has been rejecting all food, and even retching on emptiness, for hours, it will almost at once stop the irritation. Applied to the head it is invaluable (see Brain; Head; Hearing, etc.), and in many cases we have known it perform almost miracles of soothing effect. But the lather must be rightly made, and none but this soap used, if good results are to be got. Lather is first Soap, secondly Water, and thirdly Air, so wrought together to make a mass like whipped cream, or only a little more fluid. To get this, dip a good shaving brush in hot water, rub it on the soap a little, take another slight dip of hot water, and work the brush in the hollow of the left hand patiently, until you have a handful of fine creamy foam, sufficiently solid not to run like water, and yet as soft in its consistency as cream. There is in the hand just the temperature, consistency, and shape that are required for working the lather, and no dish can properly replace it. The lather is to be gathered from the hand with the brush (a soft badger's-hair one preferred), and laid with it on the skin of the patient wherever necessary. Then another handful is quickly made, and so on until the required surface is covered. Or the lather may be transferred to a hot dish, placed over a bowl of boiling water, till enough is ready. After the application, a soft handkerchief may be laid loosely on, and, if the lather is to remain on as a pack, a dry covering put over this.



In many cases where it is inconvenient to apply the lather direct to the skin, it may be spread on a warm cloth of soft and clean linen or cotton, and this laid over the part to be treated before it is cold. This will also apply where the patient is too weak to sit or lie in the position required for lathering the skin. A dry cloth must be put on the top of the soapy one, and all fastened on by proper wrapping. In cases, however, where the skin has to be lathered in order to soothe the nervous system or to allay irritation of internal organs, it is well, if at all possible, to apply the lather direct to the skin, as described above.

Lather of this soap, made in this way, may be spread on the most sensitive sores (when ulcers have eaten through both outer and inner skins) with only a very slight feeling of smarting to the patient, and with the most healing effect. It is very different with soda soap made in the usual way. When the skin of the head has got inflamed (as we saw in the case of a child the other day, where the back of the head was a matted mass of most distressing sores), it is charming to see the effect of this lather. We took a number of handfuls of it, and soaked the matted hair and inflamed skin till the poor child looked up with an expression of astonished relief.

Legs, Pricking Pains in.—Sometimes curious pricking pains are felt in the legs, becoming so severe as even to confine a patient to bed. Nothing can be seen on the skin, and no swelling or other visible sign of trouble is present. Evidently this requires treatment more particularly of the nerves, which go to maintain a proper balanced state of feeling in the skin where the pricking is felt. The patient must give up using alcohol in any form, and should rest in bed. In treatment we do not look to the skin itself, but rather to the nerves, to effect a cure. There is a failure at the nerve roots, and indeed the patient will usually be weak and nervous generally. A popular remedy in such a case might be arsenic, which must be avoided, as likely greatly to injure instead of help. The cure is in increased nutrition of the nerve substances, by rest and light dietary. See Biscuits and Water, Diet.

Limb, Saving a.—The proper growth of the body in any part depends on the power furnished by the nervous system and the cells of that part. This power enables these cells to use the nutritive substance in the blood for the formation of new tissue. By this process, growth in the healthy body is continuous through life, replacing equally continuous waste. But this all depends on a due balance of power in the process. Suppose one eats more than can be changed into healthy tissue, the food may all go into blood, but the nervous power of the cells is insufficient to deal with it. Sluggish living in bad air, tobacco, or alcoholic drinks, will all cause this. Then some slight wound or bruise is received, and the overloaded blood fails to act healthfully and heal this. A sore is formed, most likely somewhere in the foot or leg, and the limb goes from bad to worse in spite of all efforts, while this inequality between the blood and the tissues continues. This goes on perhaps for years, and no effort is made to remedy it. Such a case may often be very easily cured, even where doctors pronounce it hopeless, if the patient will submit to proper regimen and treatment. Let the limb be thoroughly bathed, as far above the knee as possible, with water as hot as can be borne (see Bathing Feet). Pour into the water about half-a-pint of strong vinegar. Keep up the heat for an hour. Repeat three times each day—at 11 a.m., 4 p.m., and at bedtime. Rest from treatment on the Sabbath. When perspiration follows this bath, dry the patient all over, and rub with vinegar. Dry this off and rub with olive oil. Dry again, and put on clothes.

When we have to foment a foot or knee in long heatings or bathings, we find it well sometimes to cool the lower part of the spinal nerves, and remove all irritation of them.

Then for diet, let the patient go on good wholesome wheaten biscuits (see Biscuits and Water) three times a day as food, and pure water, with no alcohol of any kind, to drink. And let him give up the use of tobacco entirely. Many times over, when limbs have been condemned by the medical men, we have seen them saved in this way. We have seen the same treatment save arms and fingers, reducing them from swollen and unsightly sores to perfect shape and complete usefulness.

Limbs, Disjointed, or Sprained.—In the case of an overstretch, or sprain, which has resulted in a hardened, swollen, and painful state of the muscles of the arm, bathe the arm in hot water, using plenty of SOAP (see). While the arm lies in this bath, gently squeeze it with both hands, so as to make the muscles work gently over one another, and the blood run out and in to the stiff parts. Care must be taken to avoid hurting the patient. No such effort is needed as to require great strength—only so much squeezing as urges the blood out of the part squeezed, and lets it in again when the pressure is taken off. Persevere in this for half-an-hour, dry, and rub with warm olive oil. Do this twice daily until the arm is restored.

In the case of a broken or disjointed arm, FOMENTATION (see) should be vigorously applied until proper surgical aid can be had to set the bones. Even where a joint has been a long time out, such fomentation persevered in will soften the part, and permit of proper setting of the bones. Cold is unfavourable—cold water a decided mistake in such a case.

Of course a surgeon should be employed; but if no medical aid can be obtained, a person who understands anatomy may replace a disjointed limb by fomenting and oiling the muscles thoroughly, and then watching for a time when they are relaxed, and when the patient's attention is not fixed on the joint. This is the moment to slip the bone into its place. If medical aid can be obtained, it is always safe, while waiting for the doctor, to foment the broken or disjointed limb. Also a wet compress worn over the disjointed limb will, with the fomentation, make it much easier for him, when he comes, properly to set the bones.

When two bones in any part of the body are disjointed, the cords and muscles which tend to keep them firm in their ordinary position usually draw the ends past each other so that they overlap. To get the joint right, the bones must be drawn until the ends can pass each other, and then they must be brought into their proper position. Compare the disjointed bones with those same bones in a right position in some one's body, and thus you will see how they may be drawn right. There is a way of manipulating the muscles and tendons that in most cases renders it unnecessary to use much force, therefore the inexperienced should never draw forcibly. Sometimes a joint will repeatedly fail in this way. In such a case it may be supported; but means must be used by hot fomentations to strengthen the joint, and general rubbing, especially on the spine, must be used to increase vital force.

Limbs, Drawn-up.—We have had many cases of contracted limbs, arising from various causes. Some of these have been completely cured, even when the tendons or cords which were contracted were going to be cut by medical advice. In one case, however, of which we knew, the medical man ordered the very treatment we employ.

In the first place we must have EXERCISE (see). This may be given by massaging the back and limbs with a gentle squeezing motion for half-an-hour twice a day (see MASSAGE). Use hot olive oil for this rubbing, and persevere. If the feet be sweaty, rub them with the CAYENNE LOTION (see). But the effective cure will be found in the careful and persevering rubbing and pressure.

Sometimes we find that a failure occurs in the large haunch joint itself, and that is not only shown by pain and stiffness, but by one or more sores that discharge matter, indicating that the bone is diseased. At the same time, the sinews of the limb affected give signs of contraction, and the heel soon refuses to come to the ground in walking. There is clearly a lack of vital energy, such as is wanted to heal the bone and nourish the leaders in this limb: this lack may have been showing itself for years. Apply the ARMCHAIR FOMENTATION (see). Soon the sores begin to put on a healthier appearance, and ere long they heal up. With this and the rubbing, the sinews begin to relax and lengthen out, so that the heel comes nearer the ground. The limb may even have become smaller than the other, but it grows so as to come up with the healthy one: this will be the case though the fomentation is done equally to both. It is a curious thing that the body is so constituted that general healthy growth tends to bring on weaker parts more rapidly than stronger ones, so as to restore proper proportions. The new force applied to the roots of nerves on both sides of the spine does not make the healthy limb grow so as to keep in advance of the weakened one; it makes the weakened one grow so as to come up with the healthier. You do not therefore need to confine the fomenting to one side; it is better to apply it equally to both sides, and to leave the laws of the constitution to arrange all matters as to proportion. These laws never fail to do so perfectly. In the hands of a really skilful surgeon, much may be done to remedy diseased bone by the modern methods of antiseptic treatment and operation, but where these are not available, the above treatment has most excellent effects, and has sometimes cured where the surgeon has failed.

Limbs, Fractured.—It is not always easy to say definitely whether a bone is broken or not. In general, however, the following are signs of fracture:—(1) Loss of power in the limb; (2) Swelling or pain at the injured spot; (3) Distortion of the limb, usually shorter than natural; gentle pulling makes it temporarily regain its natural position; (4) When the limb is gently moved, it moves at some spot between the joints, and a grating sound is heard; (5) In case of a bone which lies near the skin, a touch will perceive the irregularity due to the fracture.

Pending the surgeon's arrival, if there is a fracture, do not attempt to move the patient till the limb is so secured that the broken bone is prevented from moving. If the arm bone is broken, put one splint inside and another outside the arm, and tie two bandages, one on each side of the fracture. Sling the arm in a small arm-sling like the straw envelope of a bottle.

If the thigh be fractured, get a long splint, such as a broom handle or a rifle, placing it from the pit of the arm to the foot. Bandage around the chest, the hip bones, legs, and feet, and then by two bandages, one above and the other below the fracture.



If the leg bone or bones be broken, an umbrella makes a good splint. Another splint should be applied on the inside of the leg, the two firmly bandaged together, and finally the legs tied together.



If the knee-cap only be fractured, tie the leg on a splint from hip to foot, and keep the limb raised.

Almost any firm substance which can keep the limb at rest can be used for a splint, but if hard it should be padded. If the fracture is accompanied with severe bleeding, stop the flow first before attending to the fracture. (See Wounds.)

Limbs, Inflamed.—Entirely different treatment from the above is needed for such a thing as inflammation of the elbow, wrist, shoulder-joint or knee.

Say it is an inflamed elbow that is to be treated. We describe this; but similar treatment, with very slight variation, such as common sense will suggest, answers for the other joints.

Have two large plain towels wrung out of cold water, and folded so as to wrap six ply thick round the elbow. See that the patient is otherwise warm. Place one of the towels round the joint, and gently press it (avoiding pain) so as to draw the heat out of every part. When this is hot substitute the other, and continue with fresh cooling—for an hour if necessary. The cloth may require to be changed perhaps thirty times; but the guide to this is furnished by its heating. When hot, change it. This may be repeated frequently, until the inflammation is subdued.

Limbs, Uncontrollable.—This trouble is found in the double form; first, of limbs which will not move when their owner desires to move them; and, second, limbs moving in excessive jerks when they are not desired to do so. These cases are often combined, the limbs being rigid at one time and jerking violently at another. There is no wasting or unhealthy appearance. We have found this condition caused by excessive walking, running, and standing, combined with exposure to frequent wettings. The result is, in essence, that motor power in the limbs is in excess, while controlling power is defective: the case is indeed similar to St. Vitus' Dance (see). Bathe the feet (see Bathing Feet) in hot water, and apply cold towels folded and wrung out of cold water (but not iced) along the spine. Keep this up for an hour-and-a-half at a time. By that time the hard rigid feeling in the limbs will probably have disappeared, but great helplessness will be felt. You have removed the excess of motor energy, and must now increase the voluntary energy. This will be accomplished by gently rubbing the back and limbs with hot olive oil, as in Limbs, Drawn-up. This treatment, repeated daily, will usually soon cure.

Liquorice.—See Constipation.

Liver, The.—Where biliousness prevails, without any symptom of real liver disease, it is well first to look to the state of the stomach and bowels. Take a teacupful of hot water twenty minutes before meals, and the liquorice mixture (see Constipation) after meals. Then give a strong blanket fomentation to the feet and legs for an hour in the evening. If there be pain or feverish heat in the region of the bowels, press cold cloths over the painful part while the feet are fomented.

When the liver is really swollen, hardened, or painful, the pulse will either be quick with feverish symptoms or slow with coldness. If it be a feverish case, press cold cloths over the liver, changing them when warm, for an hour: at the same time foment the feet and legs as directed above. See that there is heat enough to make the patient comfortable under the cold applications. Inflammation of the liver will readily yield to this treatment.

When the case is a cold one with slow pulse, use no cold cloths, but apply fomentations over the liver, as well as to the feet and legs. Smoking and alcoholic drinks must be entirely given up—these habits are peculiarly severe on the liver. The treatment will not be likely to cure in a day or in a week, but patient perseverance with the fomentations should eventually effect a cure. Too rich food throws a great strain on the liver, and a plain and spare diet with prolonged mastication is necessary with above treatment if a cure is to be effected.

Locomotor Ataxia.—This disease is a most difficult one to deal with, and any healing is very slow work. Patients past middle life are specially difficult cases, but we have known cure, or at least great mitigation in younger persons by the following treatment. Beginning, say on a Tuesday, let the lower back be well rubbed with hot olive oil, the patient sitting with the back to the fire, and well covered, except where being rubbed. Continue this rubbing for half-an-hour and not longer than three-quarters-of-an-hour. On Wednesday, soap the back well with soap lather (see) and after the soap rub with oil again. Next night, rub with acetic acid (Coutts's) full strength, until the skin is red and smarts moderately. Repeat this on Friday, and on Saturday and Sabbath do nothing. On Monday rub with acid again, and on Tuesday, etc., proceed as before. All treatment is best done at night, and the patient must be kept warm. He should also spend as much time as possible in the open air.

Lumbago.—Lumbago differs from both paralysis and cramp of the lower back in that it is not chiefly nervous, as these are, but is a trouble in the muscular substance itself. The muscles are either sprained or chilled, so as to have lost for the time their elasticity. Blistering, burning, and all such irritating treatment are only so many helps to the disease. The true method is found in gentle moist heating of the lower back by a BRAN POULTICE (see), not too hot, but renewed, if need be, for an hour each evening. Follow this up with a rubbing with hot olive oil. Wear a belt of new flannel round the body night and day in winter, or if exposed to cold. The treatment is simple, but if persevered in, cures most obstinate cases.

Lungs, Bleeding from.—This is usually taken as a most alarming, and even hopeless, symptom. It is not necessarily so at all, and even when a considerable amount of blood is lost, the patient may recover. Therefore, let friends not be frightened when this occurs, but bend their energies to proper treatment, and all danger may be averted. All alcohol must be avoided; it is most hurtful in such cases. Pack the feet and legs in a hot blanket FOMENTATION (see) and press cold cloths gently and equally over the chest or back where the blood is felt to be coming from: thus you stimulate the enfeebled nerves and brace the relaxed lungs at one and the same time. Relief will usually be felt at the end of two or three minutes. Continue the application till all pain and uneasiness are gone.

Before taking the legs out of the warm pack, dry the chest carefully, rub it with warm olive oil, and wrap it up in good new flannel. Then take out the feet and dry them well; rub them gently and well with warm oil, put on a pair of soft cotton stockings, and allow the patient to rest. Squeeze an orange and give him an orange drink (see Drinks).

When you have used this fomentation to the feet, and cold cloths once or twice, it will be well to place a large bran poultice across the lower part of the back, taking care again that this is only comfortably hot. When you have had the benefit of this once or twice, you may place a similar poultice between the shoulders; but this only after you have so far succeeded in cooling down the inflamed lung or lungs, as the case may be. During the whole of the treatment it will be well to watch what is agreeable to the sufferer. It is not only that a certain treatment, or degree of treatment, comforts, but that it comforts because it heals. Move the patient as little as possible during treatment, and do and say all possible to soothe the mind.

The whole treatment should be gone over a second time within twelve hours. The second day give one application of the treatment only, and repeat once again the third day. Except for the first time, the treatment may be limited to half-an-hour. Avoid hot food or drink, but it is not necessary to have it positively cold. This treatment we have found perfectly successful in many cases.

Lungs, Congestion of the.—Treatment as below. Read preceding and succeeding articles.

Lungs, Inflammation of the.—This is a common trouble in our climate, and, fortunately, one not difficult to cure if taken in time and properly treated. It is usually the result of a chill, and is accompanied with pain and inability to breathe properly, distressing fever, and often delirium. To begin with, all its evils arise from the relaxing of the vessels of the lungs, so that these swell, and the excess of blood causes inflammatory action to supervene. To guard against it, then, those influences must be avoided which reduce vitality; where they cannot be avoided, all must be done to counteract them. Mere exposure to cold or wet, unless accompanied by exhaustion from hunger, or grief, or other influence of the kind, rarely causes this trouble.

Where the trouble has set in, the treatment is the same as recommended above in Lungs, Bleeding from. If the patient be a very strong person, and the fever very great, the fomentation to the feet may be dispensed with; but if any uncomfortable coldness is felt, or the patient not above average strength, it should always be applied. No one who has not seen it can imagine the magical effect such treatment has. It is simple, but its efficiency has been demonstrated in a very large number of cases of cure.

Malaria.—Is now known to be conveyed by the bite of a certain kind of mosquito. Those who live in a malarious district should carefully exclude these from their houses, and by draining swamps and covering water butts prevent their breeding, which is always in stagnant water. If, however, exposure to infection cannot be prevented, much may be done to strengthen the system to resist it. Firstly, note that there is a great deal in the food and drink of a family compelled to live in such a district. If they live largely on animal food, and drink alcoholic liquors, they will seriously add to the power of malarial influence. The use of simple food and pure water will very much lessen it. Let us note that the very opposite of the popular superstition is the truth. A single glassful of gin, whiskey, or brandy, instead of "fortifying" against such infection, actually knocks down the "fortifications" which nature has reared against its power. These drinks, then, must be strictly avoided.



Massage.—This seems a very simple thing to do, but is by no means easy to do right, and it is very desirable that any one who can see it done by a qualified person should take advantage of the opportunity. The rubber must keep his attention closely fixed on the work, and though this is fatiguing to body and mind, it is absolutely necessary if the patient is to derive full benefit from the treatment. The skin should first be lightly rubbed with olive oil; except in very special cases "friction" between hand and skin is to be avoided. The hand should move the skin to and fro over the muscles and bones beneath, and should be always elastic, so as to go easily in and out of the hollows, and avoid violent contact with projecting bones in the case of emaciated patients. The good rubber should know anatomy so far as to understand where bones and muscles lie (See Diagram, page 216). An intelligent moving of all the muscles of a part is almost equal in benefit to gymnastic exercise, and can of course be given to those for whom gymnastics are out of the question. Yet such rubbing may fatigue a very weak patient, and care must be taken not to carry it too far at one time. There should also never be any hurting of the skin. Where the hands are felt too rough, the back may be covered with a soft cloth, oiled with olive oil. All strong strokes in rubbing the limbs should be directed inwards to where the limb joins the body. The lighter strokes should be outwards. It is always well to have a light and heavy stroke, as a joiner has in sawing.

As an instance of how to squeeze, let us take an arm that has got wrong somehow. If you take this arm between your two hands very gently, you feel that it is harder than it should be. The large muscles, even when the arm is at perfect rest, have a hard feeling to your hands, and not the soft, nice feeling which a perfectly healthy arm has. Probably the muscles have been over-stretched, and sprained, or they have been chilled, and so have lost their elasticity and softness. Well, it will be so far good if you can bathe this arm in hot water. It will be better still if the hot water used is full of SOAP (see). You can make this bathing ten times more effective, if you only know what is meant by a proper squeezing of the muscles. You use your two hands in the water of the soapy bath, and taking the arm between them, gently press the muscles between your hands, with a sort of working upon them that makes the blood in the stiff parts rush out and in, according as you press or relieve the pressure. If you can only get hold of the idea, it will not be difficult to do this right. It may be that the cords of the arm are not only hard, but also contracted, so that the arm cannot be straightened or bent as it ought to be, but it is still so squeezable that you can squeeze the blood out of it, and it is still so elastic that when you relieve it of the pressure of your hands the blood rushes back into it. If this squeezing is kindly and slowly done, it will feel very pleasant, and very soon its good effect will be perceptible.



It is sometimes thought that there is some "magic" in one person's hands that is not in another's. Here is a case in which one person has rubbed, he thinks, perfectly right, and no relief has come. Another brings relief in a few minutes. It is concluded that some mysterious "gift" is possessed by the latter. This may do well enough for an excuse when you do not care to have the trouble of curing your fellow-creatures, but it is not true. If we are to "covet earnestly the best gifts," it must be possible for all of us to get them. "The gift of healing" is surely one worth "coveting," and we think must be within reach, or we should not be told so to covet it. See also Head, Rubbing the.



Measles.—An attack of this disease generally begins with a feeling of weariness. Then it appears as running and irritation of the eyes and nostrils, at which stage it is often taken for a common cold, the symptoms being very similar. Then this irritation spreads more or less over all the breathing apparatus, and finally the eruption appears in smaller or larger red patches, sometimes almost covering the face and other parts. The usual advice given is to keep the sufferer warm. It is good to do this so far as avoiding chills is concerned, but if the room be overheated and kept close and dark, only harm will ensue. The blinds of the windows should be kept drawn up to their full height, to admit as much light as possible. Fresh air should be admitted by keeping windows open. If the patient complains of sore eyes, these may be shaded by a screen, but not by lowering the blinds. This admission of free air and light is a very great preventive of the "dregs" which form so troublesome a feature in measles. The room can easily be kept sufficiently warm by fire in winter, even if the window be open. The patient must not be allowed to read or use his eyes much, or very serious mischief may ensue.

When it first appears in eyes and nose, a good large BRAN POULTICE (see) should be placed at the back of the neck and down between the shoulders. Cold cloths should then be pressed over the brow and upper face. Do this for an hour. Give to drink lemon or orange drinks (see Drinks), taken hot, and in small quantities at a time. If this treatment is well done several times, the trouble may possibly be checked at the beginning. Where it has gone further, and cough shows irritation of the air tubes and lungs, then foment the feet and legs while applying cold cloths over the chest, as in BRONCHITIS (see). If there be fever, and no signs of rash, then, to bring it out, pack in the SOAPY BLANKET (see). Where this cannot well be done, a most effectual pack is a small sheet wrung out of warm water and wrapped round the whole body, with a blanket wrapped well round it outside to retain the steam about the skin. But the soap is better. As a rule, there is not much need for further treatment when the rash fully develops. If, however, fever still remains, rub all over with hot vinegar. This is best done in the evening.

When all fever has subsided, a good rubbing of the back only may be given with warm olive oil. This may be done once a day. The feet should be watched lest they get clammy or cold.

For food, wheaten-meal porridge and milk food generally is the best. Do not give too much food at first, and keep the bowels well open.

Medicines.—The delusion that health can be restored by swallowing drugs is so widespread that we think it well to quote the following wise words from the Lancet:—

"An eminent physician not long deceased was once giving evidence in a will case, and on being asked by counsel what fact he chiefly relied upon as establishing the insanity of the testator, replied without a moment's hesitation: 'Chiefly upon his unquestioning faith in the value of my prescriptions.' It might perfectly well be contended that this evidence failed to establish the point at issue, and that faith in the prescriptions of a physician hardly deserved to be stigmatised in so severe a manner. But admitting this, there is still little to be said in favour of the sagacity, even if we admit the sanity, of the numerous people who spend money and thought over the business of physicking themselves, and who usually, if not indeed always, bring this business to an unfortunate conclusion. The whole tendency of what may be called popular pharmacy during the last few years has been in the direction of introducing to the public a great variety of powerful medicines, put up in convenient forms, and advertised in such a manner as to produce in the unthinking, a belief that they may be safely and rightly administered at all times and seasons, as remedies for some real or supposed malady. All this, of course, has been greatly promoted by column after column of advertisement in magazines and lay newspapers; but we are compelled to admit that the medical profession cannot be held free from some amount of blame in the matter or from some responsibility for the way in which drugs have lately been popularised and brought into common use as articles of domestic consumption. Medical men have failed, we think, sufficiently to impress upon the public and upon patients that the aim of reasonable people should be to keep themselves in health rather than to be always straying, as it were, upon the confines of disease and seeking assistance from drugs in order to return to conditions from which they should never have suffered themselves to depart. The various alkaline salts and solutions, for example, the advertisements of which meet us at every turn, and which are offered to the public as specifics, safely to be taken, without anything so superfluous as the advice of medical men, for all the various evils which are described by the advertisers as gout or as heartburn, or as the consequences of 'uric acid,' do unquestionably, in a certain proportion of cases, afford temporary relief from some discomfort or inconvenience. They do this notwithstanding persistence in the habit or in the indulgence, whatever it may be, the over-eating, the want of exercise, the excessive consumption of alcohol or of tobacco, which is really underlying the whole trouble which the drugs are supposed to cure and which at the very best they only temporarily relieve, while they permit the continuance of conditions leading ultimately to degeneration of tissue and to premature death. This is the moral which it is, we contend, the duty of the profession to draw from the daily events of life. The natural secretions of the human stomach are acid, and the acidity is subservient to the digestive functions. It cannot be superseded by artificial alkalinity without serious disturbance of nutrition; and the aim of treatment, in the case of all digestive derangements, should be to cure them by changing the conditions under which they arise, not to palliate them for a time by the neutralisation of acid, which may, indeed, give relief from present trouble, but which leaves unaltered the conditions upon which the trouble really depends. Those who look down the obituary lists of the newspapers will be struck by the fact that large numbers of people, in prosperous circumstances, die as sexagenarians from maladies to which various names are given but which are, as a rule, evidences of degeneration and of premature senility, while many who pass this period go on to enter upon an eighth or ninth decade of life. The former class, we have no doubt, comprise those who have lived without restraint of their appetites, and who have sought to allay some of the consequences thence arising by self-medication, while the latter class comprises those who have lived reasonably, and who, if annoyed by imperfect digestion, have sought relief by ascertaining and by abandoning the errors from which it sprang."

Among the most pernicious and dangerous of all the patent medicines on the market are the so-called "Headache Powders," whose almost instantaneous effects testify to the potency of the drugs they contain. Such powerful agents carry their own condemnation, for they cannot in the nature of things remove the cause of the pain; hence their action is limited to narcotising the nerves. The disease continues, the damage goes on, but the faithful sentinels are put to sleep. These headache powders so increased the deaths from heart failure in New York City a couple of years ago that it became necessary to warn the public against them.

Memory, Loss of.—A more or less complete suspension of this faculty is a not uncommon form of mental and bodily illness. We do not so much mean the mere fading of past impressions as the loss of power to recall them, so that we cannot recall what we wish to remember. This is a result of any serious bodily weakness. It will come on through any exhausting exertion, or prolonged and weakening illness. Stomach disorder will also cause it. In this last case, drinking a little hot water at intervals will usually put all right. A cup of very strong tea will so derange the stomach in some cases as to cause temporary suspension of memory. We mention these cases to prevent overdue alarm at a perhaps sudden attack. The loss of mental power in such cases does not always mean anything very serious.

Just as the stomach affects the memory, so also much use of memory and mental strain tells severely upon the stomach. Digestive failures in strictly temperate persons often arise from an overstrain of the mind.

We explain these two actions, the one of body on mind, and the other of mind on body, so that care may be taken, on both sides, of the complex nature we possess. If this is done, there will be little chance of memory failing.

Mind in Disease.—Often a person, because of physical failure, becomes possessed of an utterly erroneous idea, which no reasoning can change or remove. Indeed, reasoning in such cases is best avoided. Attention should rather be directed to the physical cause of the mental state, with a view to its removal. Very probably you will find there is want of sleep, with a dry hard state of the skin of the head, and too high an internal temperature. You may then work wonders by soaping the head (see Head, Soaping). The back also should be soaped similarly. If too great a cooling effect is produced by this, wipe off the soap and rub hot olive oil on the back instead. If this is not sufficient, rub the limbs also with the hot oil. We have seen the most pronounced insanity yield to this treatment, where the cause has been physical and not mental. The secret of success is in so balancing the heat and cooling applications that the utmost possible soothing can be given without any chill.

Miscarriage.—An expectant mother should lead a quiet, orderly and healthful life (see Child-birth). By this we do not mean laziness nor idleness, nor treating herself as an invalid. On the contrary, plenty of work, both physical and mental, and regular exercise are most beneficial, but care should be taken that work should not go the length of over-fatigue, and excitement, worry and anxiety should be carefully guarded against. The round of parties and other social functions into which many brides are drawn, frequently becomes the cause of miscarriage and other troubles. Any excitement, mental or physical, is most injurious, and the husband and wife who sacrifice present enjoyment will be richly repaid afterwards in the greater vigor and healthiness of the child; while those who live for the present will often have bitter regrets of what might have been.

If any weariness, heaviness, or pain are felt in the region of the abdomen, groin, or back, half-a-day, a day, or a few days in bed should, if possible, be taken. If any appearance of bloody discharge be noticed, there is decided danger of miscarriage, and the patient should immediately go to bed, remaining, as far as possible, perfectly flat on the back until the discharge ceases. It is even useful to raise the feet higher than the head, by placing bricks or blocks under the feet of the bed. The covering on the bed should be light, only just what is necessary to keep one comfortable, and the windows should be kept open. Light food should be sparingly taken for a day or two; not much liquid, and nothing hot should be drunk. A towel, wrung out of cold water, placed over the abdomen or wherever pain is felt, and changed when warm for a fresh cold towel (see Bleeding), will help to soothe the pain, allay the hemorrhage, and induce sleep. The mind should be kept at ease, for such precautions, taken in time, will probably put all right. After the hemorrhage has entirely ceased, and all pain disappeared, some days should be spent in bed, and active life be only gradually and cautiously returned to. When there is danger of miscarriage, purgatives should be avoided; a mild enema is a safer remedy, if needful, but for two or three days perfect rest is best, and if the food be restricted, the absence of a motion of the bowels will not do any harm. The patient should, of course, have the bed to herself.

Miscarriages most frequently occur from the 8th to the 12th week of pregnancy. The time at which the menses would appear if there were no pregnancy, is a more likely time for a miscarriage than any other.

It should be remembered that miscarriages are very weakening and lowering to the general health, and to be dreaded much more than a confinement. The latter is a natural process, and, under healthy conditions, recovery of strength after it is rapid, while a miscarriage is unnatural, and is frequently followed by months of ill-health. Another thing to be remembered is that a habit of miscarriage may be established; after one, or more especially after two or three, there is likelihood of a further repetition of such accidents, resulting in total break-up of health.

Muscular Action, Weak.—The heart is the most important of all muscles. Sometimes the action of this is so weak that the pulse in the right wrist is imperceptible, and that in the left extremely feeble. The heart may be beating at the usual rate, only its stroke is much too feeble; and the effects are found in enfeebled life generally, sometimes shown in fainting fits. If such come on, lay the patient flat on his back, and if consciousness does not return shortly, apply a hot FOMENTATION (see) to the spine.

Sometimes this heart weakness is only a part of a general muscular failure. Muscles elsewhere in the body may even swell and become painful. If strychnine be prescribed, refuse it. It has only a temporary power for good, soon passing into a wholly bad effect. Thoroughly good vapour baths will effect some relief, and may be taken to begin with. The best remedy is found in gentle rubbing and squeezing the muscles in every part, specially attending to any that may be swollen and painful. Squeeze gently the muscular mass, so as to press the blood out of it. Relax the pressure again so as to admit the blood. Where no help can be had, we have known a patient so squeeze herself as to restore action to a useless limb. But of course it is best if it be well and frequently done, say twice a day, by a really careful operator who has some idea of anatomy. This may seem a simple remedy, but we have known two inches added to the length of a shrunken limb by its means, and the patient restored from apparently hopeless lameness to fair walking power. See Massage.

Muscular Pains.—These pains occur usually when a patient has been for some time in one position, sitting or lying, and rises suddenly in a particular way. They sometimes take such hold of the breast or back muscles as to make it appear as if some serious disease were present; even in the limbs they may cause great distress on any sudden motion. They may arise from a gradual overdoing of the muscles concerned. They are similar to what is commonly called a sprain, but as they are gradually produced their cause is often overlooked, and needless distress of mind caused by taking the pain for that of cancer or some such trouble. We write to point out that pains do not always mean serious disease, and before any one becomes despairing about their health, they should make sure they understand their case thoroughly.

These pains, too, refuse to yield to ordinary hot and cold methods of treatment. The remedy is found internally in half a teaspoonful of tincture of Guaiacum in a teacupful of hot water three times a day. After two or three days, a teaspoonful of the tincture may be taken in the cup of water. Continue until two ounces of tincture have been used. Or the tabloids of Guaiacum and sulphur, now found in our drug shops, may be taken, one tabloid representing the half-teaspoonful of tincture.

Externally, rub gently yet firmly the affected muscles with warm oil for ten minutes or so once a day for a week or ten days. Of course, rest must be taken, and the overstress which caused the trouble avoided in future.

Mustard Oil.—Where this is recommended the cold-drawn oil is meant, not the essential oil. The latter is a fiery blister.

Narcotics.—The use of these to give temporary relief, often degenerating into a habit, causes so much serious disease that we have felt constrained to insert an article warning our readers in regard to it. The use of tobacco we have found a fruitful source of dangerous illness. It tends to destroy nerve power, and through this to relax the muscular system. It has a most dangerous effect upon the mind, relaxing the brain, and even causing some of its functions to cease. It hinders clear reasoning, and in many cases brings on incipient paralysis. It is a fruitful source of cancerous diseases of the mouth. It destroys keenness of vision. It is of no use to quote exceptional cases in such an argument. Great men have smoked, as some great men have habitually drunk, to excess. But that is no argument for the average man of whom we speak. The very difficulty he has in giving up the use of tobacco indicates a diseased state of the nerves, which no wise man will willingly bring on himself.

The effect of the continued use of opium, chloral, and many drugs taken to gain soothing or sleep is dreadful: so much so that we have seen patients who were deprived of them, after some time of continuous use, perfectly mad with agony. Let our readers remember that the relief given in using such drugs comes from a benumbing of the vital nerves. Their influence is deadening, and, if strong enough, kills as surely as a bullet. The wise medical man will, if he does administer such drugs, take care they are only taken once or twice. If a doctor orders their continual use he is to be distrusted. By all means let our readers avoid the terrible snare of ease and sleep obtained through narcotics. It is generally easy to give relief, in the various ways described in these papers, without resort to any such hurtful methods.

Suppose that you try a very hot application to the roots of the nerves affected, if you can guess about where those roots are. The doctor should help you to know this. The hot poultice is put on—we shall say it fails to relieve. Well, you put on a cold application at the same place. That relieves slightly. Whichever of the applications relieves should be followed up vigorously. Do not say, "Oh, it gives relief for a little, and then the pain returns." Follow up the little relief, and change from heat to cold as the pain or relief indicates. You can do no possible harm by such processes, and in multitudes of cases all will soon be right, and no opiate required at all. But you must not think all remedies at an end when you have tried one or two singly, and relief does not yet come. The large hot poultice may be put on the roots of the affected nerves, and ice-cold cloths placed on the branches of these nerves at the same time. Then the cold ice cloths may be placed on the roots and the hot on the branches. But remedies are not exhausted, by any means, when you have thought of two or three applications of heat and cold. The whole nerve system can be influenced by the rubbing of the head and spinal region, so as to wake up a strong increase of vital action in the nerve centres there. We have seen a patient who had been for months under medical treatment, and in agony except when deadened with narcotics, rendered independent of all such things by a little skilful rubbing alone. Perhaps you object that these remedies are "very simple." Well, that would be no great harm; but if they are so simple, you are surely a simpleton if you let your poor nerves be killed with morphia, while such obvious remedies are at hand. (See Massage.)

Neck, Stiff.—For this, rub the whole back with soap lather (see Lather; Soap), and then with acetic acid and olive oil. Rub the neck itself as recommended for Muscular Action.

Neck, Twisted.—This arises from the undue contraction of some of the muscles in the neck. It generally shows itself first in the evening, after the day's fatigue, and if neglected, or treated with blistering, iodine, etc., may become a chronic affliction. Yet it is not difficult to cure by right means. Opium should never be used. We have seen terrible suffering follow its use. The true cause must be attacked, which is an undue irritation of the nerve which controls one of the muscles, so that it contracts and pulls the head away. The nerves of the muscles which counteract this pull are also probably low in vitality, so that there is a slackening on one side and a pull on the other.

First of all, for a cure, there must be rest. Not more than three hours at a time should be spent in an erect posture, and between each spell of three hours let one hour be spent lying down. Avoid all movement while lying, as far as possible. Secondly, soap the back thoroughly with LATHER (see) at bedtime. Cover the well-lathered skin with a large, soft cloth, leaving the cloth and lather on all night, and covering over all with flannel in sufficient quantity to keep the patient warm. If the spasmodic twitching comes on, apply cold cloths repeatedly to the back of the neck for an hour in the morning. If this is felt too cold, apply for a shorter time.

If the neck has become hard and fixed in a wrong position, rub as recommended in Muscular Action. This treatment has cured many cases.

Nerve Centres, Failing.—Many diseases flow from this cause, but at present we only consider one. That is where a "numbness" begins to show itself in fingers and toes, and to creep up the limbs. No time should be lost in treating such a case. It arises from failure in the spinal nerves, and these must be nursed into renewed vitality. This will be greatly helped by wearing over the back next the skin a piece of new flannel. Rub (see Massage) the back with warm olive oil night and morning, working especially up and down each side of the spine. Pursue this rubbing gently but persistently, but do not fatigue the patient, which may easily be done. Cease rubbing the moment fatigue manifests itself. Continue this treatment for weeks even, and also treat, as in next articles, mind as well as body. (See Locomotor Ataxia.)

Nerve Pain.—See Pain.

Nerve Shock.—After a fright, or some very trying experience, some part of the nervous system is frequently found to have given way. Heat is felt in the stomach. Then, if no treatment is given, curious feelings come on in the back of the head. Even inflammation of the stomach and brain may come on in severe cases. In any such trouble, alcoholic drinks, blisters, opium, and all narcotics are to be strictly avoided. These only lessen the already weak nerve power. Show the patient in the first place that there is no need for anxiety, the vast majority of such cases being easily curable by right treatment. We have seen this relief of mind alone effect a perfect cure. Therefore see to giving it. Wring tightly out of cold water two ply of new flannel, large enough to go round the lower part of the body, from waist downwards to hips. Put these round the patient, with two dry ply of the same flannel above them. Wear this night and day for a week or a fortnight. Keep the feet always warm and dry. Give plain, easily digested food. If St. Vitus' Dance shows itself, treat as directed under that head. Study the case in the light of all said on nervous troubles in these pages, and you will be able to cure almost any symptoms which may arise.

Nerves, Shaken.—By this we mean, not the nerve trouble which follows a sudden injury or fright, but the result of long-continued worry and overwork. Sleeplessness, great irritability of temper, depressing thoughts, restlessness, and even a wish for death, are all symptoms of this trouble. In any effort to cure it, the mind must be largely considered. Thoughts of the constant care of a loving, Divine Saviour for even the least of His children, must be encouraged. Work, which is an intolerable burden when depressing thoughts are encouraged, will become easy when these are removed. If you get the sufferer made hopeful for time and for eternity too, you have half won the battle.

Again, in bodily matters, food or drink which is exciting must be given up, or very sparingly used. Tea should only be taken weak, and at most twice a-day. Avoid long conversations, and especially discussions and debates. Let the head be soaped (see Head, Soaping) with soap lather at night, and rub all over with hot vinegar and olive oil before rising in the morning. Many a shaken nervous system will speedily recover under such treatment. Take also eight good hours for sleep, and allow no ideas of business or work to intrude upon them. No more valuable habit can be formed, by the healthy as well as by the nervous, than this. The whole will should resolutely be bent to remove the attention from every trying thought, when the hours of work are past, and especially on retiring to rest. Always recollect that this can be done; assert mentally, or if necessary, audibly, that it shall. Do not let initial failure disappoint you; persevere and a habit will be formed. When the brain gets a fair rest in its hours of leisure, it is usually equal to all demands in ordinary hours of work.

All brain workers, in their leisure hours should let the brain rest, and if they must do something, let it be as diverse from their work, and as easy on the thinking power as is possible. (See Worry).



Nerves, Spinal.—The spinal cord is continuous with the back part of the brain. It is a mass of nerve fibres, and from it branch off in pairs, all the way down from the brain, the great nerves which move the limbs and muscles of the body, and receive the impressions of sensation for conveyance to the brain. It is permeated by numerous blood vessels, which supply what is needed for the upkeep of the whole mass. When these relax, and become overfilled with blood, we have congestion of the spinal cord. This may often be easily remedied by cold cloths applied over the spine, with fomentations to the feet if necessary (see Children's Healthy Growth; Fall; Paralysis; St. Vitus' Dance). If, on the other hand, the vessels are contracted, or the blood supply defective, we have great languor and coldness. This usually may be remedied by rubbing over the spine with hot olive oil. Violent heat, or blistering, simply destroys the skin, and hinders healthy action. Gentle heat, or gentle cooling, long continued, is the best treatment. Especially is this true in the case of little children (see Children's Healthy Growth). For treatment of the nervous system, peculiar attention should always be paid to the point where all the spinal nerves enter and issue from the brain. This is at the hollow usually present at the base of the back of the skull, where it is jointed on to the spinal bones. Rubbing here is most powerful, either with acetic acid or olive oil, and hot or cold cloths should always be well pressed into the hollow, when applied to the head or upper spine. (See Diagram, page 234).

Failures of muscular power are caused by failure in the spinal cord. If a child cannot walk, but only trails his legs, or if he cannot hold his head erect, skilful rubbing with hot oil on the spine will often quite cure the defects. Do not rub too hard. Feel for the muscles around the spine, and gently insinuate healing influence with your fingers, so as to reach the nerves below. Use a moderate quantity of oil, and the effects will be marvellous.

Nerves, Troubled.—Often a state of the nerves exists, without any apparent unhealthiness, which makes the whole system so sensitive, that ordinary sights, sounds, and smells become unbearable, and the patient feels the ordinary round of experience, which would never be noticed otherwise, an intolerable burden. Strange feelings all over the body, and an indescribable series of seemingly "fanciful" troubles, come on. It is of no use, and indeed injurious, to treat such cases as merely fanciful. The wrong bodily condition must be righted if the mental condition is to improve. The first thing needed is quiet. Quietness rests the overstrained nervous system very much. Nerve-benumbing drugs are most hurtful (see Narcotics). Let the light in the room be subdued, and strong smells avoided. To rest the skin nerves, wear only Kneipp linen underclothing, and flannels above this if required. Bathe the tongue and palate by taking mildly warm water into the mouth and ejecting it again. Soap the head, and all over the body, if it can be done without chilling, three times a week. (See Head, Soaping; Lather, etc.).

Nervous Attacks.—What we call, for want of a better name, "nerve force," or "nerve action," is at any one time a definite quantity. In health it is distributed to all the sets of nerves equally, so that all work in harmony. But if its distribution be altered in certain ways, we find "fits" or "attacks" coming on. Action is greatly exaggerated in one part, and as greatly lessened in another—hence violent movements and complete unconsciousness co-exist. Children often have such fits. Where they arise from indigestion as a result of bad food, the cure is found in teaspoonfuls of hot water, and a hot sitz-bath coming up over the bowels. Where bad blood causes the fits, poultices over the kidneys will usually help greatly. (For fits of teething children, see Teething.) See also Epilepsy.

Nervousness.—This frequent and distressing trouble is to be traced to a state of the nervous system in which sensibility has got the upper hand, and self-control is partly lost. It is difficult accurately and briefly to describe, but is an easily recognisable state. Firstly, then, we say this is a physical trouble, and the patient must not be blamed for it, but encouraged kindly to make every effort of will to throw it off. A strong will can be cultivated, just as a strong arm, by exercise. Peaceful thoughts and Christian faith can also be cultivated, and anxious and disturbing ideas put down. Uniform, steady conduct on the part of all around is an enormous help to the nervous. For physical remedies, use no alcoholic drinks. These give temporary relief, but are fatal in their after effects. To cure nervousness is impossible unless these are given up. The physical treatment necessary will be found under Nerves, Shaken, and Nerves, Troubled.